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Predictors of high‐risk and low‐risk oral HPV infection in the U nited S tates
Author(s) -
Orosco Ryan K.,
Kedarisetty Suraj,
Hecht Avram S.,
Chang David C.,
Coffey Charles S.,
Weissbrod Philip A.
Publication year - 2016
Publication title -
the laryngoscope
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.181
H-Index - 148
eISSN - 1531-4995
pISSN - 0023-852X
DOI - 10.1002/lary.25822
Subject(s) - medicine , odds ratio , logistic regression , population , demography , national health and nutrition examination survey , human papillomavirus , gynecology , environmental health , sociology
Objectives/Hypothesis Determine predictors of high‐risk and low‐risk oral HPV infection in the United States. Study Design Retrospective analyses of National Health and Nutrition Examination Survey cross‐sectional data of U.S. population from 2009 to 2012. Methods Database queried for subjects aged 18 to 69 with oral rinse human papillomavirus (HPV) DNA data. Logistic regression identified factors associated with high‐risk and low‐risk infection. Covariates included age, gender, ethnicity, income‐to‐poverty (IP) ratio, sexual orientation, human immunodeficiency virus infection, other sexually transmitted infections, lifetime sexual partners, and lifetime oral sex partners. Results In total, 9,256 subjects were identified with mean age of 42.1 years. Oral HPV infection was present in 8.1% (N = 747); 55.7% were high‐risk and 55.3% were low‐risk types, including 11% with both. Oral infection had a negative association with female gender (odds ratio [OR] 0.3, P < 0.001), IP ratio ≥ 3 (OR 0.7, P = 0.02), and one lifetime oral sex partner (OR 0.7, P = 0.03). Increasing oral sex behavior (6–21+ lifetime partners) was positively associated with oral HPV (OR 1.4–3.0, P = 0.03). Low‐risk infection had negative associations with female gender (OR 0.4, P < 0.001) and non‐Hispanic white ethnicity (OR 0.6, P = 0.02), IP ratio ≥ 3 (OR 0.6, P = 0.01), and positive association with > 20 sexual partners (all sex OR 1.7, P = 0.04; oral sex OR 1.9, P = 0.02). Predictors of high‐risk HPV infection included male gender and increasing oral sex partners. Conclusion Increasing oral sex partners is positively associated with oral HPV infection; female sex and higher socioeconomic class are negatively associated. The risk‐factor profiles for high‐risk and low‐risk HPV types are distinct, with similar trends related to sexual behaviors. Level of Evidence 4. Laryngoscope , 126:1365–1372, 2016