Feixue Wei, Yingying Su, Xuelian Cui, Xiaojuan Yu, Yafei Li, Qiaoqiao Song, Kai Yin, Shoujie Huang, Mingqiang Li, Jun Zhang, Ting Wu, Ningshao Xia, Wei, Feixue, Su, Yingying, Cui, Xuelian, Yu, Xiaojuan, Li, Yafei, Song, Qiaoqiao, Yin, Kai, and Huang, Shoujie
Little is known about the risk for acquiring a concordant human papillomavirus (HPV) infection in a genital (or anal) site after an anal (or genital) HPV infection. We collected 3 sets of anogenital specimens at 6-month intervals from 2,309 men and 2,378 women in Liuzhou, China, and tested these specimens for HPV. The risk for sequential anal HPV infection in participants with a previous genital HPV infection was higher than for participants without an infection (hazard ratio [HR] 4.4, 95% CI 3.4-5.8 for women and HR 2.6, 95% CI 1.4-4.6 for men). For sequential genital HPV infection, women with a previous anal infection had a higher risk (HR 1.9, 95% CI 1.2-3.1), but no major difference was found for men (HR 0.7, 95% CI 0.2-1.9). Our study indicates that autoinoculation might play a major role in anogenital HPV transmission, in addition to direct sexual intercourse, especially for anal infection in women. [ABSTRACT FROM AUTHOR]