RESEARCH ARTICLE


Prevalence of Anogenital Warts in Men with HIV/AIDS and Associated Factors



Caio Cavassan de Camargo*, 1, Karen Ingrid Tasca 1, Monica Banwart Mendes 1, Hélio Amante Miot 2, Lenice do Rosário de Souza 1
1 Department of Tropical Diseases and Diagnostic Imaging, Botucatu Medical School, Universidade Estadual Paulista – UNESP, Botucatu, São Paulo, Brazil
2 Department of Dermatology and Radiology, Botucatu Medical School, Universidade Estadual Paulista – UNESP, Botucatu, São Paulo, Brazil


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© de Camargo et al.; Licensee Bentham Open.

open-access license: This is an open access article licensed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted, non-commercial use, distribution and reproduction in any medium, provided the work is properly cited.

* Address correspondence to this author at the Antonio Brasilino Favero, 289 Jardim Flamboyant, Zip Code: 18610-101, Brazil; Tel: +55 14 3354-5143; E-mail: caiocavassan@yahoo.com.br


Abstract

Abstract:

Background:

Infection with human papilloma virus (HPV) is the most common sexually transmitted disease in the world. Among the 630 million new cases of HPV that occur each year, 30 million develop anogenital warts. Although subclinical infection with HPV is the most common cause, genital warts are also associated with immunosuppression caused by HIV. In view of the high prevalence of HPV/HIV co-infection particularly among men who have sex with men, the objectives of this study were to determine the prevalence of anogenital warts in men with HIV/AIDS and to identify associated factors.

Methods:

A cross-sectional study was conducted on 159 men with HIV/AIDS consecutively selected at a referral service in Botucatu, São Paulo, Brazil, in which the association between sociodemographic, behavioral and clinical variables and the presence of anogenital warts was evaluated. After hierarchical analysis of the data, variables presenting a p value ≤ 0.2 were entered into an unconditional multivariate logistic regression model.

Results:

Forty-nine (31%) of the HIV-positive patients had anogenital warts. The mean age was 44.6 ± 9.6 years. The main factors associated with the presence of anogenital warts were irregular antiretroviral treatment and genital herpes(HSV).

Conclusion:

The present study demonstrate that anogenital warts occur in almost one-third of the male population infected with HIV and factors associated with a higher risk of being diagnosed with anogenital warts were irregular cART use and co-infection with HSV, other variables could not be associated.

Keywords: AIDS, Anogenital warts, CD4+ T lymphocytes, HPV, men..