Cross-sectional study estimating the psychosocial impact of genital warts and other anogenital diseases in South Korea

Abstract

ObjectivesTo estimate self-reported human papillomavirus (HPV) disease-related psychosocial impact among male and female patients in South Korea.DesignIn this multicentre cross-sectional study, psychosocial impacts were estimated using a one-time survey capturing HPV Impact Profile (HIP) results, CuestionarioEspecifico en Condilomas Acuminados (CECA; in Spanish)—‘Specific questionnaire for Condylomata Acuminata’ and the EuroQol-5 Dimension (EQ-5D) surveys. Student’s t-tests or Mann-Whitney U tests were used for continuous comparisons; χ2or Fisher’s exact tests were applied for categorical comparisons.Setting5098 clinics throughout Seoul, Busan, Daegu, Kwangju and Daejeon (South Korea).ParticipantsPatients with and without genital warts (GW) (males) and selected HPV diseases (females) visiting primary care physicians, obstetricians/gynaecologists, urologists and dermatologists with 2–30 years experience.ResultsOf 150 male and 250 female patients, HIP scores showed 85.3% of male patients with GW and 32.0% without reported moderate psychological impact (p<0.0001). In categorised total scores, 88.5% of female patients with and 66.0% without selected HPV-related diseases reported moderate or high psychological impacts (p=0.0004). In the CECA questionnaire, male patients had mean (SD) scores of 10.51 (3.79) in ‘emotional health’ and 15.90 (6.13) in ‘sexual activity’. Female patients with GW reported lower scores in both dimensions with mean scores of 7.18 (4.17) in ‘emotional health’ and 10.97 (5.80) in ‘sexual activity’ (p<0.0001), indicating worse health-related quality of life (HRQoL). For the EQ-5D, male patients with GW reported lower mean Visual Analogue Scale (VAS) scores than those without (75.1 vs 81.13, p<0.0135). Mean VAS score and utility values were lower for females with HPV-related diseases than those without (72.18 vs 76.86 and 0.90 vs 0.94, respectively).ConclusionIn South Korea, GW in men and HPV-related diseases in women negatively impact patient well-being and HRQoL scores. Among women, those with GW suffered a greater psychosocial impact than those with other selected HPV-related diseases.

The psychosocial burden of anogenital warts on Syrian patients: study of quality of life

“…Out of 130 HPV types, 40 of them tend to affect the anogenital region [ 4 ]. The most common HPV types causing the disease in Europe are types 6 and 11 and are answerable for approximately 90% of the genital wart cases [ 5 , 6 ] HPV-caused genital warts are one of the most frequently diagnosed STIs in dermatology clinics [ 7 ] without clear documentation of the disease incidence and prevalence in Syria.…”

Sexual function and sexual quality of life in men with genital warts: a cross-sectional study

“…However, women experienced more Burden than men. Men were also affected by the psychological effects of GWs [ 6 , 7 ].…”

“…In the literature, it has been shown that STIs have negative effects on men’s mental health and sexual function [ 8 – 10 ]. Some studies also indicate sexual-related concern in men with GWs [ 6 , 7 ]. Because the sexual response cycle reflects biopsychosocial interaction, these concerns appear to affect sexual function, but there is limited evidence [ 11 ].…”

“…One of the most critical issues in sexual health is the quality of sexual life. Previous studies have shown that GWs in men are associated with severe damage to their health-related quality of life [ 7 , 12 , 13 ]. Based on the available shreds of evidence, no studies have focused on Sexual Quality of Life-Men (SQOL-M) with GWs.…”

Validation of the Human Papillomavirus Impact Profile in Lebanese Women With Human Papillomavirus or Associated Lesions

“…8 Since its initial validation, this questionnaire has been translated and used in multiple studies worldwide (China, Portugal, India…). [9][10][11][12] Most articles noticed defects in the scoring method and modified it. For instance, Wang et al 12 who were the first worldwide to translate this questionnaire, reversed the scores of items referring to a positive emotional impact to adjust this flaw.…”