Psychological burden of anogenital warts

Dediol, Iva; Buljan, Marija; Živković, Maja; Bulat, Vedrana; Šitum, Mirna; Čubrilović, Željkica

doi:10.1111/j.1468-3083.2009.03242.x

Cited by 27 publications

(19 citation statements)

References 14 publications

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“…These results reflect the emotional distress caused by GW that has been found in several studies around the world [2,19,29,30]. A greater distress in women with external GW lesions is aligned with previous observations where the psychological impact of a sexually transmitted disease diagnosis (regardless of which one) seems to be greater in women than in men [31].…”

Section: Discussionsupporting

confidence: 88%

HPV knowledge and impact of genital warts on self esteem and sexual life in Colombian patients

et al. 2013

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BackgroundInformation on HPV knowledge in patients with genital warts is scarse as is the information on factors related to the impact on self-esteem and sex life among them.MethodsWe conducted a cross-sectional study in adult patients with a clinical diagnosis of genital warts (GW) attending a major private out-patient clinic in Bogotá, Colombia. Patients underwent biopsy for pathological diagnosis, HPV-DNA testing and completed a questionnaire assessing HPV knowledge, and the consequences of GW on self-esteem and sexual life. Differences in proportions were assessed with a chi2 test.Results106 men and 155 women had pathologic confirmation of GW. 51% of subjects had heard of HPV before consultation coming mainly from the media (82%). Less than half of the participants knew that HPV could be transmitted through non-penetrant sexual intercourse and only two thirds acknowledged HPV vaccine as a preventive measure against HPV infection. Impact on self-esteem was higher among women than men (90.3% vs 60.4%, [p < 0.01]). In men, factors related to a higher impact on sexual life were HPV awareness and age; in women they were higher education and anatomic location; external GW had a higher impact on sexual life in women (83% vs. 66%; [p = 0.05]).ConclusionsWe found a low awareness of HPV and low knowledge on the vaccine as a preventive measure for associated diseases even in patients suffering from genital warts, highlighting the need for communication and education on HPV. Greater impact on self-esteem in women might reflect higher health consciousness among Latin American women.

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Section: Discussionsupporting

confidence: 88%

HPV knowledge and impact of genital warts on self esteem and sexual life in Colombian patients

et al. 2013

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“…A similar but lesser impact of GW on HRQoL has been demonstrated in men in a study using the initial 22-item CECA questionnaire [47]. When stratified by sex in the present study, the difference between GW and history of GW continued to be observed in women, but not in men.…”

Section: Discussionsupporting

confidence: 86%

Impact of human papillomavirus-related genital diseases on quality of life and psychosocial wellbeing: results of an observational, health-related quality of life study in the UK

et al. 2013

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BackgroundData on the psychosocial burden of human papillomavirus (HPV)-related diseases other than cervical cancer are scarce. The objectives of this study were to measure and compare the psychosocial burden and the impact on health-related quality of life (HRQoL) of HPV-related lower genital tract diseases and genital warts (GW) using several generic and disease-specific instruments.MethodsOverall, 842 individuals with normal cervical cytology (n = 241), borderline nuclear abnormalities and/or mild dyskaryosis (n = 23), cervical intraepithelial neoplasia (CIN)1 (n = 84), CIN2/3 (n = 203), vulval intraepithelial neoplasia (VIN)2/3 (n = 43), GW (n = 186) and a history of GW (non-current) (n = 62) were included. The generic European Quality of Life Index Version 5D (EQ-5D) questionnaire was completed by patients with GW and VIN2/3. Sexual functioning was evaluated using the Change in Sexual Functioning Questionnaire (CSFQ). Psychosocial impact was measured in women using the HPV Impact Profile (HIP) questionnaire. HRQoL was assessed using a GW-specific questionnaire, the Cuestionario Especifico en Condilomas Acuminados (CECA) (completed by patients with GW and history of GW). For each instrument, scores were compared between groups using the Student's t-test. In addition, utility loss due to GW and VIN2/3 was evaluated by comparing mean EQ-5D scores weighted by age and sex with the UK general population normal values.ResultsA significant psychosocial impact was found in women diagnosed with HPV-related genital diseases, particularly in those with GW. The health state of younger adults with GW was significantly impaired compared with UK normal values (mean EQ-5D index score 0.86 vs 0.94, p < 0.001 for 18–24-year-olds; 0.87 vs 0.93, p = 0.030 for 25–34-year-olds). VIN2/3 was found to have a significant negative impact on sexual functioning, and women with VIN2/3 had a highly impaired health state compared with women in the UK general population (weighted mean EQ-5D index score 0.72 vs 0.89, p < 0.001; weighted mean Visual Analogue Scale score 62 vs 85, p < 0.001).ConclusionsHPV-related lower genital tract lesions and GW significantly impair psychosocial wellbeing and HRQoL. The psychosocial aspects of HPV-related diseases need to be considered when evaluating the potential benefit of HPV vaccination.

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“…In a study surveying quality of life in men diagnosed with anogenital warts, men expressed concern about contagiousness and showed inadequate knowledge about their diagnosis. (14, 15) Studies in college students have generally found low levels of knowledge about HPV infection in male participants. (16) In a survey of men who have sex with men (MSM) treated at a sexually transmitted disease (STD) clinic, men who knew someone diagnosed with HPV were knowledgeable of transmission, but overall most patients were unaware of HPV risk or potential modes of transmission.…”

Section: Introductionmentioning

confidence: 99%

Sharing a diagnosis of HPV-related head and neck cancer: The emotions, the confusion, and what patients want to know

et al. 2012

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BACKGROUND Oropharyngeal cancers are increasingly associated with human papillomavirus (HPV). Little is known about the experience of patients receiving this diagnosis. METHODS Semi-structured interviews were conducted with 10 survivors of HPV-related oropharynx cancer. The interviews were transcribed and recurring themes were identified. RESULTS Physicians were a trusted source of information regarding HPV. Framing the diagnosis in terms of prognosis resonated with patients. The uncertainty about transmission, latency, and communicability colored the dialogue about HPV. Despite some understanding of prevalence and transmission, patients worried about their partner’s risk. Patients sought information about HPV on the internet, but it was not easily navigable. Emotional reactions to the diagnosis remained mostly cancer-centric rather than HPV-centric. A patient education handout was developed in response to patient questions. CONCLUSIONS Additional educational resources explaining the facts about HPV in HNSCC in a consistent way including content of highest priority to patients may improve understanding of HPV.

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Psychological burden of anogenital warts

Abstract: Psychological aspect of anogenital warts should not be neglected. Patient's education about HPV infection and their consequences should be emphasized.

Cited by 27 publications

References 14 publications

HPV knowledge and impact of genital warts on self esteem and sexual life in Colombian patients

HPV knowledge and impact of genital warts on self esteem and sexual life in Colombian patients

Impact of human papillomavirus-related genital diseases on quality of life and psychosocial wellbeing: results of an observational, health-related quality of life study in the UK

Sharing a diagnosis of HPV-related head and neck cancer: The emotions, the confusion, and what patients want to know

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