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dc.contributor.author Thompson, Laura H
dc.contributor.author Nugent, Zoann
dc.contributor.author Blanchard, James F
dc.contributor.author Ens, Carla
dc.contributor.author Yu, Bo Nancy
dc.date.accessioned 2016-03-03T22:27:47Z
dc.date.available 2016-03-03T22:27:47Z
dc.date.issued 2016-03-03
dc.identifier.citation BMC Public Health. 2016 Mar 03;16(1):219
dc.identifier.uri http://dx.doi.org/10.1186/s12889-016-2885-4
dc.identifier.uri http://hdl.handle.net/1993/31145
dc.description.abstract Abstract Background Anogenital warts (AGW) are caused by the most common sexually transmitted infection, human papillomavirus. The objective of this study was to examine AGW incidence from 1990 to 2011 by sex, age, income quintile, and residential area category (urban/rural). The study period included the initiation of school-based HPV vaccination for girls in the sixth grade, which began in 2008. The data presented in this paper may also be useful for establishing baseline rates of AGW incidence which may be used to evaluate the success of the school-based HPV immunization program. Methods Cases of anogenital warts were identified using Manitoba’s administrative databases of Physician Claims and Hospital Discharge Abstracts. Annual age-standardized incidence in Manitoba from 1990 to 2011 was calculated. Incident AGW rates were compared by sex, age group, residential area category (urban/rural), and household income quintile using logistic regression. Joinpoint regression analyses were used to evaluate the time trends of AGW. Results Prior to 2000, AGW incidence was higher among females than males. However, from 2000 to 2011 the incidence was higher among males and increased steadily over time. AGW incidence tended to peak in younger age groups among females compared to males. Females and males living in urban areas had nearly twice the odds of AGW occurrence compared to those in rural areas. Conclusions There is a need for education about AGW in male population. The upcoming initiation of HPV vaccination among boys may reduce the incidence and should be evaluated.
dc.rights info:eu-repo/semantics/openAccess
dc.title Increasing incidence of anogenital warts with an urban–rural divide among males in Manitoba, Canada, 1990–2011
dc.type Journal Article
dc.type info:eu-repo/semantics/article
dc.language.rfc3066 en
dc.rights.holder Thompson et al.
dc.date.updated 2016-03-03T17:03:36Z


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