Circumcision and Human Papillomavirus Infection in Men : A Site-Specific Comparison. Commentary
Identifieur interne : 000E73 ( Main/Exploration ); précédent : 000E72; suivant : 000E74Circumcision and Human Papillomavirus Infection in Men : A Site-Specific Comparison. Commentary
Auteurs : Peter V. Chin-Hong [États-Unis] ; B. Y. Hernandez [États-Unis] ; L. R. Wilkens [États-Unis] ; X. Zhu [États-Unis] ; K. Mcduffie [États-Unis] ; P. Thompson [États-Unis] ; Y. B. Shvetsov [États-Unis] ; L. Ning [États-Unis] ; M. T. Goodman [États-Unis]Source :
- The Journal of infectious diseases [ 0022-1899 ] ; 2008.
Descripteurs français
- Pascal (Inist)
- Wicri :
- topic : Homme.
English descriptors
- KwdEn :
Abstract
Background. Lack of circumcision has been identified as a risk factor for male genital human papillomavirus (HPV) infection, although this association has not been consistently supported. Methods. Specimens for HPV testing were collected from a cohort of 379 (primarily heterosexual) adult males. HPV prevalence in the glans penis and coronal sulcus, penile shaft, scrotum, semen, and urine was compared by circumcision status. Results. Overall, HPV DNA prevalence ranged from 6% in semen to 52% in the penile shaft. The prevalence of any HPV infection in the glans/corona was significantly higher in uncircumcised men (46%) than in circumcised men (29%) (odds ratio [OR], 1.96 [95% confidence interval {CI}, 1.02-3.75], adjusted for demographic characteristics and sexual history). Uncircumcised men also had an increased risk of oncogenic HPV infection (adjusted OR, 2.51 [95% CI, 1.11-5.69]) and infection with multiple HPV types (adjusted OR, 3.56 [95% CI, 1.50-8.50]). Among uncircumcised men, HPV prevalence in the foreskin (44%) was comparable to that in the glans/corona, and type-specific positivity was observed between the 2 sites (K = 0.52). Conclusions. Uncircumcised men have an increased risk of HPV infection, including with oncogenic HPV, specifically localized to the glans/corona, possibly because of its proximity to the foreskin, which may be particularly vulnerable to infection.
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Commentary</title><author><name sortKey="Chin Hong, Peter V" sort="Chin Hong, Peter V" uniqKey="Chin Hong P" first="Peter V." last="Chin-Hong">Peter V. Chin-Hong</name><affiliation wicri:level="3"><inist:fA14 i1="01"><s1>Division of Infectious Diseases, Department of Medicine, University of California</s1><s2>San Francisco</s2><s3>USA</s3><sZ>1 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><settlement type="city">San Francisco</settlement><region type="state">Californie</region></placeName></affiliation></author><author><name sortKey="Hernandez, B Y" sort="Hernandez, B Y" uniqKey="Hernandez B" first="B. Y." last="Hernandez">B. Y. Hernandez</name><affiliation wicri:level="1"><inist:fA14 i1="02"><s1>Cancer Research Center of Hawaii, University of Hawaii</s1><s2>Honolulu</s2><s3>USA</s3><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ><sZ>9 aut.</sZ></inist:fA14><country>États-Unis</country><wicri:noRegion>Honolulu</wicri:noRegion></affiliation></author><author><name sortKey="Wilkens, L R" sort="Wilkens, L R" uniqKey="Wilkens L" first="L. R." last="Wilkens">L. R. Wilkens</name><affiliation wicri:level="1"><inist:fA14 i1="02"><s1>Cancer Research Center of Hawaii, University of Hawaii</s1><s2>Honolulu</s2><s3>USA</s3><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ><sZ>9 aut.</sZ></inist:fA14><country>États-Unis</country><wicri:noRegion>Honolulu</wicri:noRegion></affiliation></author><author><name sortKey="Zhu, X" sort="Zhu, X" uniqKey="Zhu X" first="X." last="Zhu">X. Zhu</name><affiliation wicri:level="1"><inist:fA14 i1="02"><s1>Cancer Research Center of Hawaii, University of Hawaii</s1><s2>Honolulu</s2><s3>USA</s3><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ><sZ>9 aut.</sZ></inist:fA14><country>États-Unis</country><wicri:noRegion>Honolulu</wicri:noRegion></affiliation></author><author><name sortKey="Mcduffie, K" sort="Mcduffie, K" uniqKey="Mcduffie K" first="K." last="Mcduffie">K. Mcduffie</name><affiliation wicri:level="1"><inist:fA14 i1="02"><s1>Cancer Research Center of Hawaii, University of Hawaii</s1><s2>Honolulu</s2><s3>USA</s3><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ><sZ>9 aut.</sZ></inist:fA14><country>États-Unis</country><wicri:noRegion>Honolulu</wicri:noRegion></affiliation></author><author><name sortKey="Thompson, P" sort="Thompson, P" uniqKey="Thompson P" first="P." last="Thompson">P. Thompson</name><affiliation wicri:level="1"><inist:fA14 i1="02"><s1>Cancer Research Center of Hawaii, University of Hawaii</s1><s2>Honolulu</s2><s3>USA</s3><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ><sZ>9 aut.</sZ></inist:fA14><country>États-Unis</country><wicri:noRegion>Honolulu</wicri:noRegion></affiliation></author><author><name sortKey="Shvetsov, Y B" sort="Shvetsov, Y B" uniqKey="Shvetsov Y" first="Y. B." last="Shvetsov">Y. B. Shvetsov</name><affiliation wicri:level="1"><inist:fA14 i1="02"><s1>Cancer Research Center of Hawaii, University of Hawaii</s1><s2>Honolulu</s2><s3>USA</s3><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ><sZ>9 aut.</sZ></inist:fA14><country>États-Unis</country><wicri:noRegion>Honolulu</wicri:noRegion></affiliation></author><author><name sortKey="Ning, L" sort="Ning, L" uniqKey="Ning L" first="L." last="Ning">L. Ning</name><affiliation wicri:level="1"><inist:fA14 i1="03"><s1>University Health Services, University of Hawaii</s1><s2>Honolulu</s2><s3>USA</s3><sZ>8 aut.</sZ></inist:fA14><country>États-Unis</country><wicri:noRegion>Honolulu</wicri:noRegion></affiliation></author><author><name sortKey="Goodman, M T" sort="Goodman, M T" uniqKey="Goodman M" first="M. T." last="Goodman">M. T. Goodman</name><affiliation wicri:level="1"><inist:fA14 i1="02"><s1>Cancer Research Center of Hawaii, University of Hawaii</s1><s2>Honolulu</s2><s3>USA</s3><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ><sZ>9 aut.</sZ></inist:fA14><country>États-Unis</country><wicri:noRegion>Honolulu</wicri:noRegion></affiliation></author></analytic><series><title level="j" type="main">The Journal of infectious diseases</title><title level="j" type="abbreviated">J. infect. dis.</title><idno type="ISSN">0022-1899</idno><imprint><date when="2008">2008</date></imprint></series></biblStruct></sourceDesc><seriesStmt><title level="j" type="main">The Journal of infectious diseases</title><title level="j" type="abbreviated">J. infect. dis.</title><idno type="ISSN">0022-1899</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Circumcision</term><term>Human</term><term>Human papillomavirus</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Papillomavirus humain</term><term>Homme</term><term>Circoncision</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Homme</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Background. Lack of circumcision has been identified as a risk factor for male genital human papillomavirus (HPV) infection, although this association has not been consistently supported. Methods. Specimens for HPV testing were collected from a cohort of 379 (primarily heterosexual) adult males. HPV prevalence in the glans penis and coronal sulcus, penile shaft, scrotum, semen, and urine was compared by circumcision status. Results. Overall, HPV DNA prevalence ranged from 6% in semen to 52% in the penile shaft. The prevalence of any HPV infection in the glans/corona was significantly higher in uncircumcised men (46%) than in circumcised men (29%) (odds ratio [OR], 1.96 [95% confidence interval {CI}, 1.02-3.75], adjusted for demographic characteristics and sexual history). Uncircumcised men also had an increased risk of oncogenic HPV infection (adjusted OR, 2.51 [95% CI, 1.11-5.69]) and infection with multiple HPV types (adjusted OR, 3.56 [95% CI, 1.50-8.50]). Among uncircumcised men, HPV prevalence in the foreskin (44%) was comparable to that in the glans/corona, and type-specific positivity was observed between the 2 sites (K = 0.52). Conclusions. Uncircumcised men have an increased risk of HPV infection, including with oncogenic HPV, specifically localized to the glans/corona, possibly because of its proximity to the foreskin, which may be particularly vulnerable to infection.</div></front></TEI><affiliations><list><country><li>États-Unis</li></country><region><li>Californie</li></region><settlement><li>San Francisco</li></settlement></list><tree><country name="États-Unis"><region name="Californie"><name sortKey="Chin Hong, Peter V" sort="Chin Hong, Peter V" uniqKey="Chin Hong P" first="Peter V." last="Chin-Hong">Peter V. Chin-Hong</name></region><name sortKey="Goodman, M T" sort="Goodman, M T" uniqKey="Goodman M" first="M. T." last="Goodman">M. T. Goodman</name><name sortKey="Hernandez, B Y" sort="Hernandez, B Y" uniqKey="Hernandez B" first="B. Y." last="Hernandez">B. Y. Hernandez</name><name sortKey="Mcduffie, K" sort="Mcduffie, K" uniqKey="Mcduffie K" first="K." last="Mcduffie">K. Mcduffie</name><name sortKey="Ning, L" sort="Ning, L" uniqKey="Ning L" first="L." last="Ning">L. Ning</name><name sortKey="Shvetsov, Y B" sort="Shvetsov, Y B" uniqKey="Shvetsov Y" first="Y. B." last="Shvetsov">Y. B. Shvetsov</name><name sortKey="Thompson, P" sort="Thompson, P" uniqKey="Thompson P" first="P." last="Thompson">P. Thompson</name><name sortKey="Wilkens, L R" sort="Wilkens, L R" uniqKey="Wilkens L" first="L. R." last="Wilkens">L. R. Wilkens</name><name sortKey="Zhu, X" sort="Zhu, X" uniqKey="Zhu X" first="X." last="Zhu">X. Zhu</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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