{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T20:39:51Z","timestamp":1777927191227,"version":"3.51.4"},"reference-count":28,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2017,7,26]],"date-time":"2017-07-26T00:00:00Z","timestamp":1501027200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["R24 TW007988"],"award-info":[{"award-number":["R24 TW007988"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Int J STD AIDS"],"published-print":{"date-parts":[[2018,2]]},"abstract":"<jats:p>The prevalence of high-risk human papillomavirus (HR-HPV) has been reported to be three times higher in female sex workers (FSWs) in Callao, Peru than in the general population of women in Peru. Prevalence of HR-HPV among male clients has not yet been reported. A total of 150 men soliciting intercourse in sex work venues submitted questionnaires, samples for sexually transmitted infection (STI) testing, and self-collected penile samples prior to and following intercourse for HPV genotyping. We identified variables associated with pre-coital HR-HPV, and compared HR-HPV detection pre- and post-coitus. Prior to intercourse, HR-HPV prevalence was 41.9%. Married clients were less likely than unmarried clients to have HR-HPV detected ( p\u2009=\u20090.03). While post-coital HR-HPV prevalence was higher (47.6%), the difference was not statistically significant. However, there was a significant increase in the mean number of HR-HPV DNA strains detected before (0.75) and after (0.94) intercourse ( p\u2009=\u20090.02). No cases of gonorrhoea or syphilis and six (4.1%) cases of chlamydial infection were detected. Despite low prevalence of other STIs, male clients had a high HR-HPV prevalence. The increase in detection of HR-HPV following intercourse demonstrates a potential for transmission of HR-HPV despite high self-reported condom use.<\/jats:p>","DOI":"10.1177\/0956462417721563","type":"journal-article","created":{"date-parts":[[2017,7,27]],"date-time":"2017-07-27T06:20:09Z","timestamp":1501136409000},"page":"178-184","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Human papillomavirus infection among male clients of female sex workers soliciting sex in brothels in Peru"],"prefix":"10.1177","volume":"29","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8587-1096","authenticated-orcid":false,"given":"Jenell","family":"Stewart","sequence":"first","affiliation":[{"name":"Department of Medicine, University of Washington, Seattle, WA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Martha","family":"Calderon","sequence":"additional","affiliation":[{"name":"Cl\u00ednica de Salud Alberto Barton del Callao, Peru"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alison","family":"Hathaway","sequence":"additional","affiliation":[{"name":"Yale University School of Nursing, Hartford, CT, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rachel L","family":"Winer","sequence":"additional","affiliation":[{"name":"Department of Epidemiology, University of Washington, Seattle, WA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joseph","family":"Zunt","sequence":"additional","affiliation":[{"name":"Department of Medicine, University of Washington, Seattle, WA, USA"},{"name":"Department of Epidemiology, University of Washington, Seattle, WA, USA"},{"name":"Department of Neurology, University of Washington, Seattle, WA, USA"},{"name":"Global Health, University of Washington, Seattle, WA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2017,7,26]]},"reference":[{"key":"bibr1-0956462417721563","doi-asserted-by":"publisher","DOI":"10.1016\/S1470-2045(09)70096-8"},{"key":"bibr2-0956462417721563","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa021641"},{"key":"bibr3-0956462417721563","doi-asserted-by":"publisher","DOI":"10.1136\/sti.2010.043315"},{"key":"bibr4-0956462417721563","doi-asserted-by":"publisher","DOI":"10.1258\/ijsa.2011.011193"},{"key":"bibr5-0956462417721563","first-page":"483","volume":"82","author":"Garcia PJ","year":"2004","journal-title":"Bull World Health Organ"},{"key":"bibr6-0956462417721563","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjid.2014.01.010"},{"key":"bibr7-0956462417721563","doi-asserted-by":"publisher","DOI":"10.1038\/sj.bjc.6603653"},{"key":"bibr8-0956462417721563","doi-asserted-by":"publisher","DOI":"10.1002\/ijc.29210"},{"key":"bibr9-0956462417721563","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0081041"},{"key":"bibr10-0956462417721563","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(11)61846-1"},{"key":"bibr11-0956462417721563","doi-asserted-by":"publisher","DOI":"10.1097\/00007435-200406000-00003"},{"key":"bibr12-0956462417721563","doi-asserted-by":"publisher","DOI":"10.1097\/00007435-199902000-00010"},{"key":"bibr13-0956462417721563","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0139524"},{"key":"bibr14-0956462417721563","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa053284"},{"key":"bibr15-0956462417721563","doi-asserted-by":"publisher","DOI":"10.1093\/infdis\/jiu200"},{"key":"bibr16-0956462417721563","doi-asserted-by":"publisher","DOI":"10.1093\/infdis\/jit191"},{"key":"bibr17-0956462417721563","doi-asserted-by":"publisher","DOI":"10.1086\/507432"},{"key":"bibr18-0956462417721563","doi-asserted-by":"publisher","DOI":"10.1016\/S1473-3099(05)70323-6"},{"key":"bibr19-0956462417721563","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(10)62342-2"},{"key":"bibr20-0956462417721563","doi-asserted-by":"publisher","DOI":"10.1086\/381395"},{"key":"bibr21-0956462417721563","doi-asserted-by":"publisher","DOI":"10.1089\/aid.2011.0307"},{"key":"bibr22-0956462417721563","doi-asserted-by":"publisher","DOI":"10.1258\/ijsa.2011.010541"},{"key":"bibr23-0956462417721563","doi-asserted-by":"publisher","DOI":"10.1086\/315498"},{"key":"bibr24-0956462417721563","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0167173"},{"key":"bibr25-0956462417721563","doi-asserted-by":"publisher","DOI":"10.1136\/sti.2008.033068"},{"key":"bibr26-0956462417721563","doi-asserted-by":"publisher","DOI":"10.1128\/JCM.44.2.513-517.2006"},{"key":"bibr27-0956462417721563","doi-asserted-by":"publisher","DOI":"10.1093\/infdis\/jit018"},{"key":"bibr28-0956462417721563","doi-asserted-by":"publisher","DOI":"10.1177\/095646240001100203"}],"container-title":["International Journal of STD &amp; 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