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Concurrent and Concordant Oral and Genital High-Risk Human Papillomavirus in the United States: Results from the National Health and Nutrition Examination Survey



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  • Personal Author:
  • Description:
    Background: Oropharyngeal cancers associated with high-risk human papillomavirus (HR-HPV) infection are increasing in the United States, especially among men. We evaluated the prevalence and predictors of concurrent (genital and oral) and concordant (same-type) HR-HPV infections in the United States. Methods: We used the National Health and Nutrition Examination Survey from 2009 to 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 included the following: no longer married versus married (odds ratio [OR], 2.3; 95% confidence interval [CI], 1.3-4.9), living with a partner versus married (3.0; 1.2-7.5), and having 2-5 lifetime oral sex partners (3.0; 1.2-7.5). In women they included the following: no longer married versus 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 versus 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. [Description provided by NIOSH]
  • Subjects:
  • Keywords:
  • ISSN:
    0022-1899
  • Document Type:
    Text
  • Funding:
    Grant
  • Genre:
    Journal Article
  • Place as Subject:
  • CIO:
    National Institute for Occupational Safety and Health (NIOSH)
  • Topic:
    Workplace Safety & Health
  • Location:
    North America
  • Volume:
    223
  • Issue:
    8
  • NIOSHTIC Number:
    nn:20064547
  • Citation:
    J Infect Dis 2021 Apr; 223(8):1400-1409
  • Contact Point Address:
    Riddhi Patel, Department of Epidemiology, Human Genetics and Environmental Sciences, The University of Texas Health Science Center at Houston, Houston, Texas, USA
  • Email:
    Riddhi.R.Patel@uth.tmc.edu
  • Federal Fiscal Year:
    2021
  • Performing Organization:
    University of Texas Health Science Center, Houston
  • Peer Reviewed:
    True
  • Start Date:
    20050701
  • Source Full Name:
    The Journal of Infectious Diseases
  • End Date:
    20250630
  • Collection(s):
  • Main Document Checksum:
    urn:sha-512:b2ce2eb1db720a676b46590789edcce54e023cc28ad8e8ac827429ddb32de01378096c8a79011f1048db6cb2f72860b23c3fd7ca9d3c2ab624c88feae778af62
  • Download URL:
  • File Type:
    Filetype[PDF - 2.29 MB ]
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