Demographic-obstetrical factors and knowledge regarding genital warts among women with genital warts attending to selected public women's clinics in Mashhad and Neyshabur, 2023

Document Type : Original Article

Authors

1 M.Sc. in Midwifery, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran.

2 PhD, Global Health and Women, School of Public Health and Preventive Medicine, Faculty of Medicine, Nursing and Health Sciences, Monash University, Melbourne, Australia. PhD in Reproductive Health, Nursing and Midwifery Care Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.

3 M.Sc. of Epidemiology and Biostatistics, School of Health, Tehran University of Medical Sciences, Tehran, Iran.

10.22038/ijogi.2024.77380.6008

Abstract

Introduction: Genital warts (HPV) are among the most prevalent viral infections. Knowledge of the transmission and risk of HPV infection can help in both prevention and timely detection of cancer. Therefore, this study was conducted with aim to determine the demographic-obstetrical factors and knowledge regarding HPV among women with genital wart.
Methods: This cross-sectional descriptive-analytical study was conducted on 115 women with external genital warts attending to the selected public women’s clinics in Mashhad and Neyshabur. The researcher completed the demographic-obstetrical information form through interviews and a genital examination was performed while maintaining confidentiality. Data were analyzed using SPSS (version 22) and Chi-square test. P<0.05 was considered significant.
Results: Participants’ mean age was 36.61±8.11 years. Most participants (n=48, 41.7%) had a university education, 73 (63.5%) were householder, and 73 (63.5%) had a sufficient income. People who had information about HPV through any source were less likely to be HPV+ than those who said they had no knowledge (p=0.005). HPV positivity was found in 41 (35.7%) of participants. The mean score of knowledge was 7.03±1.33. Moreover, 78 individuals (67.8%) had high and 37 (32.2%) moderate knowledge about HPV.
Conclusion: T In the present study, the majority of participants were married, had a high school or higher education, and sufficient income. The level of knowledge about HPV among women with genital warts was moderate to high. Therefore, implementing educational programs to increase knowledge about HPV among women and the community seems necessary.

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Main Subjects

References

  1. Mohta A, Jain SK, Kushwaha RK, Singh A, Gautam U, Nyati A. Estimating the impact of extragenital warts versus genital warts on quality of life in immunocompetent Indian adult patients: A comparative cross-sectional study. Indian Journal of Dermatology 2021; 66(1):44-8.
  2. Mahdavi S, Kamalinejad M, Emtiazy M, Enayatrad M, Naghshi M. The epidemiologic investigation of genital warts within the females referred to Shahid Sadoughi hospital in Yazd-a case series study. J Community Health Res 2015; 4(3):168-76.
  3. Bosch FX, Broker TR, Forman D, Moscicki AB, Gillison ML, Doorbar J, et al. Comprehensive control of human papillomavirus infections and related diseases. Vaccine 2013; 31:H1-31.
  4. Hartwig S, St Guily JL, Dominiak-Felden G, Alemany L, de Sanjosé S. Estimation of the overall burden of cancers, precancerous lesions, and genital warts attributable to 9-valent HPV vaccine types in women and men in Europe. Infectious agents and cancer 2017; 12:1-10.
  5. Pauli S, Kops NL, Bessel M, Lina Villa L, Moreno Alves Souza F, Mendes Pereira GF, et al. Sexual practices and HPV infection in unvaccinated young adults. Scientific reports 2022; 12(1):12385.
  6. Reiter PL, Pendergraft III WF, Brewer NT. Meta-analysis of human papillomavirus infection concordance. Cancer epidemiology, biomarkers & prevention 2010; 19(11):2916-31.
  7. Nia MH, Rahmanian F, Ghahartars M, Janghorban R. Sexual function and sexual quality of life in men with genital warts: a cross-sectional study. Reproductive Health 2022; 19(1):102.
  8. Grennan D. Genital warts. Jama 2019; 321(5):520.
  9. Iranmanesh B, Khalili M, Zartab H, Amiri R, Aflatoonian M. Laser therapy in cutaneous and genital warts: A review article. Dermatologic Therapy 2021; 34(1):e14671.
  10. Jung JM, Jung CJ, Lee WJ, Won CH, Lee MW, Choi JH, et al. Topically applied treatments for external genital warts in nonimmunocompromised patients: a systematic review and network meta‐analysis. British Journal of Dermatology 2020; 183(1):24-36.
  11. Gupta AK, Daigle D. Sinecatechins 10% ointment: a green tea extract for the treatment of external genital warts. Skin therapy letter 2015; 20(1):6-8.
  12. Lynde C, Vender R, Bourcier M, Bhatia N. Clinical features of external genital warts. Journal of Cutaneous Medicine and Surgery 2013; 17(6_suppl):S55-60.
  13. Bollerup S, Baldur-Felskov B, Blomberg M, Baandrup L, Dehlendorff C, Kjaer SK. Significant reduction in the incidence of genital warts in young men 5 years into the danish human papillomavirus vaccination program for girls and women. Sexually transmitted diseases 2016; 43(4):238-42.
  14. Malakouti J, Mirghafourvand M, Gorbani M, Salehi Poormehr H, Pourasad Shahrak S, Jafari Shabiri M. Incidence of Human Papilloma Virus (HPV) infection and its relevant factors among women referring to Alzahra Therapeutic-Educational Center of Tabriz, September 2013 to March 2014. The Iranian Journal of Obstetrics, Gynecology and Infertility 2016; 18(185):16-22.
  15. Ciccarese G, Herzum A, Rebora A, Drago F. Prevalence of genital, oral, and anal HPV infection among STI patients in Italy. Journal of medical virology 2017; 89(6):1121-4.
  16. Badia X, Colombo JA, Lara N, Llorens MA, Olmos L, de los Terreros MS, et al. Combination of qualitative and quantitative methods for developing a new Health Related Quality of Life measure for patients with anogenital warts. Health and Quality of Life Outcomes 2005; 3:1-7.
  17. Soori T, Hallaji Z, Noroozi-Nejad E. Genital warts in 250 Iranian patients and their high-risk sexual behaviors. Archives of Iranian medicine 2013; 16(9).
  18. Leung W, Chan P, Lau K, Ho K. The prevalence of human papilloma virus in the anal region of male Chinese attendees in three public sexually transmitted disease clinics in Hong Kong. Hong Kong J Dermatol Venereol 2011; 19(1):6-13.
  19. Farshbaf-Khalili A, Shahnazi M, Salehi-Pourmehr H, Faridvand F, Asgarloo Z. Behavioral prevention regarding sexually transmitted infections and its predictors in women. Iranian Red Crescent Medical Journal 2014; 16(8).
  20. Piñeros M, Hernández-Suárez G, Orjuela L, Vargas JC, Pérez G. HPV knowledge and impact of genital warts on self esteem and sexual life in Colombian patients. BMC Public Health 2013; 13:1-8.
  21. Jahdi F, Khademi K, Khoei EM, Haghani H, Yazdanpanahi Z. Evaluation of the individual and medical factors associated with genital human papillomavirus in Iranian women. Scimetr 2014; 2(4).
  22. Kaderli R, Schnüriger B, Brügger LE. The impact of smoking on HPV infection and the development of anogenital warts. International journal of colorectal disease 2014; 29:899-908.
  23. Dunne EF, Friedman A, Datta SD, Markowitz LE, Workowski KA. Updates on human papillomavirus and genital warts and counseling messages from the 2010 Sexually Transmitted Diseases Treatment Guidelines. Clinical infectious diseases 2011; 53(suppl_3):S143-52.
  24. Attari SM, Alizadeh N, Sharami SH, Heirati SF, Kabodmehri R, Rafiei E. The relationship between socio-demographic and midwifery factors with delay in seeking help for genital warts patients. Iranian Journal of Obstetrics, Gynecology and Infertility 2022; 25(6):71-78.
  25. Adebowale AS, Titiloye M, Fagbamigbe AF, Akinyemi OJ. Statistical modelling of social risk factors for sexually transmitted diseases among female youths in Nigeria. The journal of infection in developing countries 2013; 7(01):017-27.
  26. Tamer E, Çakmak SK, İlhan MN, Artüz F. Demographic characteristics and risk factors in Turkish patients with anogenital warts. Journal of Infection and Public Health 2016; 9(5):661-6.
  27. Winer RL, Hughes JP, Feng Q, O'Reilly S, Kiviat NB, Holmes KK, et al. Condom use and the risk of genital human papillomavirus infection in young women. New England Journal of Medicine 2006; 354(25):2645-54.
  28. Daley EM, Perrin KM, McDermott RJ, Vamos CA, Rayko HL, Packing-Ebuen JL, et al. The psychosocial burden of HPV: a mixed-method study of knowledge, attitudes and behaviors among HPV+ women. Journal of health psychology 2010; 15(2):279-90.
  29. Siddharthar J, Rajkumar B, Deivasigamani K. Knowledge, awareness and prevention of cervical cancer among women attending a tertiary care hospital in Puducherry, India. Journal of clinical and diagnostic research: JCDR 2014; 8(6):OC01.
  30. Nyitray AG, Carvalho da Silva RJ, Baggio ML, Smith DE, Abrahamsen M, Papenfuss M, et al. Six-month incidence, persistence, and factors associated with persistence of anal human papillomavirus in men: the HPV in men study. Journal of Infectious Diseases 2011; 204(11):1711-22.
  31. Kobetz E, Kornfeld J, Vanderpool RC, Finney Rutten LJ, Parekh N, O'Bryan G, et al. Knowledge of HPV among United States Hispanic women: opportunities and challenges for cancer prevention. Journal of Health Communication 2010; 15(sup3):22-9.
  32. Pitts MK, Heywood W, Ryall R, Smith AM, Shelley JM, Richters J, et al. Knowledge of human papillomavirus (HPV) and the HPV vaccine in a national sample of Australian men and women. Sexual Health 2010; 7(3):299-303.
  33. Hanisch R, Gustat J, Hagensee ME, Baena A, Salazar JE, Castro MV, et al. Knowledge of Pap screening and human papillomavirus among women attending clinics in Medellin, Colombia. International Journal of Gynecologic Cancer 2008; 18(5).
  34. Camargo CC, D'Elia MP, Miot HA. Quality of life in men diagnosed with anogenital warts. Anais brasileiros de dermatologia 2017; 92(3):427-9.
  35. Kuznetsov AV, Müller RA, Ruzicka T, Herzinger T, Kuznetsov L. Knowledge of sexually transmitted HPV infection, genitoanal warts, cancer and their prevention among young females after vaccine introduction in Germany. Journal of the European Academy of Dermatology and Venereology 2013; 27(12):1527-34.
  36. Sach TH, Whynes DK. Men and women: beliefs about cancer and about screening. BMC public health 2009; 9:1-10.
  37. Zomordi G, Moradi M, Hasanzadeh M, Ghavami V. The effect of education based on the theory of planned behavior on the intention of vaccination against human papillomavirus in female students: A controlled educational trial. Journal of Education and Health Promotion 2022; 11(1):237.
The Iranian Journal of Obstetrics, Gynecology and Infertility
Volume 27, Issue 6
August 2024
Pages 31-41

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