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Epidemiology
Prevalence and determinants of human papillomavirus infection in men attending vasectomy clinics in Mexico
Article first published online: 17 MAY 2006
DOI: 10.1002/ijc.21992
Copyright © 2006 Wiley-Liss, Inc.
Additional Information
How to Cite
Vaccarella, S., Lazcano-Ponce, E., Castro-Garduño, J. A., Cruz-Valdez, A., Díaz, V., Schiavon, R., Hernández, P., Kornegay, J. R., Hernández-Avila, M. and Franceschi, S. (2006), Prevalence and determinants of human papillomavirus infection in men attending vasectomy clinics in Mexico. Int. J. Cancer, 119: 1934–1939. doi: 10.1002/ijc.21992
Publication History
- Issue published online: 11 AUG 2006
- Article first published online: 17 MAY 2006
- Manuscript Accepted: 1 MAR 2006
- Manuscript Received: 13 JAN 2006
Funded by
- Mexican National Science and Technology Council (Consejo Nacional de Ciencia y Tecnología, CONACYT). Grant Numbers: SALUD-2002-C01-7800, 34468-M
- International Agency for Research on Cancer. Grant Numbers: FI/92/3-5 MEX-4, FIS/03/02
- Instituto Nacional de Salud Pública
- Abstract
- Article
- References
- Cited By
Keywords:
- human papillomavirus;
- men;
- Mexico;
- sexual habits;
- condom use
Abstract
Large studies of genital human papillomavirus (HPV) infection in men are few and mainly include high-risk groups. We interviewed 779 men who requested a vasectomy in 27 public clinics in 14 states of Mexico. Exfoliated cells were obtained from the scrotum, the shaft of the penis, the top of the penis including the coronal sulcus, the glans and the opening of the meatus. HPV testing was performed using biotinylated L1 consensus primers and reverse line blot. Unconditional logistic regression was used to estimate odds ratios (ORs) of being HPV-positive and corresponding 95% confidence intervals (CIs). The prevalence of any type of HPV was 8.7%. HPV positivity was highest among men below age 25 (13.6%), and lowest among men aged 40 years or older (6.0%). The most commonly found HPV types were, in decreasing order, HPV59, 51, 6, 16 and 58. Lifetime number of sexual partners was associated with HPV positivity (OR for ≥4 vs. 1 partner = 3.7, 95% CI: 2.0–6.8), mainly on account of the strong association with number of occasional and sex-worker partners. Condom use with both regular (OR = 0.4, 95% CI: 0.1–1.0) and sex-worker (OR = 0.1, 95% CI: 0.0–0.3) partners and circumcision (OR = 0.2, 95% CI: 0.1–0.4) were inversely associated with HPV positivity. HPV prevalence in Mexican men was similar to the prevalence found in Mexican women of the same age groups. The association between HPV positivity and lifetime number of sexual partners in the present low-risk male population is one of the strongest ever reported in studies in men. Condom use and circumcision were associated with a strong reduction in HPV prevalence. © 2006 Wiley-Liss, Inc.

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