Sex differences in the prevalence and determinants of HPV-related external genital lesions in young adults : a national cross-sectional survey in Brazil
BACKGROUND: External genital lesions (EGL) are the most common sexually transmitted infections (STIs). We aimed to evaluate the prevalence, determinants and sex differences in EGL among young adults from Brazil.
METHODS: Overall, 7694 participants (aged 16 to 25 years) underwent an interview, genital examination and sampling for HPV genotyping.
RESULTS: The prevalence of EGL was 4.08% (234) and is more frequent in men (5.72%) than women (2.31%) (p < 0.001). Genital lesions were significantly associated with male sex, infection by high-risk and multiple HPV types, having more than two sexual partners in the last year, smoking status and the presence of other STI. While alcohol use was associated with a higher prevalence of EGL in women, same-sex sexual relationship increase the prevalence in men. In the EGL group, 67.79% (p = 0.032) were positive for HPV infection and the types HPV6 and HPV11 were the most prevalent ones.
CONCLUSION: The prevalence of EGL in young adults was consistently high, and most cases were associated with genital HPV infection and STIs. Although men have a higher prevalence, both sexes share most genital lesion determinants. The promotion of sexual education and vaccination especially focus in young men, who are usually outside the targets of primary health care programmes, can prevent EGL in Brazilian young adults.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2020 |
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| Erschienen: |
2020 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:20 |
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| Enthalten in: |
BMC infectious diseases - 20(2020), 1 vom: 18. Sept., Seite 683 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Comerlato, Juliana [VerfasserIn] |
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| Links: |
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| Themen: |
Epidemiology |
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| Anmerkungen: |
Date Completed 16.10.2020 Date Revised 16.10.2020 published: Electronic Citation Status MEDLINE |
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| doi: |
10.1186/s12879-020-05376-x |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM315195576 |
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| 100 | 1 | |a Comerlato, Juliana |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Sex differences in the prevalence and determinants of HPV-related external genital lesions in young adults |b a national cross-sectional survey in Brazil |
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| 500 | |a Date Completed 16.10.2020 | ||
| 500 | |a Date Revised 16.10.2020 | ||
| 500 | |a published: Electronic | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a BACKGROUND: External genital lesions (EGL) are the most common sexually transmitted infections (STIs). We aimed to evaluate the prevalence, determinants and sex differences in EGL among young adults from Brazil | ||
| 520 | |a METHODS: Overall, 7694 participants (aged 16 to 25 years) underwent an interview, genital examination and sampling for HPV genotyping | ||
| 520 | |a RESULTS: The prevalence of EGL was 4.08% (234) and is more frequent in men (5.72%) than women (2.31%) (p < 0.001). Genital lesions were significantly associated with male sex, infection by high-risk and multiple HPV types, having more than two sexual partners in the last year, smoking status and the presence of other STI. While alcohol use was associated with a higher prevalence of EGL in women, same-sex sexual relationship increase the prevalence in men. In the EGL group, 67.79% (p = 0.032) were positive for HPV infection and the types HPV6 and HPV11 were the most prevalent ones | ||
| 520 | |a CONCLUSION: The prevalence of EGL in young adults was consistently high, and most cases were associated with genital HPV infection and STIs. Although men have a higher prevalence, both sexes share most genital lesion determinants. The promotion of sexual education and vaccination especially focus in young men, who are usually outside the targets of primary health care programmes, can prevent EGL in Brazilian young adults | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Epidemiology | |
| 650 | 4 | |a Genital warts | |
| 650 | 4 | |a HPV | |
| 650 | 4 | |a Human papillomavirus | |
| 650 | 4 | |a Prevalence in young adults | |
| 700 | 1 | |a Kops, Natália Luiza |e verfasserin |4 aut | |
| 700 | 1 | |a Bessel, Marina |e verfasserin |4 aut | |
| 700 | 1 | |a Horvath, Jaqueline Driemeyer |e verfasserin |4 aut | |
| 700 | 1 | |a Fernandes, Bruna Vieira |e verfasserin |4 aut | |
| 700 | 1 | |a Villa, Luisa Lina |e verfasserin |4 aut | |
| 700 | 1 | |a de Souza, Flavia Moreno Alves |e verfasserin |4 aut | |
| 700 | 1 | |a Pereira, Gerson Fernando Mendes |e verfasserin |4 aut | |
| 700 | 1 | |a Wendland, Eliana Márcia |e verfasserin |4 aut | |
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