Risk factors for genital human papillomavirus among men in Tanzania

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningfagfællebedømt

  • Tina Bech Olesen
  • Julius Mwaiselage
  • Thomas Iftner
  • Crispin Kahesa
  • Vibeke Rasch
  • Kirsten Frederiksen
  • Christian Munk
  • Kjær, Susanne Krüger

The objective of the study was to assess risk factors for Human Papillomavirus (HPV) among men in Tanzania, both overall and in relation to HIV status. In a cross-sectional study conducted among 1,813 men in Tanzania, penile swabs were tested for HPV using Hybrid Capture 2 (HC2). Study participants were offered HIV testing. Risk factors for HPV (HC2 high-risk and/or low-risk positivity) were assessed using logistic regression with adjustment for age, lifetime number of sexual partners, and HIV status. Altogether, 372 men (20.5%) were HPV-positive. Among men tested for HIV (n = 1,483), the HIV prevalence was 9.4%. The odds ratio (OR) of HPV increased with increasing age. HIV-positivity was associated with an increased odds ratio of HPV (OR = 1.91; 95%CI: 1.30–2.82), whereas the odds of HPV tended to be lower in circumcised men than in uncircumcised men (OR = 0.77; 95%CI: 0.54–1.09). When stratifying by HIV status, we found lower odds of HPV in overweight HIV-positive men (BMI > 25) than in normal weight HIV-positive men (OR = 0.25; 95%CI: 0.08–0.78). This did not apply to HIV-negative men. Circumcision tended to decrease the odds of HPV both in HIV-positive men and in HIV-negative men, although not being statistically significant. In conclusion, HIV is a strong risk factor for HPV among men in Tanzania. Additionally, in HIV-positive men a high BMI seems to be associated with a lower risk of HPV. Finally, we observed a tendency toward a lower risk of HPV both among HIV-positive and HIV-negative circumcised men compared to their uncircumcised counterparts. J. Med. Virol. 89:345–351, 2017.

OriginalsprogEngelsk
TidsskriftJournal of Medical Virology
Vol/bind89
Udgave nummer2
Sider (fra-til)345-351
Antal sider7
ISSN0146-6615
DOI
StatusUdgivet - feb. 2017

ID: 196883424