Behavioral, immunologic, and virologic correlates of oral human papillomavirus infection in HIV-infected youth.

TitleBehavioral, immunologic, and virologic correlates of oral human papillomavirus infection in HIV-infected youth.
Publication TypePublication
Year of Publication2015
AuthorsKahn JA, Rudy BJ, Xu J, Secord EA, Kapogiannis BG, Thornton S, Gillison ML
JournalSex Transm Dis
Volume42
Issue5
Pagination246-52
Date Published2015 May
ISSN1537-4521
KeywordsAdolescent, CD4-Positive T-Lymphocytes, Child, Coinfection, Cross-Sectional Studies, Female, HIV Infections, Humans, Male, Mouth Diseases, Papillomavirus Infections, Papillomavirus Vaccines, Prevalence, Risk Factors, Sexual Behavior, Sexual Partners, United States, Vaccination, Viral Load, Young Adult
Abstract

<p><b>BACKGROUND: </b>Little is known about the epidemiology or risk factors for oral human papillomavirus (HPV) in HIV-infected youth. The objectives of this study were to determine the prevalence and correlates of oral HPV infection and to explore the association between HPV vaccination and oral infection in HIV-infected youth.</p><p><b>METHODS: </b>Youth 12 to 24 years of age with behaviorally acquired HIV were recruited for this cross-sectional study. Procedures involved medical chart review, survey, and collection of an oral rinse sample. Univariable and multivariable logistic regression models were used to determine whether demographic, behavioral, immunologic, and virologic factors and history of vaccination were significantly associated with oral HPV infection.</p><p><b>RESULTS: </b>Mean age of the 272 participants was 21.5 years; 64% were non-Hispanic black and 20.2% were Hispanic; and 10.8% of men compared with 20.3% of women were fully vaccinated. Human papillomavirus prevalence was 19.7% in men and 18.6% in women (P = 1.0). Only men were positive for vaccine-type HPV: 5.6% were positive for HPV-6, HPV-11, HPV-16, and/or HPV-18, and 4.2% were positive for HPV-16 and/or HPV-18. Among men who were fully vaccinated, none were positive for HPV-6, HPV-11, HPV-16, and/or HPV-18, compared with 12 (6.3%) of men who were not fully vaccinated (P = 0.37). Two variables were marginally associated with oral HPV (P < 0.10): marijuana use in the previous 3 months and lower CD4+ T-cell count.</p><p><b>CONCLUSIONS: </b>Prevalence rates of oral HPV were relatively high in this population of HIV-infected youth and were similar in male and female youth. No fully vaccinated men were infected with vaccine-type HPV.</p>

DOI10.1097/OLQ.0000000000000264
Alternate JournalSex Transm Dis
PubMed ID25868136
PubMed Central IDPMC4396681
Grant ListU01 HD040533 / HD / NICHD NIH HHS / United States
U01 HD040474 / HD / NICHD NIH HHS / United States
5 U01HD 40474 / HD / NICHD NIH HHS / United States
UL1 TR001082 / TR / NCATS NIH HHS / United States
U01-HD040533 / HD / NICHD NIH HHS / United States
U01 HD068030 / HD / NICHD NIH HHS / United States