000000674 001__ 674 000000674 005__ 20260112085049.0 000000674 0247_ $$2DOI$$a10.6083/M4S46PZF 000000674 037__ $$aETD 000000674 245__ $$aMale human papillomavirus (HPV) prevalence and association with condom use in Mexico, Brazil and the United States 000000674 260__ $$bOregon Health and Science University 000000674 269__ $$a2011 000000674 336__ $$aThesis 000000674 502__ $$bM.P.H. 000000674 520__ $$aAssociations between condom use and male genital human papillomavirus (HPV) infection have been inconsistent. We examined this relationship in a multinational cohort of 2,261 men aged 18–70 from Mexico, Brazil, and the U.S. who reported recent vaginal sex. Participants completed questionnaires on sexual history and condom use and were tested for HPV via PCR genotyping. Overall HPV prevalence was 70.6%, with 34% positive for oncogenic types. Men who always used condoms had the lowest HPV prevalence (65.9%) compared to those using condoms half the time (76.2%). After adjusting for confounders, consistent condom use was associated with lower HPV prevalence (PR = 0.70; 95% CI: 0.55–0.90). This association was significant in the U.S. but not in Mexico or Brazil. While consistent condom use may reduce HPV risk, prevalence remains high even among men reporting always using condoms. 000000674 540__ $$fCC BY 000000674 542__ $$fIn copyright - single owner 000000674 650__ $$aPrevalence$$028804 000000674 650__ $$aEpidemiology$$018518 000000674 650__ $$aGammapapillomavirus$$037214 000000674 650__ $$aCondoms$$029840 000000674 650__ $$aGenitalia, Male$$019485 000000674 650__ $$aSurveys and Questionnaires$$025037 000000674 650__ $$aPapillomavirus Infections$$033831 000000674 650__ $$aHuman Papillomavirus Viruses$$013981 000000674 650__ $$aMale$$021762 000000674 651__ $$aMexico$$041046 000000674 651__ $$aBrazil$$040923 000000674 651__ $$aUnited States$$041167 000000674 691__ $$aSchool of Medicine$$041369 000000674 692__ $$aDepartment of Public Health and Preventive Medicine$$041444 000000674 7001_ $$aRepp, Kimberly$$uOregon Health and Science University$$041354 000000674 8564_ $$96d5bf3f7-2236-4a5f-b233-9843d38ae570$$s882594$$uhttps://digitalcollections.ohsu.edu/record/674/files/675_etd.pdf$$ePublic$$20e03498eca5beb3c8ca310375f227759$$31 000000674 905__ $$a/rest/prod/f7/62/3c/59/f7623c599 000000674 909CO $$ooai:digitalcollections.ohsu.edu:674$$pstudent-work 000000674 980__ $$aTheses and Dissertations