Association between different types of oral sexual behaviors and oral HPV in college women: Are all oral sexual behaviors equal?
Methods: We enrolled 1,030 women from a university campus to provide an oral rinse specimen and complete a questionnaire on OSB, including kissing, oral-penile, -scrotal, -anal, -vaginal contact and oral self-inoculation, a novel concept. Specimens were tested for any HPV, including 20 subtypes. Exact methods were used in bivariate and logistic regression analyses, adjusted for smoking and alcohol use.
Results: The sample was 50% White, with a mean age of 22. OSB was reported by 5.3-77.5% for specific acts. Oral sexual activities that can lead to self-inoculation were reported by 15.7% (10.7% by hand; 7.5% by sex-toy). oHPV was detected in 1.8%. Number of lifetime partners of kissing, oral-penile contact, and self-inoculation were associated with oHPV infection in bivariate analyses. Multivariable analysis indicated a significant association between oHPV and oral self-inoculation (OR=3.7, 95% CI= 1.4-9.6).
Conclusion: Prevalence of oHPV was consistent with previous research. Behaviors that could result in self-inoculation were important predictors. Although HPV vaccination could prevent cancer-associated oHPV, research indicates that less than 1/3 of young women complete the series. Therefore, patient education regarding potential risk of oHPV via self-inoculation may decrease oHPV incidence and associated risk of oropharyngeal cancer.
Learning Areas:Assessment of individual and community needs for health education
Social and behavioral sciences
Describe the prevalence of oral human papillomavirus and oral sexual behavior in a sample of college women Assess the association of various oral sexual behaviors and oral human papilomavirus in a sample of college women
Keyword(s): Sexual Risk Behavior, College Students
Qualified on the content I am responsible for because: I have worked on several research projects focusing on prevention of health disparities and risky health behavior. As a PhD student with a multidisciplinary background in psychology, social work, public health, and epidemiology, I have acquired the skills to conduct ethical analyses of the data presented in this abstract in such a way that is truthful and trust worthy.
Any relevant financial relationships? No
I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.