Prevention and control of neoplasms associated with HPV in high-risk groups in Mexico City: The Condesa Study

Lazcano‐Ponce, Eduardo; Salmerón, Jorge; González, Andrea; Allen‐Leigh, Betania; León‐Maldonado, Leith; Magis, Carlos; Aranda-Flores, Carlos; Conde-González, Carlos J; Portillo-Romero, Alejandra Jalil; Yunes-Díaz, Elsa; Rivera-Rivera, Leonor; Vargas-Guadarrama, Galileo; Nyitray, Alan G.; Giuliano, Anna R.

doi:10.21149/10034

Cited by 9 publications

(6 citation statements)

References 51 publications

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“…We analyzed data from a cohort clinic-based study from two clinics in Mexico City that offer prevention services and specialized medical care for sexual minority people: “Prevention and control of neoplasms associated with HPV in high-risk groups in Mexico City: The Condesa Study” [ 28 ]. The non-probability sample (i.e., for convenience) was collected between May 2018 and December 2019; clinic users who met the following criteria were invited to participate: (a) between 18 and 60 years old, (b) designated male at birth, (c) having had a previous sexual encounter with a man, or (d) identify as gay or bisexual.…”

Section: Methodsmentioning

confidence: 99%

Latent Class Analysis of Polysubstance Use and Sexual Risk Behaviors among Men Who Have Sex with Men Attending Sexual Health Clinics in Mexico City

Rodríguez-Bolaños¹,

Baruch-Domínguez²,

Arillo-Santillán³

et al. 2022

IJERPH

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Men who have sex with men (MSM) are more likely to use drugs and other substances compared to their heterosexual peers. No studies have evaluated patterns of substance use among MSM adults in Mexico. We used latent class analysis (LCA) to identify MSM subgroups with specific substance use patterns and their associations with sexual behaviors. Methods: Data from 1850 adult MSM were collected at HIV clinics in Mexico City between September 2018 and December 2019. The structural equation modeling approach was used to estimate a LC model to identify patterns of substance use by self-report of substance use (i.e., cigarette smoking, alcohol, and drugs). To evaluate LC membership, we included HIV status, condomless anal sex (CAS), and serosorting, while controlling for demographic variables. Results: 30.3% were under the age of 22. Alcohol use in last 30 days (76.2%), binge drinking (29.2%), marijuana (29.4%), sex-drugs (23.9%), stimulants (13.7%), and depressants (6.3%). MSM reported engaging in CAS (55.9%) and serosorting (13.5%) behaviors, and 40% reported being HIV positive. LCA indicated three general categories of MSM substance users: Class 1 (49.0%), Class 2 (29.8%), and Class 3 (20.4%). Members of Class 3 were younger: 23–28 age years (aOR = 1.86) and 29–33 age years (aOR = 1.86), more educated: completed graduate studies (aOR = 1.60), had a high probability of polysubstance use and were more likely to engage in CAS and serosorting. Conclusions: Attempts to detect alcohol and problematic use of substances are needed for MSM followed by culturally competent approaches that address alcohol and drug use disorders.

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Section: Methodsmentioning

confidence: 99%

Latent Class Analysis of Polysubstance Use and Sexual Risk Behaviors among Men Who Have Sex with Men Attending Sexual Health Clinics in Mexico City

Rodríguez-Bolaños¹,

Baruch-Domínguez²,

Arillo-Santillán³

et al. 2022

IJERPH

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“…However, knowledge of a sex worker’s profession is of particular interest since sex workers have a higher risk for numerous health conditions such as human papilloma virus (HPV)- infections ( 39 ), related cancers, and/or other sexually transmitted diseases (STI), and are likely to be underdiagnosed and -treated ( 40 ). Although no modified screening procedures are established for sex workers, individualized handling for screening and eventually vaccination strategies are desirable ( 41 ). Thus, the knowledge on patients’ profession and its specific risk factors adds another layer to personalized preventive measures.…”

Section: Discussionmentioning

confidence: 99%

Attitudes towards sex workers: a nationwide cross-sectional survey among German healthcare providers

Langenbach,

Thieme,

van der Veen

et al. 2023

Front. Public Health

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BackgroundWorldwide, sex workers face stigmatization and discrimination, also within healthcare. Only few studies on healthcare providers’ attitudes towards care of sex workers have been performed. This study assessed attitudes and knowledge of healthcare providers in Germany towards sex workers and their specific health risks.MethodsGerman healthcare professionals and medical students were invited to participate in a nationwide cross-sectional study in 2022. The online survey used a German translation of the “Attitudes towards Prostitutes and Prostitution Scale” by Levin and Peled for assessment of attitudes towards sex work and workers, together with prevalence estimates of common mental and physical disorders.ResultsA total of 469 questionnaires were included into analysis. Older participants tended to regard sex work as less of a choice (p < 0.004) and sex workers as more victimized (p < 0.001). The frequency of professional contact to sex workers neither affected the perception of sex workers’ status as victims vs. independent individuals, nor the perceived moral status. Moreover, healthcare professionals overestimated the prevalence of various disorders which was influenced by participants’ attitudes towards sex workers.DiscussionA comparison to a recent Allensbach survey demonstrated similar attitudes of healthcare providers and the general population towards sex workers. Our results suggest that German healthcare professionals are not free of prejudices against sex workers, as has been shown for other marginalized groups in society. Instead, they seem to be influenced by personal opinion rather than by objective facts which they should have acquired during their professional education. Future interventions (e.g., better training regarding marginal societal groups) are necessary to encounter these issues in order to improve healthcare for sex workers.

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“…Education is another fundamental component for implementation; this could include counseling, the dissemination of accurate information, or the design of educational strategies that help increase knowledge and favor positive attitudes towards the HPV vaccine. 10 Educational efforts should be designed to address the needs of women, with the aim of reducing negative beliefs, perceptions, or misconceptions that could compromise the acceptability of the vaccine. The findings from this study show that both women and health-care professionals lack accurate information about HPV and the vaccine.…”

Section: Discussionmentioning

confidence: 99%

Feasibility of a combined strategy of HPV vaccination and screening in Mexico: the FASTER-Tlalpan study experience

León‐Maldonado

Cabral

Brown

et al. 2019

Human Vaccines & Immunotherapeutics

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There has been a noticeable shift in discussions about cervical cancer, moving from prevention to elimination. Interventions such as FASTER, human papillomavirus (HPV) vaccination and HPV screening are innovative intervention strategies which can be utilized to begin a path to elimination. To explore the feasibility of the FASTER strategy, an evaluation was carried out in eight primary health-care centers within the Tlalpan Health-Jurisdiction of Mexico City between March 2017 and August 2018. A mixed methods approach was used to evaluate three components: infrastructure, patient acceptability, and health-care professionals' perceptions. This included checklists of requirements for the infrastructure rollout of FASTER and interviews with women and health-care professionals. Nearly all (93%) of the 3,474 women aged 25-45 years accepted HPV vaccination as part of a combined vaccination and screening program. The main reason for acceptance was prevention, while having doubts about the vaccine's benefits was the main reason for refusal. Most of the 24 health-care professionals had a positive opinion toward HPV vaccination and identified the need to increase dissemination, inform the population clearly and concisely and currently extend the age range for vaccination. The evaluation of eight primary health-care centers showed they had the necessary infrastructure for the development of a joint HPV prevention strategy, but many centers required improvements to become more efficient. Together these findings suggest that although HPV vaccine acceptance was high, there is the need to increase education and awareness among potential vaccine recipients and health-care professionals to implement the FASTER strategy.

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Prevention and control of neoplasms associated with HPV in high-risk groups in Mexico City: The Condesa Study

Cited by 9 publications

References 51 publications

Latent Class Analysis of Polysubstance Use and Sexual Risk Behaviors among Men Who Have Sex with Men Attending Sexual Health Clinics in Mexico City

Latent Class Analysis of Polysubstance Use and Sexual Risk Behaviors among Men Who Have Sex with Men Attending Sexual Health Clinics in Mexico City

Attitudes towards sex workers: a nationwide cross-sectional survey among German healthcare providers

Feasibility of a combined strategy of HPV vaccination and screening in Mexico: the FASTER-Tlalpan study experience

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