Rosa-Cunha Isabella, Hooton Thomas M, Cardenas Gabriel A, Del Rio Carlos, Bonney Loida E, Pereyra Margaret, Metsch Lisa R
Department of Medicine, Division of Infectious Diseases, Miller School of Medicine, University of Miami, FL, USA
Department of Medicine, Division of Infectious Diseases, Miller School of Medicine, University of Miami, FL, USA.
Int J STD AIDS. 2014 Dec;25(14):992-6. doi: 10.1177/0956462414527070. Epub 2014 Mar 10.
Human papillomavirus (HPV) is the cause of cervical and anal cancer. Human immunodeficiency virus (HIV) infection and cocaine use are associated with increased risk for HPV infection and associated diseases, but little is known about HIV-infected drug users' awareness of HPV. We investigate HPV awareness among HIV-infected, sexually-active crack cocaine users from two inner-city hospitals in Florida and Georgia during their inpatient stays. Multivariate logistic regression analysis was used to examine potential correlates of HPV awareness. We interviewed 215 participants (110 women; 105 men) about their awareness of HPV infection. Overall, only 25% of respondents reported having heard of HPV. The odds of having heard of HPV were greater for respondents having a high-school degree or higher, having ever gone to an HIV provider for HIV care, and having two or more sexual partners. Despite increased susceptibility to HPV infection and HPV-related cancers, our study findings suggest that sexually-active HIV-infected crack cocaine users have little awareness of HPV and highlight the need for programmes targeting HPV education for HIV-infected crack cocaine drug users.
人乳头瘤病毒（HPV）是宫颈癌和肛门癌的病因。人类免疫缺陷病毒（HIV）感染及可卡因使用与HPV感染及相关疾病的风险增加有关，但人们对HIV感染的吸毒者对HPV的认知了解甚少。我们调查了佛罗里达州和佐治亚州两家市中心医院的HIV感染且有性活动的快克可卡因使用者在住院期间对HPV的认知情况。采用多变量逻辑回归分析来检验HPV认知的潜在相关因素。我们就215名参与者（110名女性；105名男性）对HPV感染的认知情况进行了访谈。总体而言，只有25%的受访者表示听说过HPV。具有高中学历或以上学历、曾因HIV护理前往HIV医疗机构就诊以及有两个或更多性伴侣的受访者听说过HPV的几率更高。尽管感染HPV及HPV相关癌症的易感性增加，但我们的研究结果表明，有性活动的HIV感染快克可卡因使用者对HPV的认知甚少，并凸显了针对HIV感染的快克可卡因吸毒者开展HPV教育项目的必要性。
