Prevalence and factors associated with anogenital warts among sexual and gender minorities attending a trusted community health center in Lagos, Nigeria.

Adebajo, Sylvia B; Nowak, Rebecca G; Adebiyi, Ruxton; Shoyemi, Elizabeth; Ekeh, Charles; Ramadhani, Habib O; Gaydos, Charlotte A; Ake, Julie A; Baral, Stefan D; Charurat, Manhattan E; Crowell, Trevor A

Adebajo, Sylvia B; Nowak, Rebecca G; Adebiyi, Ruxton; Shoyemi, Elizabeth; Ekeh, Charles; Ramadhani, Habib O; Gaydos, Charlotte A; Ake, Julie A; Baral, Stefan D; Charurat, Manhattan E; Crowell, Trevor A.

Afiliación

Adebajo SB; Center for International Health Education Biosecurity, University of Maryland, Baltimore, Abuja, Nigeria.
Nowak RG; Institute of Human Virology, University of Maryland, Baltimore, Maryland, United States of America.
Adebiyi R; Center for International Health Education Biosecurity, University of Maryland, Baltimore, Abuja, Nigeria.
Shoyemi E; Population Council Nigeria, Abuja, Nigeria.
Ekeh C; Population Council Nigeria, Abuja, Nigeria.
Ramadhani HO; Institute of Human Virology, University of Maryland, Baltimore, Maryland, United States of America.
Gaydos CA; Department of Medicine, Johns Hopkins University, Baltimore, Maryland, United States of America.
Ake JA; United States. Military HIV Research Program, Walter Reed Army Institute of Research, Silver Spring, Maryland, United States of America.
Baral SD; Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, United States of America.
Charurat ME; Institute of Human Virology, University of Maryland, Baltimore, Maryland, United States of America.
Crowell TA; United States. Military HIV Research Program, Walter Reed Army Institute of Research, Silver Spring, Maryland, United States of America.

PLOS Glob Public Health ; 2(11): e0001215, 2022.

Article en En | MEDLINE | ID: mdl-36962635

RESUMEN

Anogenital warts caused by human papillomavirus are common in sexual and gender minorities (SGM). The prevalence of, and factors associated with warts were described for SGM with a high burden of HIV in Nigeria. Individuals who reported anal sex with men were enrolled in the TRUST/RV368 cohort. Participants completed an interviewer-led survey, provided biological samples, and had a physical examination. Specific to the Lagos site, clinic staff offered standardized warts treatment services. RDS-weighted multivariable logistic regression was used to estimate the adjusted odds ratios (AORs) and 95% confidence intervals (CIs) for factors potentially associated with anogenital warts. Of 672 enrolled SGM, 478 (71%) engaged in warts services and had complete data. The median age (interquartile range) was 22 (20-26) years, 272 (52%) initiated sex before age 18, and 347 (79%) were cisgender men. Multiple male sexual partners in the previous year were reported by 448 (90%) of the participants, and 342 (66%) were living with HIV. Warts were diagnosed in 252 (54%), including anal warts in 234 (43%) and penile warts in 44 (8%); 26 (5%) had both anal and penile warts. Factors independently associated with warts included HIV (AOR:2.97; CI:1.44-6.14), engaging in receptive anal sex (AOR:3.49; CI:1.25-9.75), having multiple male sexual partners (AOR:7.26; CI:2.11-24.87), age at sexual debut (AOR:0.53; CI:0.28-0.98), and non-binary gender identity (AOR:0.20; CI:0.05-0.71). Warts were common among SGM in Nigeria, particularly those living with HIV. Administration of HPV vaccination before sexual debut or as a catch-up vaccination may prevent HPV-associated complications.

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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Prevalence_studies / Risk_factors_studies Aspecto: Determinantes_sociais_saude Idioma: En Revista: PLOS Glob Public Health Año: 2022 Tipo del documento: Article País de afiliación: Nigeria Pais de publicación: Estados Unidos

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