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Genital warts trends in Australian and overseas-born people in Australia: A cross-sectional trend analysis to measure progress towards control and elimination
- Source :
- The Lancet Regional Health: Western Pacific, The Lancet Regional Health. Western Pacific, Vol 16, Iss, Pp 100251-(2021)
- Publication Year :
- 2021
- Publisher :
- Elsevier BV, 2021.
-
Abstract
- Background: Substantial declines in genital warts have been observed in countries with quadrivalent/nonavalent human papillomavirus (q/n HPV) vaccination programmes, with Australia showing the most pronounced and long-term reductions. No study has assessed progress towards elimination of genital warts in a nation-wide sample of patients, and migrants’ contribution to population-level control of genital warts. We assessed Australia's progress towards genital warts elimination by examining trends in diagnoses in Australian- and overseas-born patients of sexual health clinics (SHCs) across Australia. Methods: A cross-sectional trend analysis of new genital warts diagnoses among first-time patients of 34 SHCs, between 2004 and 2018, was performed. Rate ratios (RR) were calculated using Poisson regression models, for comparing trends in proportions of new genital warts diagnoses in Australian- and overseas-born patients during the pre-vaccination era (2004-2007) and the vaccination era (2008-2018), and by 2018 relative to 2004-2007. Findings: A total of 439,957 new patients (Australian-born: 230,230; overseas-born: 209,727) were seen at SHCs, 6•4% were diagnosed with genital warts (Australian-born: 7•1%; overseas-born: 5•6%). By 2018, there had been a 64% reduction in the proportion of all SHC patients with a genital warts diagnosis relative to 2004-2007 (RR: 0•36, 95% CI: 0•35-0•38). The decline was more pronounced at 72% (RR: 0•28, 95% CI: 0 •27-0•30) among Australian-born patients, with the greatest reduction in women and men aged
- Subjects :
- trends
HPV
HPV vaccination programmes
migrants
Genital warts
symbols.namesake
elimination
Immigrants
Control
Internal Medicine
medicine
Poisson regression
Human papillomavirus
human papillomavirus
HPV vaccine
Reproductive health
Surveillance
overseas-born
business.industry
Health Policy
Australia
Public Health, Environmental and Occupational Health
virus diseases
Obstetrics and Gynecology
Government department
medicine.disease
non-resident
Vaccination
Psychiatry and Mental health
Trend analysis
Infectious Diseases
Vaccination coverage
Pediatrics, Perinatology and Child Health
symbols
Public aspects of medicine
RA1-1270
Geriatrics and Gerontology
human papillomavirus vaccination programmes
business
Research Paper
Demography
Subjects
Details
- ISSN :
- 26666065
- Volume :
- 16
- Database :
- OpenAIRE
- Journal :
- The Lancet Regional Health - Western Pacific
- Accession number :
- edsair.doi.dedup.....4055bcff3bb79fbdd18f4171394649dd