Hand-genital transmission of genital warts? An analysis of prevalence data

C. K. Fairley, N. J. Gay, A. Forbes, M. Abramson, S. M. Garland

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37 Citations (Scopus)


The role of hand-genital transmission in the aetiology of genital warts is unclear. However this route is suggested by a number of observations including the relatively high proportion of genital warts in children which contain HPV types 1–4 (15% for children and 2% for adults). We compared two transmission models; one which assumes that hand-genital transmission occurs and one that it does not, and determined the conditions in which each model can reflect the available prevalence data. Hand-genital transmission provides a simple explanation of the observed differences in the proportions of genital warts containing HPV types 1–4 and 6/11 in children and adults. If hand-genital transmission does not occur, the observed difference could only be explained by an eightfold greater probability of transmission to children of types 1–4 than types 6/11, or by an eightfold greater duration of infection with types 1–4. Our findings provide support for the view that genital warts may be transmitted by hand-genital contact.

Original languageEnglish
Pages (from-to)169-176
Number of pages8
JournalEpidemiology and Infection
Issue number1
Publication statusPublished - 1 Jan 1995

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