title: Human papillomavirus awareness among HIV-infected drug users in two urban areas.
abstract: Human papillomavirus (HPV) is the cause of cervical and anal cancer. Human immunodeficiency virus (HIV) infection and cocaine use are associated with increased risk for HPV infection and associated diseases, but little is known about HIV-infected drug users' awareness of HPV. We investigate HPV awareness among HIV-infected, sexually-active crack cocaine users from two inner-city hospitals in Florida and Georgia during their inpatient stays. Multivariate logistic regression analysis was used to examine potential correlates of HPV awareness. We interviewed 215 participants (110 women; 105 men) about their awareness of HPV infection. Overall, only 25% of respondents reported having heard of HPV. The odds of having heard of HPV were greater for respondents having a high-school degree or higher, having ever gone to an HIV provider for HIV care, and having two or more sexual partners. Despite increased susceptibility to HPV infection and HPV-related cancers, our study findings suggest that sexually-active HIV-infected crack cocaine users have little awareness of HPV and highlight the need for programmes targeting HPV education for HIV-infected crack cocaine drug users.
authors.affiliation: Department of Medicine, Division of Infectious Diseases, Miller School of Medicine, University of Miami, FL, USA IRosa-Cunha@med.miami.edu.
authors.forename: Isabella
authors.initials: I
authors.lastname: Rosa-Cunha
authors.affiliation: Department of Medicine, Division of Infectious Diseases, Miller School of Medicine, University of Miami, FL, USA.
authors.forename: Thomas M
authors.initials: TM
authors.lastname: Hooton
authors.affiliation: Department of Epidemiology and Public Health, Miller School of Medicine, University of Miami, FL, USA.
authors.forename: Gabriel A
authors.initials: GA
authors.lastname: Cardenas
authors.affiliation: Department of Medicine, Division of Infectious Diseases, Emory Univ. School of Medicine, Atlanta, GA, USA Department of Global Health, Emory Univ. Rollins School of Public Health, Atlanta, GA, USA.
authors.forename: Carlos
authors.initials: C
authors.lastname: Del Rio
authors.affiliation: Department of Medicine, Emory Univ. School of Medicine, Atlanta, GA, USA.
authors.forename: Loida E
authors.initials: LE
authors.lastname: Bonney
authors.affiliation: Department of Epidemiology and Public Health, Miller School of Medicine, University of Miami, FL, USA.
authors.forename: Margaret
authors.initials: M
authors.lastname: Pereyra
authors.affiliation: Department of Epidemiology and Public Health, Miller School of Medicine, University of Miami, FL, USA.
authors.forename: Lisa R
authors.initials: LR
authors.lastname: Metsch
mesh_terms: D000293:Adolescent; D000328:Adult; D016578:Crack Cocaine; D055030:Drug Users; D005260:Female; D005431:Florida; D005845:Georgia; D015658:HIV Infections / Q000150:complications*; D007722:Health Knowledge, Attitudes, Practice; D006306:Health Surveys; D006801:Humans; D007407:Interviews as Topic; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D027383:Papillomaviridae; D030361:Papillomavirus Infections / Q000150:complications; D012307:Risk Factors; D012725:Sexual Behavior; D012747:Sexual Partners; D015819:Substance Abuse, Intravenous / Q000150:complications*; D014505:Urban Population; D055815:Young Adult
chemical_list: D016578:Crack Cocaine
keywords: AIDS; HIV; HPV; anal cancer; cervical cancer; crack cocaine; drug users; human papillomavirus; knowledge; sexually transmitted infection