The Journal of infectious diseases 2017 12 05() doi 10.1093/infdis/jix617
Young men who have sex with men (MSM) are at increased risk for human papillomavirus (HPV)-associated disease as a result of HPV infection. Our objective was to characterize high-risk anal HPV prevalence, and factors associated with prevalence, among a group of young, primarily black, MSM in Houston, Texas.
Young MSM, aged 18-29 years, were recruited using a respondent-driven sampling method to study HIV/STD transmission and risk. The current analysis estimated HPV prevalence among 135 primarily young black MSM who engaged in peer recruitment chains and who self-collected anal exfoliated cells. Prevalence ratios assessed factors associated with high-risk HPV and HPV types in the 9-valent vaccine.
Black race was reported by 87% of men. Slightly over one-half (53%) were HIV-positive. Approximately 3 of 4 men had at least one high-risk HPV type and 39% of HIV-positive men harbored HPV-16. After controlling for potential confounders, only HIV infection was associated with high-risk HPV infection.
Black MSM would benefit from increased HPV vaccination efforts given high rates of HPV infection, increased HPV disease, and low vaccination series completion rates.