1. Incidence and Clearance of Anal Human Papillomavirus (HPV)-16 and HPV-18 Infection, and Their Determinants, Among Human Immunodeficiency Virus-Infected Men Who Have Sex With Men in France.
- Author
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Alberts, Catharina J, Heard, Isabelle, Canestri, Ana, Marchand, Lucie, Fléjou, Jean-François, Piroth, Lionel, Ferry, Tristan, Didelot, Jean-Michel, Siproudhis, Laurent, Henno, Sébastien, Poizot-Martin, Isabelle, Darragh, Teresa M, Clifford, Gary M, Combes, Jean-Damien, Etienney, Isabelle, Arvieux, C, Canestri, A, Clifford, GM, Combes, JD, Costes-Martineau, V, Del Grande, J, Didelot, JM, Etienney, I, Falguières, M, Ferry, T, Fischer, H, Flejou, JF, Heard, I, Henno, S, Hoyau, N, Landon, M, Laude, H, Le Breton, F, Lesage, AC, Lion, A, Maincent, G, Marchand, L, Njatonirina, H, Patey, O, Petrov Sanchez, V, Pialoux, V, Piroth, L, Poizot-Martin, I, Zaegel-Faucher, O, Ressiot, E, Radenne, S, Reynes, J, Siproudhis, L, Tamalet, C, and Tattevin, P
- Subjects
Biomedical and Clinical Sciences ,Clinical Sciences ,Infectious Diseases ,Cervical Cancer ,HPV and/or Cervical Cancer Vaccines ,Sexual and Gender Minorities (SGM/LGBT*) ,Cancer ,HIV/AIDS ,Vaccine Related ,Sexually Transmitted Infections ,Prevention ,Clinical Research ,2.2 Factors relating to the physical environment ,Aetiology ,Infection ,Good Health and Well Being ,Anus Diseases ,France ,HIV Infections ,Homosexuality ,Male ,Human papillomavirus 16 ,Human papillomavirus 18 ,Humans ,Incidence ,Male ,Middle Aged ,Papillomavirus Infections ,Prospective Studies ,Risk Factors ,Sexual Behavior ,Sexual and Gender Minorities ,anal HPV infection ,human immunodeficiency virus ,incidence ,men who have sex with men ,clearance ,ANRS EP57 APACHES Study group ,Biological Sciences ,Medical and Health Sciences ,Microbiology ,Biological sciences ,Biomedical and clinical sciences ,Health sciences - Abstract
BackgroundProspective data on the natural history of anal human papillomavirus (HPV) infection are scarce in human immunodeficiency virus (HIV)-infected men who have sex with men (MSM).MethodsWe analyzed incidence and clearance of HPV-16 and HPV-18 in a French cohort of HIV-infected MSM, aged ≥35 years, followed-up annually (n = 438, 2014-2018).ResultsHuman papillomavirus-16 and HPV-18 incidence were similar (~10% incident infections at 24 months). Human papillomavirus-16 incidence was higher among high-grade versus no lesion at baseline (adjusted incidence rate ratio = 3.0; 95% confidence interval, 1.07-8.18). Human papillomavirus-16 cleared significantly slower than HPV-18 (32% versus 54% by 24 months).ConclusionsIn conclusion, anal HPV-16 is more persistent than HPV-18, and its incidence correlates with a prior detection of high-grade lesions.
- Published
- 2020