Smoking Enhances Risk for New External Genital Warts in Men

Dorothy J. Wiley, David Elashoff, Emmanuel V. Masongsong, Diane M. Harper, Karen H. Gylys, Michael J. Silverberg, Robert L. Cook and Lisette M. Johnson-Hill
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Dorothy J. Wiley: Division of Primary Care, School of Nursing, University of California at Los Angeles (UCLA), Los Angeles, California, USA
David Elashoff: Division of Primary Care, School of Nursing, University of California at Los Angeles (UCLA), Los Angeles, California, USA
Emmanuel V. Masongsong: Division of Primary Care, School of Nursing, University of California at Los Angeles (UCLA), Los Angeles, California, USA
Diane M. Harper: Departments of Obstetrics and Gynecology and Community and Family Medicine, Dartmouth Medical School, Hanover, New Hampshire, USA
Karen H. Gylys: Division of Primary Care, School of Nursing, University of California at Los Angeles (UCLA), Los Angeles, California, USA
Michael J. Silverberg: Division of Research, Kaiser Permanente Northern California, Oakland, CA, USA
Robert L. Cook: College of Public Health and Health Professionals, University of Florida, Gainesville, FL, USA
Lisette M. Johnson-Hill: Department of Epidemiology, Johns Hopkins University, Bloomberg School of Public Health, Baltimore, Maryland, USA

IJERPH, 2009, vol. 6, issue 3, 1-20

Abstract: Repeat episodes of HPV-related external genital warts reflect recurring or new infections. No study before has been sufficiently powered to delineate how tobacco use, prior history of EGWs and HIV infection affect the risk for new EGWs. Behavioral, laboratory and examination data for 2,835 Multicenter AIDS Cohort Study participants examined at 21,519 semi-annual visits were evaluated. Fourteen percent (391/2835) of men reported or were diagnosed with EGWs at 3% (675/21,519) of study visits. Multivariate analyses showed smoking, prior episodes of EGWs, HIV infection and CD4+ T-lymphocyte count among the infected, each differentially influenced the risk for new EGWs.

Keywords: Smoking/tobacco; Genital warts; Human papillomavirus (HPV); HIV; men who have sex with men (MSM); CD4+ T-lymphocyte count; longitudinal/cohort (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2009
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