Prevalence of human papilloma virus infection and anal dysplasia among men with HIV in Lebanon: a cross-sectional study

Background Oncogenic human papillomavirus (HPV) types are linked to anal cancer, with elevated risk among men who have sex with men (MSM), especially men with HIV. Data on HPV-related malignancies in the Middle East and North Africa (MENA) region is scarce. This study aims to assess anal HPV strains...

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Main Authors: Yasmine Abi Aad, Tala Ballouz, Hani Faysal, Rami Mahfouz, Nina Shabb, Georgeio Sader, Remie El-Helou, Samer Doughan, Nesrine A. Rizk
Format: Article
Language:English
Published: Taylor & Francis Group 2024-12-01
Series:HIV Research & Clinical Practice
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Online Access:http://dx.doi.org/10.1080/25787489.2024.2425548
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author Yasmine Abi Aad
Tala Ballouz
Hani Faysal
Rami Mahfouz
Nina Shabb
Georgeio Sader
Remie El-Helou
Samer Doughan
Nesrine A. Rizk
author_facet Yasmine Abi Aad
Tala Ballouz
Hani Faysal
Rami Mahfouz
Nina Shabb
Georgeio Sader
Remie El-Helou
Samer Doughan
Nesrine A. Rizk
author_sort Yasmine Abi Aad
collection DOAJ
description Background Oncogenic human papillomavirus (HPV) types are linked to anal cancer, with elevated risk among men who have sex with men (MSM), especially men with HIV. Data on HPV-related malignancies in the Middle East and North Africa (MENA) region is scarce. This study aims to assess anal HPV strains, dysplasia, and sexually transmitted infections (STIs) among asymptomatic MSM with HIV in Lebanon. Methods We conducted a cross-sectional study with 38 participants who completed questionnaires on socio-demographics, HIV-related data, and STI history. Anoscopy, anal Pap smears, and PCR for HPV and STIs were performed. Results HPV was detected in 34 of 38 samples (89%), with 91% having multiple strains. HPV16 was the most common strain (56%). Eighteen percent had a concomitant bacterial anal STI. Most participants lacked awareness of anal dysplasia and cancer risk, with only 29% vaccinated against HPV. Conclusion This study highlights high HPV prevalence and low awareness among men with HIV in Lebanon. The findings underscore the need for improved HPV education, vaccination, and routine screening in this population. Further research is needed to address barriers to comprehensive HIV and STI care in the region.
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spelling doaj-art-7b778818a6254127a0476eb91c17dcee2025-01-02T11:44:29ZengTaylor & Francis GroupHIV Research & Clinical Practice2578-74702024-12-0125110.1080/25787489.2024.24255482425548Prevalence of human papilloma virus infection and anal dysplasia among men with HIV in Lebanon: a cross-sectional studyYasmine Abi Aad0Tala Ballouz1Hani Faysal2Rami Mahfouz3Nina Shabb4Georgeio Sader5Remie El-Helou6Samer Doughan7Nesrine A. Rizk8Division of Infectious Diseases, Department of Internal Medicine, American University of Beirut Medical CenterDivision of Infectious Diseases, Department of Internal Medicine, American University of Beirut Medical CenterFaculty of Medicine, American University of Beirut Medical CenterDepartment of Pathology and Laboratory Medicine, American University of Beirut Medical CenterDepartment of Pathology and Laboratory Medicine, American University of Beirut Medical CenterDivision of Infectious Diseases, Department of Internal Medicine, American University of Beirut Medical CenterDivision of Infectious Diseases, Department of Internal Medicine, American University of Beirut Medical CenterDepartment of Surgery, American University of Beirut Medical CenterDivision of Infectious Diseases, Department of Internal Medicine, American University of Beirut Medical CenterBackground Oncogenic human papillomavirus (HPV) types are linked to anal cancer, with elevated risk among men who have sex with men (MSM), especially men with HIV. Data on HPV-related malignancies in the Middle East and North Africa (MENA) region is scarce. This study aims to assess anal HPV strains, dysplasia, and sexually transmitted infections (STIs) among asymptomatic MSM with HIV in Lebanon. Methods We conducted a cross-sectional study with 38 participants who completed questionnaires on socio-demographics, HIV-related data, and STI history. Anoscopy, anal Pap smears, and PCR for HPV and STIs were performed. Results HPV was detected in 34 of 38 samples (89%), with 91% having multiple strains. HPV16 was the most common strain (56%). Eighteen percent had a concomitant bacterial anal STI. Most participants lacked awareness of anal dysplasia and cancer risk, with only 29% vaccinated against HPV. Conclusion This study highlights high HPV prevalence and low awareness among men with HIV in Lebanon. The findings underscore the need for improved HPV education, vaccination, and routine screening in this population. Further research is needed to address barriers to comprehensive HIV and STI care in the region.http://dx.doi.org/10.1080/25787489.2024.2425548hivhpvmsmscreeninganal dysplasiamena region
spellingShingle Yasmine Abi Aad
Tala Ballouz
Hani Faysal
Rami Mahfouz
Nina Shabb
Georgeio Sader
Remie El-Helou
Samer Doughan
Nesrine A. Rizk
Prevalence of human papilloma virus infection and anal dysplasia among men with HIV in Lebanon: a cross-sectional study
HIV Research & Clinical Practice
hiv
hpv
msm
screening
anal dysplasia
mena region
title Prevalence of human papilloma virus infection and anal dysplasia among men with HIV in Lebanon: a cross-sectional study
title_full Prevalence of human papilloma virus infection and anal dysplasia among men with HIV in Lebanon: a cross-sectional study
title_fullStr Prevalence of human papilloma virus infection and anal dysplasia among men with HIV in Lebanon: a cross-sectional study
title_full_unstemmed Prevalence of human papilloma virus infection and anal dysplasia among men with HIV in Lebanon: a cross-sectional study
title_short Prevalence of human papilloma virus infection and anal dysplasia among men with HIV in Lebanon: a cross-sectional study
title_sort prevalence of human papilloma virus infection and anal dysplasia among men with hiv in lebanon a cross sectional study
topic hiv
hpv
msm
screening
anal dysplasia
mena region
url http://dx.doi.org/10.1080/25787489.2024.2425548
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