Prevalence and Knowledge about Genital and other Warts among Students in Sulaimani Polytechnic University: A cross-sectional study
https://doi.org/10.24017/science.2018.2.16
Abstract views: 1211 / PDF downloads: 925Abstract
Genital warts and other warts are an epidermal manifestation attributed to the epidermotropic human papillomavirus (HPV) some of which have been linked directly to an increased neoplastic risk in men and women. According to our knowledge, research is scarce and little is known about this condition in Sulaimani city. A cross-sectional study was carried out from 1st April to 30th May 2018 including 441 undergraduate students aged between 18-30 years belonging to the health and non-health colleges of Sulaimani Polytechnic University. Data were obtained on the knowledge about genital warts through self-administrated questionnaire from the students. Data were analyzed using STATA 11. The mean age of the participants was 21.3 years. Hand warts were the commonest types among participants (31%). Knowledge score ranged from 0 to 9, was not normally distributed with a median of zero (IQR 0-22), 89% of the students had very low knowledge score. Knowledge score correlated with socio-demographic parameters were significantly higher in health students (P <0.001); outside Sulaimani city (P= 0.01) and students aged 21-30 (P <0.001). In general, it is highlighting the need for communication and education among students in order to overcome the lack of knowledge about genital warts and HPV infection. It also might reflect higher health consciousness among Sulaimani university students.
Keywords:
Warts, Genital, Sulaimani, Papillomavirus, Knowledge.
References
[1] D. R. Brown, J. M. Schroeder, J. T. Bryan, M. H. Stoler, and K. H. Fife, "Detection of multiple human papillomavirus types in Condylomata acuminata lesions from otherwise healthy and immunosuppressed patients," J Clin Microbiol, vol. 37, pp. 3316-22, Oct 1999.
https://doi.org/10.1128/JCM.37.10.3316-3322.1999
[2] S. K. Loo and W. Y. Tang, "Warts (non-genital)," BMJ Clin Evid, vol. 2009, 2009.
[3] T. Meyer, R. Arndt, E. Christophers, E. R. Beckmann, S. Schroder, L. Gissmann, et al., "Association of rare human papillomavirus types with genital premalignant and malignant lesions," J Infect Dis, vol. 178, pp. 252-5, Jul 1998.
https://doi.org/10.1086/517447
[4] L. E. Manhart and L. A. Koutsky, "Do condoms prevent genital HPV infection, external genital warts, or cervical neoplasia?: A meta-analysis," Sexually transmitted diseases, vol. 29, pp. 725-735, 2002.
https://doi.org/10.1097/00007435-200211000-00018
[5] I. Lombard, A. Vincent-Salomon, P. Validire, B. Zafrani, A. de la Rochefordiere, K. Clough, et al., "Human papillomavirus genotype as a major determinant of the course of cervical cancer," J Clin Oncol, vol. 16, pp. 2613-9, Aug 1998.
https://doi.org/10.1200/JCO.1998.16.8.2613
[6] M. A. Stanley, "Genital human papillomavirus infections: current and prospective therapies," J Gen Virol, vol. 93, pp. 681-91, Apr 2012.
https://doi.org/10.1099/vir.0.039677-0
[7] K. A. Ault, "Human papillomavirus vaccines and the potential for cross-protection between related HPV types," Gynecologic oncology, vol. 107, pp. S31-S33, 2007.
https://doi.org/10.1016/j.ygyno.2007.08.059
[8] L. Koutsky, "Epidemiology of genital human papillomavirus infection," Am J Med, vol. 102, pp. 3-8, May 5 1997.
https://doi.org/10.1016/S0002-9343(97)00177-0
[9] B. Suligoi, G. Vittori, M. C. Salfa, L. Timelli, D. Corsini, G. Fattorini, et al., "Prevalence and incidence of external genital warts in a sample of Italian general female population," BMC infectious diseases, vol. 17, p. 126, 2017.
https://doi.org/10.1186/s12879-017-2202-6
[10] D. R. Brown, S. K. Kjaer, K. Sigurdsson, O. E. Iversen, M. Hernandez-Avila, C. M. Wheeler, et al., "The impact of quadrivalent human papillomavirus (HPV; types 6, 11, 16, and 18) L1 virus-like particle vaccine on infection and disease due to oncogenic nonvaccine HPV types in generally HPV-naive women aged 16-26 years," J Infect Dis, vol. 199, pp. 926-35, Apr 1 2009.
https://doi.org/10.1086/597307
[11] S. S. Ghadgepatil, S. Gupta, and Y. K. Sharma, "Clinicoepidemiological Study of Different Types of Warts," Dermatol Res Pract, vol. 2016, p. 7989817, 2016.
https://doi.org/10.1155/2016/7989817
[12] C. C. Makwe, R. I. Anorlu, and K. A. Odeyemi, "Human papillomavirus (HPV) infection and vaccines: knowledge, attitude and perception among female students at the University of Lagos, Lagos, Nigeria," J Epidemiol Glob Health, vol. 2, pp. 199-206, Dec 2012.
https://doi.org/10.1016/j.jegh.2012.11.001
[13] H. Baer, S. Allen, and L. Braun, "Knowledge of human papillomavirus infection among young adult men and women: implications for health education and research," J Community Health, vol. 25, pp. 67-78, Feb 2000.
https://doi.org/10.1023/A:1005192902137
[14] M. A. Gerend and Z. F. Magloire, "Awareness, knowledge, and beliefs about human papillomavirus in a racially diverse sample of young adults," Journal of Adolescent Health, vol. 42, pp. 237-242, 2008.
https://doi.org/10.1016/j.jadohealth.2007.08.022
[15] Y. Y. Tan, R. Hesham, and H. M. Qodriyah, "Knowledge and attitude of university students in health sciences on the prevention of cervical cancer," Med J Malaysia, vol. 65, pp. 53-7, Mar 2010.
[16] Y. Tan, R. Hesham, and H. Qodriyah, "Knowledge and attitude of university students in health sciences on the prevention of cervical cancer," Medical Journal of Malaysia, vol. 65, pp. 53-57, 2010.
[17] T. M. Khan, M. A. Buksh, I. U. Rehman, and A. Saleem, "Knowledge, attitudes, and perception towards human papillomavirus among university students in Pakistan," Papillomavirus Research, vol. 2, pp. 122-127, 2016.
https://doi.org/10.1016/j.pvr.2016.06.001
[18] L. A. Marlow, G. D. Zimet, K. J. McCaffery, R. Ostini, and J. Waller, "Knowledge of human papillomavirus (HPV) and HPV vaccination: an international comparison," Vaccine, vol. 31, pp. 763-769, 2013.
https://doi.org/10.1016/j.vaccine.2012.11.083
[19] H.-H. Wang and S.-Y. Wu, "HPV vaccine knowledge and perceived risk of cervical cancer among female college students in Taiwan," Asian Pacific Journal of Cancer Prevention, vol. 14, pp. 7371-7374, 2013.
https://doi.org/10.7314/APJCP.2013.14.12.7371
[20] M. Piñeros, G. Hernández-Suárez, L. Orjuela, J. C. Vargas, and G. Pérez, "HPV knowledge and impact of genital warts on self esteem and sexual life in Colombian patients," BMC Public Health, vol. 13, p. 272, 2013.
https://doi.org/10.1186/1471-2458-13-272
[21] S. M. Sherman, E. Nailer, C. Minshall, R. Coombes, J. Cooper, and C. W. Redman, "Awareness and knowledge of HPV and cervical cancer in female students: A survey (with a cautionary note)," J Obstet Gynaecol, vol. 36, pp. 76-80, 2016.
https://doi.org/10.3109/01443615.2015.1041886
[22] K. Rajiah, M. K. Maharajan, N. S. Chin, and K. S. F. Num, "Awareness and acceptance of human papillomavirus vaccination among health sciences students in Malaysia," VirusDisease, vol. 26, pp. 297-303, 2015.
https://doi.org/10.1007/s13337-015-0287-3
[23] E. M. Donadiki, R. Jimenez-Garcia, V. Hernandez-Barrera, P. Carrasco-Garrido, A. Lopez de Andres, I. Jimenez-Trujillo, et al., "Knowledge of the HPV vaccine and its association with vaccine uptake among female higher-education students in Greece," Hum Vaccin Immunother, vol. 9, pp. 300-5, Feb 2013.
https://doi.org/10.4161/hv.22548
[24] N. B. Kwang, C. M. Yee, L. P. Shan, C. K. Teik, K. N. Chandralega, and A. Abdul Kadir, "Knowledge, perception and attitude towards human papillomavirus among pre-university students in Malaysia," Asian Pac J Cancer Prev, vol. 15, pp. 9117-9123, 2014.
https://doi.org/10.7314/APJCP.2014.15.21.9117
[25] M. Piñeros, G. Hernández-Suárez, L. Orjuela, J. C. Vargas, and G. Pérez, "HPV knowledge and impact of genital warts on self esteem and sexual life in Colombian patients," BMC Public Health, vol. 13, p. 272, 2013.
https://doi.org/10.1186/1471-2458-13-272
https://doi.org/10.1128/JCM.37.10.3316-3322.1999
[2] S. K. Loo and W. Y. Tang, "Warts (non-genital)," BMJ Clin Evid, vol. 2009, 2009.
[3] T. Meyer, R. Arndt, E. Christophers, E. R. Beckmann, S. Schroder, L. Gissmann, et al., "Association of rare human papillomavirus types with genital premalignant and malignant lesions," J Infect Dis, vol. 178, pp. 252-5, Jul 1998.
https://doi.org/10.1086/517447
[4] L. E. Manhart and L. A. Koutsky, "Do condoms prevent genital HPV infection, external genital warts, or cervical neoplasia?: A meta-analysis," Sexually transmitted diseases, vol. 29, pp. 725-735, 2002.
https://doi.org/10.1097/00007435-200211000-00018
[5] I. Lombard, A. Vincent-Salomon, P. Validire, B. Zafrani, A. de la Rochefordiere, K. Clough, et al., "Human papillomavirus genotype as a major determinant of the course of cervical cancer," J Clin Oncol, vol. 16, pp. 2613-9, Aug 1998.
https://doi.org/10.1200/JCO.1998.16.8.2613
[6] M. A. Stanley, "Genital human papillomavirus infections: current and prospective therapies," J Gen Virol, vol. 93, pp. 681-91, Apr 2012.
https://doi.org/10.1099/vir.0.039677-0
[7] K. A. Ault, "Human papillomavirus vaccines and the potential for cross-protection between related HPV types," Gynecologic oncology, vol. 107, pp. S31-S33, 2007.
https://doi.org/10.1016/j.ygyno.2007.08.059
[8] L. Koutsky, "Epidemiology of genital human papillomavirus infection," Am J Med, vol. 102, pp. 3-8, May 5 1997.
https://doi.org/10.1016/S0002-9343(97)00177-0
[9] B. Suligoi, G. Vittori, M. C. Salfa, L. Timelli, D. Corsini, G. Fattorini, et al., "Prevalence and incidence of external genital warts in a sample of Italian general female population," BMC infectious diseases, vol. 17, p. 126, 2017.
https://doi.org/10.1186/s12879-017-2202-6
[10] D. R. Brown, S. K. Kjaer, K. Sigurdsson, O. E. Iversen, M. Hernandez-Avila, C. M. Wheeler, et al., "The impact of quadrivalent human papillomavirus (HPV; types 6, 11, 16, and 18) L1 virus-like particle vaccine on infection and disease due to oncogenic nonvaccine HPV types in generally HPV-naive women aged 16-26 years," J Infect Dis, vol. 199, pp. 926-35, Apr 1 2009.
https://doi.org/10.1086/597307
[11] S. S. Ghadgepatil, S. Gupta, and Y. K. Sharma, "Clinicoepidemiological Study of Different Types of Warts," Dermatol Res Pract, vol. 2016, p. 7989817, 2016.
https://doi.org/10.1155/2016/7989817
[12] C. C. Makwe, R. I. Anorlu, and K. A. Odeyemi, "Human papillomavirus (HPV) infection and vaccines: knowledge, attitude and perception among female students at the University of Lagos, Lagos, Nigeria," J Epidemiol Glob Health, vol. 2, pp. 199-206, Dec 2012.
https://doi.org/10.1016/j.jegh.2012.11.001
[13] H. Baer, S. Allen, and L. Braun, "Knowledge of human papillomavirus infection among young adult men and women: implications for health education and research," J Community Health, vol. 25, pp. 67-78, Feb 2000.
https://doi.org/10.1023/A:1005192902137
[14] M. A. Gerend and Z. F. Magloire, "Awareness, knowledge, and beliefs about human papillomavirus in a racially diverse sample of young adults," Journal of Adolescent Health, vol. 42, pp. 237-242, 2008.
https://doi.org/10.1016/j.jadohealth.2007.08.022
[15] Y. Y. Tan, R. Hesham, and H. M. Qodriyah, "Knowledge and attitude of university students in health sciences on the prevention of cervical cancer," Med J Malaysia, vol. 65, pp. 53-7, Mar 2010.
[16] Y. Tan, R. Hesham, and H. Qodriyah, "Knowledge and attitude of university students in health sciences on the prevention of cervical cancer," Medical Journal of Malaysia, vol. 65, pp. 53-57, 2010.
[17] T. M. Khan, M. A. Buksh, I. U. Rehman, and A. Saleem, "Knowledge, attitudes, and perception towards human papillomavirus among university students in Pakistan," Papillomavirus Research, vol. 2, pp. 122-127, 2016.
https://doi.org/10.1016/j.pvr.2016.06.001
[18] L. A. Marlow, G. D. Zimet, K. J. McCaffery, R. Ostini, and J. Waller, "Knowledge of human papillomavirus (HPV) and HPV vaccination: an international comparison," Vaccine, vol. 31, pp. 763-769, 2013.
https://doi.org/10.1016/j.vaccine.2012.11.083
[19] H.-H. Wang and S.-Y. Wu, "HPV vaccine knowledge and perceived risk of cervical cancer among female college students in Taiwan," Asian Pacific Journal of Cancer Prevention, vol. 14, pp. 7371-7374, 2013.
https://doi.org/10.7314/APJCP.2013.14.12.7371
[20] M. Piñeros, G. Hernández-Suárez, L. Orjuela, J. C. Vargas, and G. Pérez, "HPV knowledge and impact of genital warts on self esteem and sexual life in Colombian patients," BMC Public Health, vol. 13, p. 272, 2013.
https://doi.org/10.1186/1471-2458-13-272
[21] S. M. Sherman, E. Nailer, C. Minshall, R. Coombes, J. Cooper, and C. W. Redman, "Awareness and knowledge of HPV and cervical cancer in female students: A survey (with a cautionary note)," J Obstet Gynaecol, vol. 36, pp. 76-80, 2016.
https://doi.org/10.3109/01443615.2015.1041886
[22] K. Rajiah, M. K. Maharajan, N. S. Chin, and K. S. F. Num, "Awareness and acceptance of human papillomavirus vaccination among health sciences students in Malaysia," VirusDisease, vol. 26, pp. 297-303, 2015.
https://doi.org/10.1007/s13337-015-0287-3
[23] E. M. Donadiki, R. Jimenez-Garcia, V. Hernandez-Barrera, P. Carrasco-Garrido, A. Lopez de Andres, I. Jimenez-Trujillo, et al., "Knowledge of the HPV vaccine and its association with vaccine uptake among female higher-education students in Greece," Hum Vaccin Immunother, vol. 9, pp. 300-5, Feb 2013.
https://doi.org/10.4161/hv.22548
[24] N. B. Kwang, C. M. Yee, L. P. Shan, C. K. Teik, K. N. Chandralega, and A. Abdul Kadir, "Knowledge, perception and attitude towards human papillomavirus among pre-university students in Malaysia," Asian Pac J Cancer Prev, vol. 15, pp. 9117-9123, 2014.
https://doi.org/10.7314/APJCP.2014.15.21.9117
[25] M. Piñeros, G. Hernández-Suárez, L. Orjuela, J. C. Vargas, and G. Pérez, "HPV knowledge and impact of genital warts on self esteem and sexual life in Colombian patients," BMC Public Health, vol. 13, p. 272, 2013.
https://doi.org/10.1186/1471-2458-13-272
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How to Cite
[1]
B. Karadaghy, N. Mustafa Kamal, and N. Othman, “Prevalence and Knowledge about Genital and other Warts among Students in Sulaimani Polytechnic University: A cross-sectional study”, KJAR, vol. 3, no. 2, pp. 96–101, Jul. 2018, doi: 10.24017/science.2018.2.16.
Published
23-07-2018
Issue
Section
Pure and Applied Science
