Prevalence and sociodemographic correlates of anogenital Human Papillomavirus (HPV) carriage in a cross-sectional, multi-ethnic, community-based Asian male population

PLoS One. 2021 Jan 20;16(1):e0245731. doi: 10.1371/journal.pone.0245731. eCollection 2021.

Abstract

Background: Addressing the burden of HPV-associated diseases among men is increasingly becoming a public health issue. The main objective of this study was to determine HPV prevalence among a healthy community-based Malaysian men.

Method: This was a cross-sectional study that recruited 503 healthy males from 3 community-based clinics in Selangor, Malaysia. Genital and anal samples were collected from each participant for 14 high risk and 2 low risk HPV DNA detection and genotyping. All participants responded to a set of detailed sociodemographic and sexual behaviour questionnaire.

Results: The median age at enrolment was 40 years old (IQR: 31-50). The anogenital HPV6/11 prevalence was 3.2% whereas high risk HPV prevalence was 27.1%. The genital HPV prevalence for HPV6/11 was 2.9% while high risk HPV was 18.8%. HPV6/11 prevalence in the anal canal was 1.6% and high risk HPV was 12.7%. HPV 18 was the most prevalent genotype detected in the anogenital area. There was a significant independent association between genital and anal HPV infections.

Conclusion: Anogenital HPV infection is common among Malaysian men. These findings emphasize the ubiquity of HPV infection and thus the value of population-wide access to HPV prevention.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Anal Canal / microbiology
  • Ethnicity / statistics & numerical data
  • Genitalia, Male / microbiology
  • Human Papillomavirus DNA Tests / statistics & numerical data
  • Human papillomavirus 11 / isolation & purification
  • Human papillomavirus 11 / pathogenicity
  • Human papillomavirus 6 / isolation & purification
  • Human papillomavirus 6 / pathogenicity
  • Humans
  • Independent Living / statistics & numerical data
  • Malaysia
  • Male
  • Middle Aged
  • Papillomavirus Infections / epidemiology*
  • Papillomavirus Infections / microbiology
  • Prevalence
  • Socioeconomic Factors

Grants and funding

This study is supported by Merck Sharp & Dohme funding to YLW (https://www.msdmalaysia.com/home/). The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.