학술논문

HPV knowledge, burden and genital wart location among heterosexually identified versus homosexually identified men who have sex with men in Lima, Peru: cross-sectional results from a cohort study.
Document Type
article
Source
BMJ open. 7(10)
Subject
Humans
Syphilis
Condylomata Acuminata
Risk Factors
Prospective Studies
Cross-Sectional Studies
Condoms
Health Knowledge
Attitudes
Practice
Heterosexuality
Homosexuality
Male
Adolescent
Adult
Sexual Partners
Peru
Female
Male
Young Adult
HPV
MSM
heterosexual behaviour
homosexuality
Health Knowledge
Attitudes
Practice
Homosexuality
Clinical Sciences
Public Health and Health Services
Other Medical and Health Sciences
Language
Abstract
ObjectivesThe relationship between sexual practices, identity and role among Latino men who have sex with men (MSM) and HIV risk is the subject of ongoing investigation but less is known about how these aspects of sexuality relate to human papilloma-virus (HPV), an independent risk factor for HIV. This observational study investigated the relationship between HPV and sexual practices, identity and role as well as other sexually transmitted infection (STI)/HIV risk factors among HIV-negative heterosexually and homosexually identified Peruvian MSM.SettingCommunity-based clinic for MSM in Lima, Peru.Participants756 subjects were screened based on inclusion criteria of: born anatomically male; age ≥18 years; had any anal intercourse with a man during the previous 12 months; residing in metropolitan Lima; HIV negative; willing to commit to twice-yearly clinic visits for 24 months; had not participated in an HIV or HPV vaccine study. 600/756 participants met the inclusion criteria and were enrolled, of whom 48% (284) identified as homosexual and 10% (57) as heterosexual, the basis of the analyses performed.ResultsCompared with homosexually identified MSM, heterosexually identified MSM had completed fewer years of formal education and were less likely to have: anogenital HPV or visible anal warts; given oral sex to a man; or used a condom with their most recent female sexual partner (all p