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Volume 14, Number 6—June 2008

CME ACTIVITY - Research

Transmission of Human Papillomavirus in Heterosexual Couples

Brenda Y. Hernandez*Comments to Author , Lynne R. Wilkens*, Xuemei Zhu*, Pamela Thompson*, Katharine McDuffie*, Yurii B. Shvetsov*, Lori E. Kamemoto†, Jeffrey Killeen‡, Lily Ning*, and Marc T. Goodman*
Author affiliations: *University of Hawaii, Manoa, Hawaii, USA; †University of Hawaii John A. Burns School of Medicine, Honolulu, Hawaii, USA; ‡Kapi'olani Medical Center for Women and Children, Honolulu, Hawaii, USA;

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Table 3

Characteristics of male-female couples by HPV transmission status*

Characteristic Transmission (n = 16 couples) No transmission (n = 9 couples) p value
Mean age (SD)
M 25.4 (8.8) 32.2 (14.4) 0.22
F
25.5 (10.2)
26.3 (7.3)
0.82
Length of relationship, mo, median (range)
10.7 (1.9–73.4)
13.1 (0.23–185)
0.22
Monthly frequency of sexual intercourse, mean (SD)
17.7 (10.0)
6.9 (7.8)
0.0002
Lifetime no. sexual partners, mean (SD)
M 13.9 (10.4) 5.9 (5.1) 0.04
F
6.7 (6.1)
2.8 (2.2)
0.08
Circumcised man, no. (%)
13 (81)
7 (78)
0.84
Sexual practices (ever/never), no. (%)
Vaginal intercourse 32 (100) 18 (100) 1.00
Anal intercourse 14 (44) 6 (33) 0.47
Oral-vaginal 29 (91) 13 (72) 0.09
Oral-penile 32 (100) 17 (94) 0.18
Oral (M)–anal (F) 6 (19) 0 0.05
Oral (F)–anal (M) 2 (6) 0 0.28
Finger/other object-vaginal 28 (88) 18 (100) 0.12
Finger/other object (M)–anal (F) 9 (28) 4 (22) 0.65
Finger/other object (F)–anal (M)
12 (38)
4 (22)
0.27
Contraception ever used with partner, no. (%)
Birth control pill 21 (66) 8 (44) 0.15
Birth control shot 6 (19) 0 0.05
“Morning after” pill 15 (16) 0 0.08
Spermicides 3 (9) 2 (11) 0.84
Withdrawal 19 (59) 5 (28) 0.03
Vasectomy 2 (6) 4 (22) 0.10
Female condom 2 (6) 3 (17) 0.24
Abstinence 5 (16) 8 (44) 0.03
Condom
26 (81)
16 (89)
0.48
Frequency of condom use (prior 4 mo), no. (%)
Always 1 (3) 10 (56)
Never/some use†
31 (97)
8 (44)
<0.0001
Sexually transmitted infection history, no. (%)
Chlamydia 4 (13) 0 0.12
Genital herpes
1 (3)
2 (11)
0.25
Cigarette smoking (ever)‡, no. (%)
M 9 (56) 3 (33) 0.27
F 4 (25) 0 0.10

*HPV, human papillomavirus; SD, standard deviation. .
†Some use defined as usage less than half the time, half the time, or more than half the time.
‡History of smoking daily for >6 months.

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