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. 2020 Oct;26(10):2387–2393. doi: 10.3201/eid2610.191646

Table 1. Incidence rate of sequential HPV infection in the anus for participants with or without previous genital HPV infection of the same type by sex in Liuzhou, China, 2014–2016*.

HPV status at genital site before anal infection Positive for HPV type at anal site
Men
Women
No. Incidence/1,000 person-months (95% CI) HR (95% CI) No. Incidence/1,000 person-months (95% CI) HR (95% CI)
Any HPV
Negative 52 3.8 (2.9–4.9) 1.0 149 6.2 (5.3–7.3) 1.0
Positive
14
8.8 (5.2–14.8)
2.6 (1.4–4.6)

87
25.9 (21.0–31.9)
4.4 (3.4–5.8)
High-risk HPV
Negative 33 2.4 (1.7–3.3) 1.0 136 5.6 (4.8–6.7) 1.0
Positive
13
8.9 (5.2–15.4)
4.2 (2.2–8.0)

82
25.2 (20.3–31.3)
4.7 (3.6–6.2)
9V-HPV
Negative 35 2.5 (1.8–3.5) 1.0 69 2.8 (2.2–3.6) 1.0
Positive
5
6.0 (2.5–14.3)
2.8 (1.1–6.9)

32
19.8 (14.0–28.0)
7.6 (5.0–11.5)
HPV 16/18
Negative 7 0.5 (0.2–1.1) 1.0 20 0.8 (0.5–1.3) 1.0
Positive
1
3.7 (0.5–26.0)
10.4 (1.3–85.9)

11
16.9 (9.4–30.5)
25.4 (12.0–53.6)
HPV 6/11
Negative 20 1.4 (0.9–2.2) 1.0 13 0.5 (0.3–0.9) 1.0
Positive 1 5.4 (0.8–38.7) 4.0 (0.5–30.5) 3 15.6 (5.0–48.3) 35.4 (9.9–126.9)
HPV 6
Negative 10 0.7 (0.4–1.3) 1.0 8 0.3 (0.2–0.7) 1.0
Positive
1
9.6 (1.4–68.2)
11.9 (1.5–96.2)

2
27.5 (6.9–110.1)
95.2 (19.7–459.9)
HPV 11
Negative 11 0.8 (0.4–1.4) NE 5 0.2 (0.1–0.5) 1.0
Positive
0
0
NE

1
7.8 (1.1–55.3)
43.7 (5.1–375.1)
HPV 16
Negative 2 0.1 (0.0–0.6) 1.0 11 0.5 (0.3–0.8) 1.0
Positive
1
6.7 (0.9–47.5)
52.4 (4.7–584.6)

8
16.9 (8.5–33.9)
45.8 (17.9–117.1)
HPV 18
Negative 5 0.4 (0.2–0.9) NE 9 0.4 (0.2–0.7) 1.0
Positive
0
0
NE

3
13.5 (4.4–42.0)
38.0 (10.3–140.6)
HPV 31
Negative 0 0 NE 2 0.1 (0.0–0.3) 1.0
Positive
0
0
NE

3
22.1 (7.1–68.7)
289.6 (48.2–1,740.9)
HPV 33
Negative 4 0.3 (0.1–0.8) 1.0 12 0.5 (0.3–0.9) 1.0
Positive
1
12.4 (1.7–88.2)
71.9 (7.4–700.0)

5
30.0 (12.5–72.1)
68.3 (23.9–194.9)
HPV 35
Negative 1 0.1 (0.0–0.5) 1.0 3 0.1 (0.0–0.4) 1.0
Positive
1
19.0 (2.7–134.5)
279.0 (17.2–4,524.7)

2
13.1 (3.3–52.4)
148.5 (20.8–1,058.9)
HPV 39
Negative 2 0.1 (0.0–0.6) 1.0 17 0.7 (0.4–1.2) 1.0
Positive
2
9.7 (2.4–38.8)
57.4 (8.0–408.9)

15
34.6 (20.9–57.4)
46.0 (22.6–93.9)
HPV 45
Negative 1 0.1 (0.0–0.5) 1.0 1 0.0 (0.0–0.3) NE
Positive
1
36.5 (5.1–258.8)
381.9 (23.9–6,105.8)

0
0
NE
HPV 51
Negative 2 0.1 (0.0–0.6) 1.0 15 0.6 (0.4–1.0) 1.0
Positive
1
11.8 (1.7–83.6)
84.0 (7.6–9,277.9)

4
21.8 (8.2–58.1)
40.9 (13.4–124.8)
HPV 52
Negative 8 0.6 (0.3–1.2) 1.0 41 1.8 (1.3–2.5) 1.0
Positive
3
9.2 (3.0–28.4)
15.9 (4.2–60.1)

29
25.5 (17.7–36.7)
14.7 (9.1–23.7)
HPV 56
Negative 2 0.1 (0.0–0.6) 1.0 6 0.2 (0.1–0.6) 1.0
Positive
1
8.7 (1.2–61.9)
127.6 (8.0–2,039.7)

4
18.9 (7.1–50.3)
160.2 (39.4–650.7)
HPV 58
Negative 5 0.4 (0.2–0.9) 1.0 24 1.0 (0.7–1.5) 1.0
Positive
1
2.9 (0.4–20.9)
8.6 (0.99–74.7)

11
20.4 (11.3–36.9)
20.7 (10.1–42.3)
HPV 59
Negative 3 0.2 (0.1–0.7) 1.0 10 0.4 (0.2–0.8) 1.0
Positive
1
10.0 (1.4–71.3)
48.5 (5.0–467.3)

8
30.4 (15.2–60.8)
69.8 (27.0–180.7)
HPV 66
Negative 0 0 NE 5 0.2 (0.1–0.5) 1.0
Positive
0
0
NE

2
18.2 (4.5–72.7)
83.3 (16.1–430.0)
HPV 68
Negative 0 0 NE 0 0 NE
Positive 0 NE NE 0 NE NE

*HRs and 95% CIs of sequential grouped HPV infection were calculated based on individual results. 9V-HPV, 9-valent vaccine-related HPV types (6, 11, 16, 18, 31, 33, 45, 52, and 58); HR-HPV, high-risk HPV types (16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, and 68); HPV, human papillomavirus; HR, hazard ratio; NE, not estimable..