Department of Family Medicine and Community Health, Medical School, University of Minnesota, Minneapolis, MN, United States.
Division of Epidemiology and Community Health, School of Public Health, University of Minnesota, Minneapolis, MN, United States.
Front Public Health. 2023 Sep 14;11:1233274. doi: 10.3389/fpubh.2023.1233274. eCollection 2023.
This study aims to determine the potential uptake and quality of oropharyngeal "selfies" taken by gay/bisexual men as a screening approach for HPV-associated oropharyngeal cancer.
From 1,699 gay/bisexual men in the US, surveyed about knowledge and attitudes to HPV-associated oropharyngeal cancer, a random sample of 320 men were invited to take an oropharyngeal "selfie" by smartphone and send it to the study website: 113 (35.5%) did so. Images were rated for quality by three healthcare professional raters blinded to each other's rating, with an otolaryngologist as the gold standard. In the second wave, those whose images were rated as unacceptable were sent a short instructional video and asked to send another image. Of the 65 invited, 46 did so. An additional 15.2% sent acceptable images, and a total of 28.3% of the sample was acceptable.
A total of 1,121 men willing to participate in the future study who believed they could take a quality "oral selfie" were potentially eligible for this activity. A random sample of 320 participated: 153 participants started (47.8%) and 113 participants (35.3%) submitted an image. Responders were more likely to be younger, have higher knowledge scores on oropharyngeal HPV-related cancer, and have had HPV vaccination. There was high agreement between the three raters. Images of good/acceptable quality were 22.1%; oropharynx partially occluded images were 29.2%; oropharynx not visible images were 18.6%; images too dark were 21.2%; and images too small were 8.8%. From the second wave of requests with instructional videos, an additional 15.2% sent in quality images, with the remaining issues being partial occlusion of the tonsils by the tongue.
One-third of the invited gay and bisexual men sent oropharyngeal selfie images to the study website and a total of 28.3% were of clinically acceptable quality. Following an instructional video on poorer-quality images, additional quality images were received. One barrier, i.e., partial occlusion of the oropharynx by the tongue remained. Quality oropharyngeal "selfies" are obtainable online.
本研究旨在确定男同性恋/双性恋者进行口咽“自拍”筛查 HPV 相关口咽癌的潜在接受度和质量。
从美国的 1699 名男同性恋/双性恋者中，随机抽取 320 名对 HPV 相关口咽癌的知识和态度进行调查的男性，邀请他们通过智能手机拍摄口咽“自拍”并发送到研究网站：113 名（35.5%）男性这样做了。三名医疗保健专业评分员对图像质量进行了评分，彼此之间的评分结果相互保密，耳鼻喉科医生作为金标准。在第二波中，那些图像质量被评为不可接受的人被发送了一个简短的教学视频，并被要求再发送一张图像。在受邀的 65 人中，有 46 人这样做了。另有 15.2%的人发送了可接受的图像，样本中共有 28.3%的人是可接受的。
共有 1121 名愿意参加未来研究并认为自己能够拍摄高质量“口腔自拍”的男性，他们可能有资格参加这项活动。随机抽取了 320 名参与者：153 名参与者开始（47.8%），113 名参与者（35.3%）提交了图像。应答者更年轻，对口咽 HPV 相关癌症的知识得分更高，并且接种过 HPV 疫苗。三名评分员之间的一致性很高。良好/可接受质量的图像占 22.1%；口咽部分遮挡的图像占 29.2%；口咽不可见的图像占 18.6%；图像太暗的占 21.2%；图像太小的占 8.8%。从带有教学视频的第二轮请求中，又有 15.2%的人发送了质量较好的图像，其余问题是舌部部分遮挡了扁桃体。
三分之一的受邀男同性恋和双性恋者向研究网站发送了口咽自拍图像，共有 28.3%的图像具有临床可接受的质量。在观看了较差质量图像的教学视频后，又收到了更多的高质量图像。但仍存在一个障碍，即舌部部分遮挡了口咽。可在线获取高质量的口咽“自拍”。
