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Transgender Women Have Higher Human Papillomavirus Prevalence Than Men Who Have Sex With Men—Two U.S. Cities, 2012–2014
- Source :
- Sex Transm Dis, Sexually transmitted diseases, vol 46, iss 10
- Publication Year :
- 2019
-
Abstract
- Background Human papillomavirus (HPV) prevalence is high among men who have sex with men (MSM), yet little is known about HPV among transgender women (TGW). We assessed HPV prevalence and knowledge among TGW compared with MSM. Methods We enrolled TGW and MSM aged 18 to 26 years from clinics in Chicago and Los Angeles during 2012 to 2014. Participants self-reported gender identity, HIV status, HPV knowledge, and vaccination status. Self-collected anal and oral specimens were tested for HPV DNA (37 types); serum was tested for HPV antibodies (4 vaccine types). Prevalence among unvaccinated TGW and MSM was compared using prevalence ratios (PRs) and 95% confidence intervals (CIs). Participants without DNA or serologic evidence of HPV were considered naive. Results Among 1033 participants, 49 were TGW. Among 44 TGW and 855 MSM who were unvaccinated, any HPV DNA was detected in anal specimens from 39 (88.6%) TGW and 606 (70.9%) MSM (PR, 1.3; 95% CI, 1.1-1.4), and oral specimens from 4 (9.1%) TGW and 81 (9.5%) MSM (PR, 1.0; 95% CI, 0.4-2.5). Antibodies were detected among 37 (84.1%) TGW and 467 (54.6%) MSM (PR, 1.5; 95% CI, 1.3-1.8). Most participants were naive to 1 or more HPV vaccine type/s, including 29 (65.9%) TGW and 775 (90.6%) MSM (PR, 0.7; 95% CI, 0.6-0.9). Most TGW (55.1%) had never heard of HPV vaccine. Conclusions Among TGW, HPV prevalence was high and knowledge was low. Most were still naive to 1 or more HPV vaccine type. Although vaccination ideally occurs prior to exposure, findings support existing national recommendations to vaccinate TGW and MSM, and suggest additional outreach might increase vaccination.
- Subjects :
- Male
and promotion of well-being
Medical and Health Sciences
Hpv prevalence
Transgender women
Serology
Men who have sex with men
0302 clinical medicine
Prevalence
Medicine
030212 general & internal medicine
Young adult
Cancer
virus diseases
Homosexuality
Biological Sciences
Los Angeles
Vaccination
Infectious Diseases
3.4 Vaccines
HIV/AIDS
Female
Public Health
0305 other medical science
Infection
Microbiology (medical)
Adult
Adolescent
Sexual Behavior
Dermatology
Sexual and Gender Minorities (SGM/LGBT*)
Transgender Persons
Article
Vaccine Related
03 medical and health sciences
Young Adult
Sex Factors
Clinical Research
Humans
Papillomavirus Vaccines
Human papillomavirus
Cities
Homosexuality, Male
Chicago
030505 public health
business.industry
Prevention
Papillomavirus Infections
Public Health, Environmental and Occupational Health
Prevention of disease and conditions
Confidence interval
Good Health and Well Being
Sexually Transmitted Infections
Immunization
business
Demography
Subjects
Details
- Language :
- English
- Database :
- OpenAIRE
- Journal :
- Sex Transm Dis, Sexually transmitted diseases, vol 46, iss 10
- Accession number :
- edsair.doi.dedup.....a4d7b1e44b1dfa6172bcdd954c929fa9