Risk factors for oral human papillomavirus in adults infected and not infected with human immunodeficiency virus

被引:77
作者
Coutlee, F
Trottier, AM
Ghattas, G
Leduc, R
Toma, E
Sanche, G
Rodrigues, I
Turmel, B
Allaire, G
Ghadirian, P
机构
[1] NOTRE DAME HOSP, DEPT PATHOL & GASTROENTEROL, MONTREAL, PQ H2L 4M1, CANADA
[2] UNIV MONTREAL, DEPT MICROBIOL & IMMUNOL, MONTREAL, PQ H3C 3J7, CANADA
[3] UNIV MONTREAL, DEPT MED, MONTREAL, PQ H3C 3J7, CANADA
[4] UNIV MONTREAL, DEPT MED FAMILIALE, MONTREAL, PQ H3C 3J7, CANADA
[5] UNIV MONTREAL, DEPT PATHOL & NUTR, MONTREAL, PQ H3C 3J7, CANADA
[6] NOTRE DAME HOSP, CTR RECH LOUIS CHARLES SIMARD, MONTREAL, PQ H2L 4M1, CANADA
[7] HOP HOTEL DIEU, DEPT GASTROENTEROL, MONTREAL, PQ H2W 1T8, CANADA
[8] HOP HOTEL DIEU, DEPT MICROBIOL, MONTREAL, PQ H2W 1T8, CANADA
[9] HOP HOTEL DIEU, CTR RECH, MONTREAL, PQ, CANADA
[10] CTR LOCAL SERV COMMUNAUTAIRES MARIGOT, LAVAL, PQ, CANADA
[11] CLIN MED ALTERNAT, MONTREAL, PQ, CANADA
关键词
D O I
10.1097/00007435-199701000-00006
中图分类号
R51 [传染病];
学科分类号
100401 ;
摘要
Background and Objectives: To investigate in a cross-sectional study the determinants of oral human papillomavirus infection in 287 individuals who are sexually active, Goal: To assess prevalence as well as risk factors for oral human papillomavirus infection, Study Design: One hundred seventy-eight human immunodeficiency virus-seropositive (158 men and 20 women) and 109 human immunodeficiency virus-negative (73 men and 36 women) individuals were recruited consecutively from sexually transmitted disease-human immunodeficiency virus clinics and gastrointestinal endoscopy clinics, Oral brushings were tested with the L1 consensus polymerase chain reaction assay for human papillomavirus detection, Results: Human papillomavirus DNA was detected in 32 (11.2%) of 287 individuals, Associated with oral human papillomavirus infection on univariate analyses were human immunodeficiency virus infection (odds ratio, 6.9; 95% confidence interval, 2.0-23.2), homosexuality (odds ratio, 3.7; 95% confidence interval, 1.5-9.4), unprotected oral sex (odds ratio, 5.5; 95% confidence interval, 1.6-18.4), syphilis (odds ratio, 2.5; 95% confidence interval, 1.1-6.3), gonorrhea (odds ratio, 4.2; 95% confidence interval, 1.9-9.1), Chlamydia trachomatis (odds ratio, 4.4; 95% confidence interval, 1.8-10.6), and genital herpes (odds ratio, 2.9; 95% confidence interval, 1.3-6.5), Human immunodeficiency virus infection and C. trachomatis were independently predictive of human papillomavirus infection in multivariate stepwise logistic regression. Conclusions: This study suggests that sexual activity plays an important role in the transmission of human papillomavirus in the oral cavity.
引用
收藏
页码:23 / 31
页数:9
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