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牙科学生对人乳头瘤病毒(HPV)及其与口咽癌关联的认知:一项系统评价与荟萃分析

Knowledge of HPV and its association with oropharyngeal cancer among dental students: a systematic review and meta-analysis.

作者信息

Albusairi Khaled, Mandani Badriyah, Bouresly Ward, Brahmbhatt Yash, Alqaderi Hend, Alhazmi Hesham

机构信息

Kuwait Ministry of Health, Kuwait City, Kuwait.

Tufts University School of Dental Medicine, Boston, MA, United States.

出版信息

Front Oral Health. 2025 May 22;6:1604925. doi: 10.3389/froh.2025.1604925. eCollection 2025.

Abstract

BACKGROUND

Human papillomavirus (HPV) infection is a significant risk factor for oropharyngeal cancer (OPC), yet dental students' knowledge of this association varies widely. Given the critical role dentists play in early detection and prevention, understanding their level of knowledge is essential. This study systematically reviews existing research to assess dental students' awareness of HPV and its link to OPC.

METHODS

A systematic review and meta-analysis were conducted following PRISMA guidelines. PubMed, ProQuest, and Web of Science databases were searched for studies published up to August 2023. The Newcastle-Ottawa Scale was used to evaluate study quality. A random effects model was applied to calculate pooled prevalence with 95% confidence intervals.

RESULTS

Sixteen studies, comprising 6,345 participants, were included. The pooled analysis showed that 69% of dental students had general knowledge of HPV (range: 56%-96.5%; 95% CI: 0.56-0.81), while 77% recognized its association with OPC (range: 18%-96.4%; 95% CI: 0.63-0.89). Significant heterogeneity was observed across studies ( = 646.34,  < 0.001 for HPV;  = 804.07,  < 0.001 for HPV-OPC).

CONCLUSION

Knowledge gaps among dental students may hinder prevention efforts. Standardized education in dental curricula is crucial to ensure future dentists are well-prepared to address HPV-related conditions and promote early detection in clinical practice.

摘要

背景

人乳头瘤病毒(HPV)感染是口咽癌(OPC)的一个重要危险因素,但牙科学生对这种关联的了解程度差异很大。鉴于牙医在早期检测和预防中发挥的关键作用,了解他们的知识水平至关重要。本研究系统回顾现有研究,以评估牙科学生对HPV及其与OPC关联的认识。

方法

按照PRISMA指南进行系统回顾和荟萃分析。在PubMed、ProQuest和Web of Science数据库中检索截至2023年8月发表的研究。使用纽卡斯尔-渥太华量表评估研究质量。应用随机效应模型计算合并患病率及95%置信区间。

结果

纳入16项研究,共6345名参与者。汇总分析显示,69%的牙科学生对HPV有一般了解(范围:56%-96.5%;95%置信区间:0.56-0.81),而77%的学生认识到其与OPC的关联(范围:18%-96.4%;95%置信区间:0.63-0.89)。各研究间观察到显著异质性(HPV: = 646.34, < 0.001;HPV-OPC: = 804.07, < 0.001)。

结论

牙科学生的知识差距可能会阻碍预防工作。牙科课程中的标准化教育对于确保未来的牙医做好充分准备,以应对与HPV相关的情况并在临床实践中促进早期检测至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6cf6/12137295/ba5fe2839ac3/froh-06-1604925-g001.jpg

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