Abstract
ObjectivesTo analyse factors associated with genital human papillomavirus (HPV) and other self-reported sexually transmitted infection (STI) coinfections among women and men aged 16–25 years from Brazil.DesignA cross-sectional, nationwide, multicentre study.Setting119 primary healthcare centres between September 2016 and November 2017.Participants6388 sexually active young adults were enrolled by trained health professionals.Primary outcome measureGenital HPV and other self-reported STI coinfections.ResultsOf 3512 participants with valid data for genital HPV and (STI)-positive status, 276 (9.60%, 95% CI 7.82% to 11.36%) had HPV/STI coinfection. Among men, HPV/STI coinfection was more prevalent than HPV infection alone. Among HPV-positive participants, the percentage of subjects who reported having another STI was highest for gonorrhoea at 4.24% (95% CI 2.67% to 5.81%), followed by syphilis, herpes and HIV. Smoking, drug use and ever having a same-sex sexual experience were risk factors that were uniquely associated with HPV/STI coinfection compared with HPV infection alone.ConclusionsThe results identified a low prevalence of self-reported STIs, but in participants with at least one STI, the prevalence of HPV was high. These results reinforce the importance of implementing strategies to prevent risky behaviours among Brazilian young adults.
Reference35 articles.
1. WHO. Global health sector strategy on Sexually Transmitted Infections, 2016-2021. World Health Organization Department of Reproductive Health and Research, 2016.
2. Prevalence of HPV Infection Among Females in the United States
3. Cervical HPV infection in Brazil: systematic review;Ayres;Rev Saúde Públ,2010
4. McQuillan G , Kruszon-Moran D , Markowitz LE , et al . TPrevalence of HPV in Adults Aged 18-69: United States, 2011-2014. NCHS Data Brief 2017:1–8.
5. INCA - Instituto Nacional de Câncer - Estimativa 2018 - Introdução. http://www.inca.gov.br/estimativa/2018/introducao.asp (Accessed 26 Apr 2018).
Cited by
11 articles.
订阅此论文施引文献
订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献