探讨公众和牙科专业人士对 HPV 通过口交传播和口腔癌发展的认识。
Exploring lay public and dental professional knowledge around HPV transmission via oral sex and oral cancer development.
机构信息
Division of Dental Public Health. Department of Oral Health Sciences, Faculty of Dentistry, University of British Columbia, 2199 Wesbrook Mall, Vancouver, V6T 1Z3, BC, Canada.
, Porto Alegre, Brazil.
出版信息
BMC Public Health. 2019 Nov 15;19(1):1529. doi: 10.1186/s12889-019-7923-6.
BACKGROUND
Human papillomavirus (HPV) has been associated with certain types of oropharyngeal cancers and yet, the level of knowledge that dental professionals and the lay public have in terms of HPV transmission, oral sexual activities, and oral cancer development needs exploration. The aim of this study was to assess the knowledge held by practicing dental professionals as well as the lay public regarding Human Papillomavirus (HPV) transmission through oral sex and subsequent oropharyngeal cancer development.
METHODS
Textual data were collected from a public forum with dental professionals in. Vancouver, who discussed the HPV-oral sex-oral cancer triad, and from survey data gathered from 212 lay public participants (also in Vancouver) who answered a 13-item questionnaire on the perceived risks of oral sex in terms of HPV infection and oropharyngeal cancer development. The data were analyzed statistically by age group, gender, and sexual orientation using descriptive statistics, while an ANOVA test was used to compare variation in the responses to the survey (p-value = 0.05).
RESULTS
The forum engaged 46 health care professionals, many of whom were aware of the potential risks for head and neck cancer development due to HPV infection, while also questioning "how to effectively talk about HPV with patients." The survey revealed that 34.5% of the participants believed that oral sex is an activity with no or low risk for the transmission of HPV, while 84% of participants believed the same sexual practices were of low or no-risk for HIV (Human Immunodeficiency Virus) transmission. Most participants (82%) never discussed oral sexual activities with their physicians or dentists/dental hygienists.
CONCLUSIONS
The general public remains mostly unaware of the potential links between HPV infection and oropharyngeal cancer. Physicians and dental providers should discuss oral sexual practice with their patients to raise awareness.
背景
人乳头瘤病毒（HPV）与某些口咽癌有关，但牙科专业人员和普通大众对 HPV 传播、口腔性行为和口腔癌发展的了解程度仍需探讨。本研究旨在评估牙科专业人员和普通大众对 HPV 通过口交传播和随后发生口咽癌的认识。
方法
从温哥华的一个公共论坛上收集了与牙科专业人员讨论 HPV-口交-口咽癌三联症的文本数据，从温哥华收集了 212 名普通公众参与者的调查数据，他们回答了一个关于口腔性行为中 HPV 感染和口咽癌发展风险的 13 项问卷。数据按年龄组、性别和性取向进行统计分析，使用描述性统计，同时使用方差分析（ANOVA）检验来比较对调查的反应的变化（p 值=0.05）。
结果
论坛吸引了 46 名医疗保健专业人员，其中许多人意识到 HPV 感染可能导致头颈部癌症发展的潜在风险，同时也对“如何有效地与患者谈论 HPV”提出了质疑。调查显示，34.5%的参与者认为口交活动没有或风险低，HPV 传播的风险，而 84%的参与者认为同样的性行为传播 HIV（人类免疫缺陷病毒）的风险低或没有。大多数参与者（82%）从未与他们的医生或牙医/牙科保健员讨论过口腔性行为。
结论
普通大众仍然大多不知道 HPV 感染和口咽癌之间的潜在联系。医生和牙科提供者应该与他们的患者讨论口腔性行为，以提高认识。
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