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Journal : Universa Medicina

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 Adhyatma, I Gede Raka Adiputra, I Komang Hotra Aditya Darmika Amanda Trisliana Dwi Putri Anak Agung Ayu Yuli Gayatri Anak Agung Gde Putra Wiraguna Anbiya Umam Anthony Widyanata Lebuan Chintya Cahyarini, I Gusti Agung Ayu Cindy Gracia Trisina Cokorda Agung Wahyu Purnamasidhi Derian Adiguna Sutanto Desak Made Wihandani Dian, Ni Made Dewi Diksha, I Gusti Ngurah Ariestha Satya Duarsa, Made Dyah Vismita Indramila Gayatri, Anak Agung Ayu Yuli Gede Wira Mahadita Haruko Akatsu I Dewa Made Sukrama I Dewa Nyoman Wibawa I G A Gita Dewi Rahmautami I Gede Gita Sastrawan I Gede Gita Sastrawan I Gede Gita Sastrawan Sastrawan I Gede Raka Adhyatma I Gusti Agung Ayu Chintya Cahyarini I Gusti Agung Bagus Arya Wiradarma I Gusti Ayu Agung Dwi Karmila I Gusti Ayu Agung Elis Indira I Gusti Ngurah Bagus Jayanta Ananda I Komang Gede Triana Adiputra I Made Bakta I Made Siswadi Semadi I Made Susila Utama I Nyoman Bayu Andika Wiguna I Putu Pande Agus Asmara Widhiana Saputra I Wayan Putu Sutirta Yasa Ida Ayu Santhi Pertiwi Manuaba Ida Bagus Nyoman Putra Dwija Ida Bagus Putra Manuaba IGA Putri Purwanthi Jerry Junior, Darren Kadek Aprilia Sukma Dewi Ketut Ridana Wibawa Ketut Suryana Ketut Tuti Parwati Merati Komang Adya Data Agrasidi Komang Agus Trisna Amijaya, Komang Agus Trisna Komang Andjani Putri Komang Vika Nariswari Ratna Kinasih Made Yogi Oktavian Prasetia Made Yogi Oktavian Prasetia, Made Yogi Oktavian Merry Merry Merry Ni Made Dewi Dian Sukmawati Ni Made Dwi Puspawati Ni Putu Kostarika Melia Daradila Ni Wayan Winarti Nittaya Phanuphak, Nittaya NN Ayu Dewi Purnama, Giovanca Verentzia Putri, Amanda Trisliana Dwi Putu Ardy Hartadi Putu Herdita Sudiantara Putu Novi Handayani Putu SAtherogenic Index Of Plasma iatyakumara Upadhana Putu Satyakumara Upadhana Putu Sudarmika Robertus Brian Junarli Rudi Wisaksana Sastrawan, I Gede Gita Sastrawan Sawitri, Anak Agung Sagung Setiawan, Gerry Shanti, Dewa Ayu Fony Prema Siahaan, Katrin Wilentina Suteja, Richard Christian Tika Rizki Nur Laela Tuti Parwati Umam, Anbiya Khairul Upadhana, Putu Satyakumara Utama, I Made Susila Weisnawa, I Gede Purna Wulandari, Putu Kintan Yundari, Yundari