The Psychosocial and Economic Burden of Genital Warts
The Psychosocial and Economic Burden of Genital Warts
Considering the importance of HPV(human papilomavirus) and related diseases in Brazil, and
 the lack of studies about both the economic and the psychosocial burden of these diseases,
 BEMFAM, a Brazilian non-governmental organization that provides reproductive health services
 and technical support to local governments proposes a study to measure the psychosocial and
 economic burden of genital warts.
Cervical cancer is a public health issue in Brazil. The Cancer National Institute estimates
 that cervical cancer will be the second most incident among women, with 18.430 new cases in
 2010. Human papillomavirus (HPV) is related to cervical cancer and is also responsible for
 benign lesions, such as genital warts.The Brazilian Ministry of Health estimates the
 prevalence of genital warts to be 5,7% among pregnant women and 21,5% among women attending
 sexually transmitted infections treatment clinics.The study will measure the psychosocial
 burden of genital warts using HPV Impact Profile questionnaire and the economic burden of
 genital warts among women attending its six reproductive health clinics.

 There are two study objectives:

 1 - to measure the psychosocial burden of genital warts in women attending six reproductive
 health clinics in Brazil. 2- to measure the economic burden of genital warts treatment for
 women attending six reproductive health clinics in Brazil.

 Hypothesis testing:

 For objective 1, the experiment compare differences on psychosocial burden of Genital Warts
 among subgroups and therefore does not include any formal hypothesis testing about the
 psychosocial burden of the disease in agreement with the extant literature on the subject
 (Xingshu Zhu et al., 2009).

 Objective 2 aims to measure differentials in the economic burden of the disease among
 subgroups with different type of genital warts (newly diagnosed, recurrent and resistant),
 site of the lesion, age, duration of treatment, number of medical visits, type and number of
 medical procedures. No formal hypothesis will be tested.
Inclusion Criteria:

 -  women aged 18 to 45 years, who had a Pap-smear in the preceding 90 days or were
 diagnosed with genital warts during physical examination.

 -  good health

 Exclusion Criteria:

 -  women self reported HIV-positive

 -  women undergoing antiretro-viral treatment

 -  illiteracy

 -  pregnancy