{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,25]],"date-time":"2026-08-25T05:24:11Z","timestamp":1787635451742,"version":"build-2736575974"},"reference-count":35,"publisher":"BMJ","issue":"6","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2019,4,4]]},"published-print":{"date-parts":[[2019,6]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To analyse factors associated with genital human papillomavirus (HPV) and other self-reported sexually transmitted infection (STI) coinfections among women and men aged 16\u201325 years from Brazil.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>A cross-sectional, nationwide, multicentre study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>119 primary healthcare centres between September 2016 and November 2017.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>6388 sexually active young adults were enrolled by trained health professionals.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Primary outcome measure<\/jats:title>\n                    <jats:p>Genital HPV and other self-reported STI coinfections.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Of 3512 participants with valid data for genital HPV and (STI)-positive status, 276 (9.60%, 95%\u2009CI 7.82% to 11.36%) had HPV\/STI coinfection. Among men, HPV\/STI coinfection was more prevalent than HPV infection alone. Among HPV-positive participants, the percentage of subjects who reported having another STI was highest for gonorrhoea at 4.24% (95% CI 2.67% to 5.81%), followed by syphilis, herpes and HIV. Smoking, drug use and ever having a same-sex sexual experience were risk factors that were uniquely associated with HPV\/STI coinfection compared with HPV infection alone.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The results identified a low prevalence of self-reported STIs, but in participants with at least one STI, the prevalence of HPV was high. These results reinforce the importance of implementing strategies to prevent risky behaviours among Brazilian young adults.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjopen-2018-027438","type":"journal-article","created":{"date-parts":[[2019,6,22]],"date-time":"2019-06-22T06:15:27Z","timestamp":1561184127000},"page":"e027438","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":25,"title":["Factors associated with HPV and other self-reported STI coinfections among sexually active Brazilian young adults: cross-sectional nationwide study"],"prefix":"10.1136","volume":"9","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3807-182X","authenticated-orcid":false,"given":"Natalia Luiza","family":"Kops","sequence":"first","affiliation":[{"name":"Escrit\u00f3rio de Projetos PROADI-SUS, Hospital Moinhos de Vento, Porto Alegre, Rio Grande do Sul, Brazil"},{"name":"Programa de P\u00f3s Gradua\u00e7\u00e3o Endocrinologia, Universidade Federal do Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marina","family":"Bessel","sequence":"additional","affiliation":[{"name":"Escrit\u00f3rio de Projetos PROADI-SUS, Hospital Moinhos de Vento, Porto Alegre, Rio Grande do Sul, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jaqueline Driemeyer Correia","family":"Horvath","sequence":"additional","affiliation":[{"name":"Escrit\u00f3rio de Projetos PROADI-SUS, Hospital Moinhos de Vento, Porto Alegre, Rio Grande do Sul, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carla","family":"Domingues","sequence":"additional","affiliation":[{"name":"National Immunization Program, Ministry of Health, Brasilia, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fl\u00e1via Moreno Alves","family":"de Souza","sequence":"additional","affiliation":[{"name":"Department of STIs, AIDS and Viral Hepatitis, Ministry of Health, Brasilia, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adele Schwartz","family":"Benzaken","sequence":"additional","affiliation":[{"name":"Department of STIs, AIDS and Viral Hepatitis, Ministry of Health, Brasilia, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gerson Fernando","family":"Mendes Pereira","sequence":"additional","affiliation":[{"name":"Department of STIs, AIDS and Viral Hepatitis, Ministry of Health, Brasilia, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ana Goretti Kalume","family":"Maranh\u00e3o","sequence":"additional","affiliation":[{"name":"National Immunization Program, Ministry of Health, Brasilia, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luisa Lina","family":"Villa","sequence":"additional","affiliation":[{"name":"Instituto do C\u00e2ncer do Estado de S\u00e3o Paulo, Universidade de S\u00e3o Paulo and Cancer Institute of the S\u00e3o Paulo State (ICESP), S\u00e3o Paulo, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Barbara","family":"Mello","sequence":"additional","affiliation":[{"name":"Faculdade de Medicina, Universidade de S\u00e3o Paulo, S\u00e3o Paulo, S\u00e3o Paulo, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eliana Marcia","family":"Wendland","sequence":"additional","affiliation":[{"name":"Escrit\u00f3rio de Projetos PROADI-SUS, Hospital Moinhos de Vento, Porto Alegre, Rio Grande do Sul, Brazil"},{"name":"Department of Community Health, Federal University of Health Science of Porto Alegre, Porto Alegre, Rio Grande do Sul, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2019,6,21]]},"reference":[{"key":"2025121605590358000_9.6.e027438.1","unstructured":"WHO. 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