title: Risk factors for incident and recurrent condylomata acuminata among men. A population-based study.
abstract: OBJECTIVE
  The rapid increase in the number of physician office visits for condylomata acuminata and the association of human papillomavirus and cancer has prompted renewed interest in the epidemiology of this sexually-transmitted disease. Few epidemiologic studies have examined what risk factors are associated with condylomata acuminata in men.
  
  
  OBJECTIVE
  To determine what factors may predispose a man to the occurrence of condylomata acuminata.
  
  
  METHODS
  A population-based case-control study was conducted among male members of a health maintenance organization. Patients were men 18 years or older who were seen for condyloma at one of four primary care clinics of Group Health Cooperative of Puget Sound between April 1, 1987 and September 30, 1991. Control subjects were frequency matched to the patients on clinic site, race, and age. In-person interviews were used to ascertain exposure histories from both patients and control subjects.
  
  
  RESULTS
  Recurrent condyloma was reported by about one third of our patients. Patients with multiple partners were strongly associated with developing the disease. Several factors were either more strongly or only associated with recurrent disease. Other behavioral measures, such as recreational drug use, were also related the occurrence of condyloma.
  
  
  CONCLUSIONS
  These results confirm the sexual-transmitted mechanism of condyloma in men. Exposure to multiple partners was associated with elevated risk of both recurrent and incident disease. Other cofactors may be involved in the etiology of condyloma.
authors.affiliation: Division of Public Health Sciences, Fred Hutchinson Cancer Research Center, Seattle, WA 98104, USA.
authors.forename: S K
authors.initials: SK
authors.lastname: Van Den Eeden
authors.forename: L A
authors.initials: LA
authors.lastname: Habel
authors.forename: K J
authors.initials: KJ
authors.lastname: Sherman
authors.forename: B
authors.initials: B
authors.lastname: McKnight
authors.forename: A
authors.initials: A
authors.lastname: Stergachis
authors.forename: J R
authors.initials: JR
authors.lastname: Daling
mesh_terms: D000293:Adolescent; D000328:Adult; D016022:Case-Control Studies; D003218:Condylomata Acuminata / Q000453:epidemiology* / Q000517:prevention & control*; D005832:Genital Diseases, Male / Q000453:epidemiology* / Q000517:prevention & control*; D006801:Humans; D015994:Incidence; D008297:Male; D008875:Middle Aged; D012008:Recurrence; D012307:Risk Factors; D012725:Sexual Behavior; D014861:Washington / Q000453:epidemiology