Associations between Male Anogenital Human Papillomavirus Infection and Circumcision by Anatomic Site Sampled and Lifetime Number of Female Sex Partners. Commentary
Identifieur interne : 001571 ( Main/Exploration ); précédent : 001570; suivant : 001572Associations between Male Anogenital Human Papillomavirus Infection and Circumcision by Anatomic Site Sampled and Lifetime Number of Female Sex Partners. Commentary
Auteurs : Ronald H. Gray [États-Unis] ; Maria J. Wawer [États-Unis] ; David Serwadda [Ouganda] ; Godfrey Kigozi [Ouganda] ; Carrie M. Nielson [États-Unis] ; Melody K. Schiaffino [États-Unis] ; Eileen F. Dunne [États-Unis] ; Jason L. Salemi [États-Unis] ; Anna R. Giuliano [États-Unis]Source :
- The Journal of infectious diseases [ 0022-1899 ] ; 2009.
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- Pascal (Inist)
English descriptors
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Abstract
Background. Male circumcision may lower men's risk of human papillomavirus (HPV) infection and reduce transmission to sex partners. Reported associations between circumcision and HPV infection in men have been inconsistent. Methods. Four hundred sixty-three men in 2 US cities were tested at 6 anogenital sites and in semen for 37 types of HPV. Men were eligible if they reported sex with a woman within the past year, no history of genital warts or penile or anal cancer, and no current diagnosis of a sexually transmitted infection. Participants completed a self-administered questionnaire. Circumcision status was assessed by the study clinician. Logistic regression was used to examine associations between circumcision and HPV detection at each site and in semen, with adjustment for potential confounders. Results. Seventy-four men (16.0%) were uncircumcised. Adjusted odds ratios (AORs) for any HPV genotype and circumcision were 0.53 (95% confidence interval [CI], 0.28-0.99) for any anatomic site/specimen, 0.17 (95% CI, 0.05-0.56) for the urethra, 0.44 (95% CI, 0.23-0.82) for the glans/corona, and 0.53 (95% CI, 0.28-0.99) for the penile shaft. AORs were <1.0 but not statistically significant for the scrotum, semen, anal canal, and perianal area. Conclusions. Circumcision may be protective against HPV infection of the urethra, glans/corona, and penile shaft.
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Commentary</title><author><name sortKey="Gray, Ronald H" sort="Gray, Ronald H" uniqKey="Gray R" first="Ronald H." last="Gray">Ronald H. Gray</name><affiliation wicri:level="2"><inist:fA14 i1="01"><s1>Department of Population, Family, and Reproductive Health, Johns Hopkins Bloomberg School of Public Health</s1><s2>Baltimore, Maryland</s2><s3>USA</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Maryland</region></placeName></affiliation></author><author><name sortKey="Wawer, Maria J" sort="Wawer, Maria J" uniqKey="Wawer M" first="Maria J." last="Wawer">Maria J. Wawer</name><affiliation wicri:level="2"><inist:fA14 i1="01"><s1>Department of Population, Family, and Reproductive Health, Johns Hopkins Bloomberg School of Public Health</s1><s2>Baltimore, Maryland</s2><s3>USA</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Maryland</region></placeName></affiliation></author><author><name sortKey="Serwadda, David" sort="Serwadda, David" uniqKey="Serwadda D" first="David" last="Serwadda">David Serwadda</name><affiliation wicri:level="1"><inist:fA14 i1="02"><s1>School of Public Health, Makerere University</s1><s2>Kampala</s2><s3>UGA</s3><sZ>3 aut.</sZ></inist:fA14><country>Ouganda</country><wicri:noRegion>Kampala</wicri:noRegion></affiliation><affiliation wicri:level="1"><inist:fA14 i1="03"><s1>Rakai Health Sciences Program</s1><s2>Entebbe</s2><s3>UGA</s3><sZ>3 aut.</sZ><sZ>4 aut.</sZ></inist:fA14><country>Ouganda</country><wicri:noRegion>Rakai Health Sciences Program</wicri:noRegion></affiliation></author><author><name sortKey="Kigozi, Godfrey" sort="Kigozi, Godfrey" uniqKey="Kigozi G" first="Godfrey" last="Kigozi">Godfrey Kigozi</name><affiliation wicri:level="1"><inist:fA14 i1="03"><s1>Rakai Health Sciences Program</s1><s2>Entebbe</s2><s3>UGA</s3><sZ>3 aut.</sZ><sZ>4 aut.</sZ></inist:fA14><country>Ouganda</country><wicri:noRegion>Rakai Health Sciences Program</wicri:noRegion></affiliation></author><author><name sortKey="Nielson, Carrie M" sort="Nielson, Carrie M" uniqKey="Nielson C" first="Carrie M." last="Nielson">Carrie M. Nielson</name><affiliation wicri:level="3"><inist:fA14 i1="04"><s1>Oregon Health and Science University</s1><s2>Portland</s2><s3>USA</s3><sZ>5 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><settlement type="city">Portland</settlement><region type="state">Oregon</region></placeName></affiliation></author><author><name sortKey="Schiaffino, Melody K" sort="Schiaffino, Melody K" uniqKey="Schiaffino M" first="Melody K." last="Schiaffino">Melody K. Schiaffino</name><affiliation wicri:level="2"><inist:fA14 i1="05"><s1>H. Lee Moffitt Cancer Center and Research Institute</s1><s2>Tampa, Florida</s2><s3>USA</s3><sZ>6 aut.</sZ><sZ>8 aut.</sZ><sZ>9 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Floride</region></placeName></affiliation></author><author><name sortKey="Dunne, Eileen F" sort="Dunne, Eileen F" uniqKey="Dunne E" first="Eileen F." last="Dunne">Eileen F. Dunne</name><affiliation wicri:level="2"><inist:fA14 i1="06"><s1>Division of STD Prevention, Centers for Disease Control and Prevention</s1><s2>Atlanta, Georgia</s2><s3>USA</s3><sZ>7 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Géorgie (États-Unis)</region></placeName></affiliation></author><author><name sortKey="Salemi, Jason L" sort="Salemi, Jason L" uniqKey="Salemi J" first="Jason L." last="Salemi">Jason L. Salemi</name><affiliation wicri:level="2"><inist:fA14 i1="05"><s1>H. Lee Moffitt Cancer Center and Research Institute</s1><s2>Tampa, Florida</s2><s3>USA</s3><sZ>6 aut.</sZ><sZ>8 aut.</sZ><sZ>9 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Floride</region></placeName></affiliation></author><author><name sortKey="Giuliano, Anna R" sort="Giuliano, Anna R" uniqKey="Giuliano A" first="Anna R." last="Giuliano">Anna R. Giuliano</name><affiliation wicri:level="2"><inist:fA14 i1="05"><s1>H. Lee Moffitt Cancer Center and Research Institute</s1><s2>Tampa, Florida</s2><s3>USA</s3><sZ>6 aut.</sZ><sZ>8 aut.</sZ><sZ>9 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Floride</region></placeName></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="2009">2009</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>Female</term><term>Human papillomavirus</term><term>Infection</term><term>Microbiology</term><term>Sex</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Papillomavirus humain</term><term>Circoncision</term><term>Femelle</term><term>Sexe</term><term>Microbiologie</term><term>Infection</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Background. Male circumcision may lower men's risk of human papillomavirus (HPV) infection and reduce transmission to sex partners. Reported associations between circumcision and HPV infection in men have been inconsistent. Methods. Four hundred sixty-three men in 2 US cities were tested at 6 anogenital sites and in semen for 37 types of HPV. Men were eligible if they reported sex with a woman within the past year, no history of genital warts or penile or anal cancer, and no current diagnosis of a sexually transmitted infection. Participants completed a self-administered questionnaire. Circumcision status was assessed by the study clinician. Logistic regression was used to examine associations between circumcision and HPV detection at each site and in semen, with adjustment for potential confounders. Results. Seventy-four men (16.0%) were uncircumcised. Adjusted odds ratios (AORs) for any HPV genotype and circumcision were 0.53 (95% confidence interval [CI], 0.28-0.99) for any anatomic site/specimen, 0.17 (95% CI, 0.05-0.56) for the urethra, 0.44 (95% CI, 0.23-0.82) for the glans/corona, and 0.53 (95% CI, 0.28-0.99) for the penile shaft. AORs were <1.0 but not statistically significant for the scrotum, semen, anal canal, and perianal area. Conclusions. Circumcision may be protective against HPV infection of the urethra, glans/corona, and penile shaft.</div></front></TEI><affiliations><list><country><li>Ouganda</li><li>États-Unis</li></country><region><li>Floride</li><li>Géorgie (États-Unis)</li><li>Maryland</li><li>Oregon</li></region><settlement><li>Portland</li></settlement></list><tree><country name="États-Unis"><region name="Maryland"><name sortKey="Gray, Ronald H" sort="Gray, Ronald H" uniqKey="Gray R" first="Ronald H." last="Gray">Ronald H. Gray</name></region><name sortKey="Dunne, Eileen F" sort="Dunne, Eileen F" uniqKey="Dunne E" first="Eileen F." last="Dunne">Eileen F. Dunne</name><name sortKey="Giuliano, Anna R" sort="Giuliano, Anna R" uniqKey="Giuliano A" first="Anna R." last="Giuliano">Anna R. Giuliano</name><name sortKey="Nielson, Carrie M" sort="Nielson, Carrie M" uniqKey="Nielson C" first="Carrie M." last="Nielson">Carrie M. Nielson</name><name sortKey="Salemi, Jason L" sort="Salemi, Jason L" uniqKey="Salemi J" first="Jason L." last="Salemi">Jason L. Salemi</name><name sortKey="Schiaffino, Melody K" sort="Schiaffino, Melody K" uniqKey="Schiaffino M" first="Melody K." last="Schiaffino">Melody K. Schiaffino</name><name sortKey="Wawer, Maria J" sort="Wawer, Maria J" uniqKey="Wawer M" first="Maria J." last="Wawer">Maria J. Wawer</name></country><country name="Ouganda"><noRegion><name sortKey="Serwadda, David" sort="Serwadda, David" uniqKey="Serwadda D" first="David" last="Serwadda">David Serwadda</name></noRegion><name sortKey="Kigozi, Godfrey" sort="Kigozi, Godfrey" uniqKey="Kigozi G" first="Godfrey" last="Kigozi">Godfrey Kigozi</name><name sortKey="Serwadda, David" sort="Serwadda, David" uniqKey="Serwadda D" first="David" last="Serwadda">David Serwadda</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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