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All Journal International Journal of Public Health Science (IJPHS) BALI MEDICAL JOURNAL (BMJ) journal of internal medicine INDONESIAN JOURNAL OF BIOMEDICAL SCIENCES E-Jurnal Medika Udayana Media Kesehatan Masyarakat Indonesia Universa Medicina Paediatrica Indonesiana CURRENT INTERNAL MEDICINE RESEARCH AND PRACTICE SURABAYA JOURNAL Public Health and Preventive Medicine Archive Journal of Global Pharma Technology Biomedika
Ketut Tuti Parwati Merati
Department Of Internal Medicine Faculty Of Medicine University Udayana/RSUP Sanglah
Biochemistry, Genetics & Molecular Biology Health Professions Immunology & microbiology Medicine & Pharmacology Public Health

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Journal : Universa Medicina

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Anal human papillomavirus genotype distribution and its associations with abnormal anal cytology among men who have sex with men I Ketut Agus Somia; Tuti Parwati Merati; Dewi Dian Sukmawati; Ni Wayan Winarti; IGAA Elis Indira; Ida Bagus Dwija Putra; Made Yogi Oktavian Prasetia
Universa Medicina Vol. 41 No. 3 (2022)
Publisher : Faculty of Medicine, Universitas Trisakti

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18051/UnivMed.2022.v41.246-253

Abstract

BACKGROUND Anal human papillomavirus (HPV) is associated with the severity of anal cytologic abnormalities that are precancerous lesions. Knowledge of HPV type distribution in populations at risk for anal cancer is needed. This study investigated anal HPV infections and cytological abnormalities among men who have sex with men (MSM). METHODS A cross-sectional study was conducted involving 90 men aged >30 years with a history of anal sexual intercourse with men. Demographic characteristics and sexual behaviors were collected by using a self-completed questionnaire. Anal cytological results were examined, and HPV genotyping was performed by the Linear Array HPV genotyping test. Descriptive analyses of subject characteristics, prevalence, and 95% confidence intervals (CI) were performed. A chi-square test was used to determine their associations with high-risk HPV infection and cytological abnormalities. RESULTS The overall prevalence of abnormal cytology was 32% (24/75), atypical squamous cells of undetermined significance (ASCUS) 17.33 % (13/75), 14.66% (11/75) were classified as low-grade SIL (LSIL) and no participant had high-grade SIL (HSIL). Prevalence of HPV infection with normal cytology was 86.27% (44/51), ASCUS 92.30% (12/13), and LSIL 100% (11/11). The most common types of anal HPV in participants with cytological abnormalities are HPV 16, HPV 18 for high-risk HPV, and HPV 11, HPV 6 for low-risk HPV. There were no associations between the predictor variables and the abnormal cytology (p>0.05). CONCLUSION There was a high prevalence of HPV infection in MSM with abnormal anal cytology. A routine anal Pap smear program and vaccination are needed to prevent HPV infection and anal dysplasia in MSM.
Co-Authors Abdul Azis Abdul Azis Agus Eka Darwinata Anak Agung Ayu Yuli Gayatri Artha Camellia Astiti, Cok Istri Sri Dharma Bagus Ngurah Putu Arhana Brad Otto Claire Ryan Cok Istri Sri Dharma Astiti Cokorda Agung Wahyu Purnamasidhi Dewa Gde Agung Budiyasa Dewa Nyoman Wirawan Dewa Nyoman Wirawan, Dewa Nyoman Dian, Ni Made Dewi Diksha, I Gusti Ngurah Ariestha Satya Dyah Kanya Wati Elizabeth Haryanti Gayatri, Anak Agung Ayu Yuli Gusni Rahma Handayani, Putu Novi Haruko Akatsu Haryadi Haryadi - I Dewa Made Sukrama I Gde Raka Widiana I Gusti Ayu Agung Elis Indira I Gusti Ngurah Kade Mahardika I K. Suata I Ketut Agus Somia I Made Bakta I Made Susila Utama I Nyoman Sutarsa I Wayan Gede Artawan Eka Putra I Wayan Gede Artawan Eka Putra, I Wayan Gede Artawan Eka I Wayan Putu Sutirta Yasa Ida Bagus Nyoman Putra Dwija Ida Bagus Putra Manuaba Irwanto Irwanto Junior, Darren Ketut Dewi Kumara Wati Ketut Espana Giri Ketut Espana Giri Ketut Ridana Wibawa Ketut Suryana Komang Agus Trisna Amijaya, Komang Agus Trisna Kumbara, Cokorde Istri Yuliandari Krisnawardani Made Yogi Oktavian Prasetia Made Yogi Oktavian Prasetia, Made Yogi Oktavian Mahardani, Putu Nandika Tungga Yudanti N. Sri Budiyanti Ni Made Dewi Dian Sukmawati Ni Made Sri Nopiyani Ni Wayan Sri Rahayuni Ni Wayan Winarti Nittaya Phanuphak, Nittaya Plamularsih Swandari Rahayuni, Ni Wayan Sri Rudi Wisaksana Saktivi Harkitasari, Saktivi Sawitri, Anak Agung Sagung Semadhi, Putu Gitanjani Mahadewi Shannon Turnbul Siahaan, Katrin Wilentina Stefanie Juergens Suteja, Richard Christian Utama, I Made Susila Utarini, Gusti Ayu Eka Yundari, Yundari