Prevalence, Genotype Distribution, and Predictors against HPV Infections Targeted by 2-, 4-, 9-Valent HPV Vaccines among Japanese Males

Objectives: Epidemiological reports of sexual life and human papilloma virus (HPV) infection among Japanese men are scarce, and the necessity of HPV vaccines for males is regarded as a controversial topic in Japan. The objective of this study is to determine the prevalence, genotype distribution, an...

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Main Authors: Yukimasa Matsuzawa, Tadaichi Kitamura, Motofumi Suzuki, Yasuhiro Koyama, Kazuyoshi Shigehara
Format: Article
Language:English
Published: MDPI AG 2020-05-01
Series:Vaccines
Subjects:
Online Access:https://www.mdpi.com/2076-393X/8/2/221
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author Yukimasa Matsuzawa
Tadaichi Kitamura
Motofumi Suzuki
Yasuhiro Koyama
Kazuyoshi Shigehara
author_facet Yukimasa Matsuzawa
Tadaichi Kitamura
Motofumi Suzuki
Yasuhiro Koyama
Kazuyoshi Shigehara
author_sort Yukimasa Matsuzawa
collection DOAJ
description Objectives: Epidemiological reports of sexual life and human papilloma virus (HPV) infection among Japanese men are scarce, and the necessity of HPV vaccines for males is regarded as a controversial topic in Japan. The objective of this study is to determine the prevalence, genotype distribution, and risk factors against HPV infections targeted by bivalent (2v), quadrivalent (4v), and 9-valent (9v) HPV vaccines among Japanese male patients who visited our urological clinics. Material and Methods: The study population consisted of 798 males aged 20 to 95 years (mean ± standard deviation, 55.4 ± 19.5 years). We collected scraping samples from the glans penis using cotton swabs from all patients for genotyping of HPVs. We compared patients’ characteristics and detected HPV genotypes in order to determine the risk factors against HPV infections. Results: Of 798 participants, 198 participants (198/798; 24.8%) had at least one genotype of any HPV infection. The total number of detected HPV genotypes was 328. Of 328 genotypes, 30% (n = 99; 99/328) were 9v HPV genotypes. Most frequently detected types of high-risk HPV infection were type 52 (n = 40; 40/328; 12.2%). Number of lifetime sex partners (≥21) and present or history of sexually transmitted infections were found to be predictors of any HPV infection with adjusted odds ratios of 3.106 (95% confidence interval (CI), 1.593–6.509) and 1.894 (95% CI, 1.185–3.026), respectively. Age of sex initiation was a predictor of 2v and 4v HPV infections with adjusted odds ratios of 100 (95% CI, 1.013–25.673) and 2.676 (95% CI, 1.037–6.905), respectively. Number of lifetime sex partners (≥21) was a predictor of 9v HPVs with adjusted odds ratios of 2.397 (95% CI, 1.060–5.424). Conclusions: Approximately, a quarter of Japanese male patients who visited urological clinics were exposed to HPV. Moreover, from the perspective of our multivariate logistic regression analysis, some kinds of sexual behavior aggravate the risk of typical HPV genotypes infections.
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spelling doaj.art-dcb25a281f814ea792d1f152f5f1c5562023-11-20T00:25:22ZengMDPI AGVaccines2076-393X2020-05-018222110.3390/vaccines8020221Prevalence, Genotype Distribution, and Predictors against HPV Infections Targeted by 2-, 4-, 9-Valent HPV Vaccines among Japanese MalesYukimasa Matsuzawa0Tadaichi Kitamura1Motofumi Suzuki2Yasuhiro Koyama3Kazuyoshi Shigehara4Department of Urology, University of Tokyo Hospital, Bunkyo-ku, Tokyo 113-0033, JapanDepartment of Urology, University of Tokyo Hospital, Bunkyo-ku, Tokyo 113-0033, JapanDepartment of Urology, University of Tokyo Hospital, Bunkyo-ku, Tokyo 113-0033, JapanDepartment of Urology, Asoka Hospital, Koto-ku, Tokyo 135-0002, JapanDepartment of Urology, Faculty of Medicine, Kanazawa University, Kanazawa 920-8641, JapanObjectives: Epidemiological reports of sexual life and human papilloma virus (HPV) infection among Japanese men are scarce, and the necessity of HPV vaccines for males is regarded as a controversial topic in Japan. The objective of this study is to determine the prevalence, genotype distribution, and risk factors against HPV infections targeted by bivalent (2v), quadrivalent (4v), and 9-valent (9v) HPV vaccines among Japanese male patients who visited our urological clinics. Material and Methods: The study population consisted of 798 males aged 20 to 95 years (mean ± standard deviation, 55.4 ± 19.5 years). We collected scraping samples from the glans penis using cotton swabs from all patients for genotyping of HPVs. We compared patients’ characteristics and detected HPV genotypes in order to determine the risk factors against HPV infections. Results: Of 798 participants, 198 participants (198/798; 24.8%) had at least one genotype of any HPV infection. The total number of detected HPV genotypes was 328. Of 328 genotypes, 30% (n = 99; 99/328) were 9v HPV genotypes. Most frequently detected types of high-risk HPV infection were type 52 (n = 40; 40/328; 12.2%). Number of lifetime sex partners (≥21) and present or history of sexually transmitted infections were found to be predictors of any HPV infection with adjusted odds ratios of 3.106 (95% confidence interval (CI), 1.593–6.509) and 1.894 (95% CI, 1.185–3.026), respectively. Age of sex initiation was a predictor of 2v and 4v HPV infections with adjusted odds ratios of 100 (95% CI, 1.013–25.673) and 2.676 (95% CI, 1.037–6.905), respectively. Number of lifetime sex partners (≥21) was a predictor of 9v HPVs with adjusted odds ratios of 2.397 (95% CI, 1.060–5.424). Conclusions: Approximately, a quarter of Japanese male patients who visited urological clinics were exposed to HPV. Moreover, from the perspective of our multivariate logistic regression analysis, some kinds of sexual behavior aggravate the risk of typical HPV genotypes infections.https://www.mdpi.com/2076-393X/8/2/221human papillomavirusHPV vaccine2v vaccine4v vaccine9v vaccine
spellingShingle Yukimasa Matsuzawa
Tadaichi Kitamura
Motofumi Suzuki
Yasuhiro Koyama
Kazuyoshi Shigehara
Prevalence, Genotype Distribution, and Predictors against HPV Infections Targeted by 2-, 4-, 9-Valent HPV Vaccines among Japanese Males
Vaccines
human papillomavirus
HPV vaccine
2v vaccine
4v vaccine
9v vaccine
title Prevalence, Genotype Distribution, and Predictors against HPV Infections Targeted by 2-, 4-, 9-Valent HPV Vaccines among Japanese Males
title_full Prevalence, Genotype Distribution, and Predictors against HPV Infections Targeted by 2-, 4-, 9-Valent HPV Vaccines among Japanese Males
title_fullStr Prevalence, Genotype Distribution, and Predictors against HPV Infections Targeted by 2-, 4-, 9-Valent HPV Vaccines among Japanese Males
title_full_unstemmed Prevalence, Genotype Distribution, and Predictors against HPV Infections Targeted by 2-, 4-, 9-Valent HPV Vaccines among Japanese Males
title_short Prevalence, Genotype Distribution, and Predictors against HPV Infections Targeted by 2-, 4-, 9-Valent HPV Vaccines among Japanese Males
title_sort prevalence genotype distribution and predictors against hpv infections targeted by 2 4 9 valent hpv vaccines among japanese males
topic human papillomavirus
HPV vaccine
2v vaccine
4v vaccine
9v vaccine
url https://www.mdpi.com/2076-393X/8/2/221
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