Journal
CLINICAL INFECTIOUS DISEASES
Volume 35, Issue 1, Pages 39-45Publisher
OXFORD UNIV PRESS INC
DOI: 10.1086/340743
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Funding
- NCRR NIH HHS [5-MO1-RR-00722] Funding Source: Medline
- NIAID NIH HHS [T32-AI07481, UO1-AI-35040, UO1-AI-37613, UO1-AI-35043, UO1-AI-35042, UO1-AI-37984, UO1-AI-35041, UO1-AI-35039] Funding Source: Medline
- NIMH NIH HHS [P-30-MH58107] Funding Source: Medline
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To determine whether men are able to self-diagnose external genital warts (EGWs), we studied data from 1115 men with and without human immunodeficiency virus infection. Men were largely unable to accurately assess the presence of EGWs. Self-reporting of EGWs was not a sensitive tool; only 38% of men who had EGWs diagnosed by a trained examiner who used bright light and visual inspection also reported having them. When we controlled for other covariates in a multivariate model, men who had EGWs diagnosed by an examiner were 14 times less likely to show concordance between examiner findings and self-report than were men who did not have EGWs diagnosed by an examiner (odds ratio, 0.07; 95% confidence interval, 0.06-0.09). Self-diagnosis and self-assessment may not accurately reflect the presence of EGWs, and self-diagnosis should not be used in place of an examiner's findings for epidemiologic studies that seek to determine the cause of disease.
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