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肯尼亚未行包皮环切术男性阴茎部位人乳头瘤病毒感染的流行情况及危险因素。

Prevalence and risk factors of human papillomavirus infection by penile site in uncircumcised Kenyan men.

机构信息

Department of Epidemiology, University of North Carolina, Chapel Hill, 27599, USA.

出版信息

Int J Cancer. 2010 Jan 15;126(2):572-7. doi: 10.1002/ijc.24770.

DOI:10.1002/ijc.24770
PMID:19626601
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2795021/
Abstract

Human papillomavirus (HPV) prevalence was estimated from 2,705 sexually active, uncircumcised, human immunodeficiency virus seronegative men aged 17-28 years in Kisumu, Kenya. HPV prevalence was 51.1% (95% confidence interval: 49.2-53.0%) in penile cells from the glans/coronal sulcus and/or shaft. HPV prevalence varied by anatomical site, with 46.5% positivity in the glans/coronal sulcus compared with 19.1% in the shaft (p < 0.0001). High-risk HPV was detected in 31.2% of glans and 12.3% of shaft samples (p < 0.0001). HPV16 was the most common type and 29.2% of men were infected with more than one HPV type. Risk factors for HPV infection included presence of C. trachomatis, N. gonorrhea, self-reported sexually transmitted infections, and less frequent bathing. Lifetime number of sexual partners and herpes simplex virus type-2 seropositivity were also marginally associated with HPV infection.

摘要

人乳头瘤病毒(HPV)流行率从肯尼亚基苏木的 2705 名性活跃、未割礼、人类免疫缺陷病毒血清阴性的 17-28 岁男性中估计得出。龟头/冠状沟和/或阴茎杆细胞的 HPV 流行率为 51.1%(95%置信区间:49.2-53.0%)。HPV 流行率按解剖部位不同而有所差异,龟头/冠状沟处的阳性率为 46.5%,而阴茎杆处为 19.1%(p<0.0001)。在龟头样本中检测到高危 HPV 的占 31.2%,在阴茎杆样本中占 12.3%(p<0.0001)。HPV16 是最常见的类型,29.2%的男性感染了一种以上的 HPV 类型。HPV 感染的危险因素包括沙眼衣原体、淋病奈瑟菌、自述的性传播感染,以及洗澡频率较低。性伴侣终身数量和单纯疱疹病毒 2 型血清阳性也与 HPV 感染有一定的关联。

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