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首页> 外文期刊>Preventive Medicine: An International Journal Devoted to Practice and Theory >Low human papillomavirus (HPV) knowledge related to low risk perception among men living with HIV: Implications for HPV-associated disease prevention
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Low human papillomavirus (HPV) knowledge related to low risk perception among men living with HIV: Implications for HPV-associated disease prevention

机译：与艾滋病毒过敏的男性的低风险感知有关的低人乳头瘤病毒（HPV）知识：对HPV相关疾病预防的影响

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Human papillomavirus (HPV)-associated anal cancer is orders of magnitude higher among men living with HIV than the general male population. Our objective was to examine factors associated with HPV awareness and selfperceived risk for HPV-associated anal cancer among men living with HIV, which may influence uptake of cancer prevention strategies. A cross-sectional questionnaire on HPV was administered from 2016 to 2017 to 1677 men in a multisite, HIV clinical cohort in Ontario, Canada. We used logistic regression and proportional odds models to identify factors associated with being familiar with HPV and increasing self-perceived risk for anal cancer, respectively. We used correspondence analysis to examine associations of specific HPV-related knowledge with self-perceived risk. Only 52% were familiar with HPV, and 72% felt they had no or low risk for anal cancer. Familiarity with HPV was more common among men who have sex with men than heterosexual men (58% vs. 21%). Older men were less likely to be familiar with HPV (adjusted odds ratio [aOR] per 10 years = 0.77; 95% confidence interval [CI]: 0.69, 0.85). Familiarity with HPV was associated with increasing self-perceived risk (aOR = 2.39; 95% CI: 1.87, 3.04). After accounting for differences in HPV awareness and sexual orientation, racialized men had lower self-perceived risk (aOR = 0.68; 95% CI: 0.52, 0.88). In the correspondence analysis, risk-focused HPV-related knowledge (e.g., knowing smoking increases risk) was associated with highest risk perception. Efforts are needed to improve HPV-related health literacy in this population. Our findings suggest specific HPV-related knowledge may differentially influence self-perceived risk for anal cancer.
机译：人类乳头瘤病毒（HPV）相关的肛门癌在感染HIV的男性中比一般男性人群高出几个数量级。我们的目的是研究HIV感染者中与HPV意识和HPV相关肛门癌自我感知风险相关的因素，这些因素可能会影响癌症预防策略的使用。2016年至2017年，在加拿大安大略省的一个多站点HIV临床队列中，对1677名男性进行了HPV横断面问卷调查。我们分别使用逻辑回归和比例优势模型来确定与熟悉HPV和增加肛门癌自我感知风险相关的因素。我们使用对应分析来检查特定HPV相关知识与自我感知风险的关联。只有52%的人熟悉HPV，72%的人认为他们没有或没有患肛门癌的风险。与异性恋男性相比，与男性发生性关系的男性更熟悉HPV（58%对21%）。老年男性不太可能熟悉HPV（每10年调整后的优势比[aOR]为0.77；95%可信区间[CI]：0.69,0.85）。熟悉HPV与自我感知风险增加相关（aOR=2.39；95%可信区间：1.87,3.04）。在考虑HPV意识和性取向的差异后，种族化男性的自我感知风险较低（aOR=0.68；95%可信区间：0.52,0.88）。在对应分析中，关注风险的HPV相关知识（例如，知道吸烟会增加风险）与最高风险感知相关。需要努力提高该人群中与HPV相关的健康知识。我们的研究结果表明，特定的HPV相关知识可能会对肛门癌的自我感知风险产生不同的影响。

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