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高危人群中的性行为、人乳头瘤病毒知识及其与头颈癌的关联。

Sexual behavior, HPV knowledge, and association with head and neck cancer among a high-risk group.

作者信息

Osazuwa-Peters Nosayaba, Wang Dawei David, Namin Arya, John Vivek Mathew, O'Neill Michael, Patel Pranav V, Varvares Mark A

机构信息

Saint Louis University Cancer Center, 3655 Vista Avenue, Saint Louis, MO 63110, United States; Saint Louis University, School of Medicine, Department of Otolaryngology-Head and Neck Surgery, 3635 Vista Avenue, Saint Louis, MO 63110, United States.

Saint Louis University, School of Medicine, 1402 S Grand Blvd., Saint Louis, MO 63104, United States.

出版信息

Oral Oncol. 2015 May;51(5):452-6. doi: 10.1016/j.oraloncology.2015.01.011. Epub 2015 Feb 12.

Abstract

OBJECTIVES

To understand knowledge of HPV, its association with head and neck cancer (HNC), and source of knowledge in a high-risk population.

MATERIALS AND METHODS

A cross-sectional survey was conducted among attendees at a Drag Racing event in East St. Louis in 2013.

RESULTS

Only 29.9% knew that HPV definitely increases the risk of developing HNC, 42.4% thought HPV was same as HIV, and only 25.1% received HPV information from a healthcare practitioner. Participants that thought number of sexual partners did not increase risk of developing HPV were more likely to have low knowledge scores (r=.74, p<.001). There were significant associations between HNC knowledge, number of sexual partners, age at initial coitus, and risk perception; and those who did not think having more sexual partner increases the chance of developing HPV infection were 33times more likely to have lower knowledge of the association between HPV and HNC (OR=33.27; 95% CI: 16.34, 67.74).

CONCLUSIONS

Knowledge of HPV and its association with head and neck cancer has significant gaps in this population, with a large number of the population accessing HPV information from sources other than a healthcare provider.

摘要

目的

了解高危人群对人乳头瘤病毒(HPV)的认识、其与头颈癌(HNC)的关联以及知识来源。

材料与方法

2013年对东圣路易斯一场飙车赛事的参与者进行了横断面调查。

结果

仅29.9%的人知道HPV肯定会增加患头颈癌的风险,42.4%的人认为HPV与艾滋病毒相同,只有25.1%的人从医疗保健从业者那里获得HPV信息。认为性伴侣数量不会增加感染HPV风险的参与者知识得分较低的可能性更大(r = 0.74,p < 0.001)。头颈癌知识、性伴侣数量、初次性交年龄和风险认知之间存在显著关联;那些不认为性伴侣增多会增加感染HPV几率的人对头颈癌与HPV关联的了解程度较低的可能性要高出33倍(比值比=33.27;95%置信区间:16.34,67.74)。

结论

该人群对HPV及其与头颈癌的关联的认识存在显著差距,大量人群从医疗保健提供者以外的来源获取HPV信息。

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