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In light of the multiple statistical comparisons presented, it should also be noted that this association could have occurred by chance. One of the strengths of this study was pussj large sample size. kenyan pussy

Additionally, our ability to recruit from a kenyan pussy of high-risk women who were invited to the clinic for routine HIV-1 and STI screening may have reduced bias. Female sex workers in this community attended the clinic even when they were asymptomatic. kenyan pussy

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This study design may have reduced the risk kenyan pussy bias towards an over-estimate of the population prevalence of black xxx warts compared to studies in cohorts presenting primarily because of symptoms, such as STI clinic attendees. These findings should be interpreted in the context of a number of limitations.

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The point prevalence of genital warts was modest, so we had limited power to explore correlates. Kenyan pussy on participant complaints regarding genital lesions, the number komik tinkerbell xxx morphology of genital warts, anal pjssy perineal warts, or the presence of giant warts Buschke-Lowenstein tumorswere not collected. While patients with clinically concerning lesions and those too large for treatment with cryotherapy or podophyllin were referred for surgical consultation, we do not kenyan pussy data about their surgical pathology, and kenyan pussy not systematically collect information about post-operative outcomes.

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No HPV testing was performed. The population in this study included only high-risk women based on self-reported transactional sex. kenyan pussy

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On the other hand, some women with large or numerous genital warts might have been unable to work as sex workers, so would not have presented to our clinic. Finally, cross-sectional design limits any determination of whether HIV-1 infection or HPV was the original infection or whether blackbbwmilf increased susceptibility to the other.

These results are timely, given current discussions around selection of HPV vaccines for use pusxy different settings. The cost keenyan the different vaccines will kenyan pussy be an important kenyan pussy.

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If there is no difference in kenyan pussy, then the quadrivalent vaccine would seem to have a clear advantage. However, if the cost of the bivalent vaccine is lower, then the medical and psychosocial costs of genital warts must be weighed against the kenyan pussy cost of the quadrivalent vaccine.

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Cost effectiveness studies kenyan pussy the expected quality-adjusted life-years saved by the quadrivalent versus bivalent vaccine could be beneficial.

Whether protection against genital warts influences acceptability and uptake of vaccination in different populations may also be important to consider.

In conclusion, our results demonstrate a modest point pussj of genital warts in this population of high-risk kenyan pussy, suggesting that their lifetime risk of genital warts may be substantial, consistent with other studies of lifetime prevalence of genital warts in various parts of the world.

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