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Concurrent and Concordant Oral and Genital High-Risk Human Papillomavirus in the U.S.: Results from the National Health and Nutrition Examination Survey
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4 23 2021
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Source: J Infect Dis. 223(8):1400-1409
[PDF-588.46 KB]
Details:
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Alternative Title:J Infect Dis
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Personal Author:
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Description:Background:
Oropharyngeal cancers associated with high-risk human papillomavirus (HR-HPV) infection are increasing in the U.S., especially among men. We evaluated prevalence and predictors of concurrent (genital and oral) and concordant (same-type) HR-HPV infections in U.S.
Methods:
We used National Health and Nutrition Examination Survey from 2009–2016. Predictors were assessed via multivariable logistic regression.
Results:
Among 10,334 respondents, 172 (2.1%) had concurrent infections [109 (3.5%) men and 63 (0.76%) women]. Ninety-three (1.0%) had concordant infections [54 (1.6%) men and 39 (0.5%) women]. Predictors of concurrence in men were: no longer married vs. married [2.3 (OR); 1.3–4.9 (95% CI)], living with a partner vs. married [3.0; 1.2–7.5], and having 2–5 lifetime oral sex partners [3.0; 1.2–7.5]. In women they were: no longer married vs. married [3.6; 1.3–10.3], ≥2 recent sex partners [4.6; 1.4–15.6 for 2–5 partners and 3.9; 1.1–14.3 for 6+ partners], and marijuana use [2.2; 1.0–4.5]. The predictor of concordance in men and women was no longer married vs. married [3.5; 1.2–9.9 in men and 3.2; 1.1–9.4 in women].
Conclusions:
Concurrent and concordant HR-HPV infections occur at a high rate, especially among men, and are associated with behavioral factors. This underscores the importance of HPV vaccination, screening, and education in men.
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Pubmed ID:32803235
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Pubmed Central ID:PMC8631365
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Volume:223
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Issue:8
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