Sociodemographic Factors Associated With Knowledge and Risk Perception of Human Papillomavirus and Human Papillomavirus–Associated Oropharyngeal Squamous Cell Carcinoma Among a Predominantly Black Population

Osazuwa-Peters, Nosayaba; Boakye, Eric Adjei; Chen, Betty Y.; Clancy, Jennifer; Vallot, Patrice; Su, Jonathan; Beck, Geoffrey; Varvares, Mark A.

doi:10.1001/jamaoto.2016.2784

Cited by 15 publications

(7 citation statements)

References 35 publications

(93 reference statements)

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“…Also, the question “Most sexually active people will get HPV at some point in their lives” had 41.5% and 32.3% correct responses, respectively ( 23 ). Interestingly, oropharyngeal infection by HPV is unknown for many main caregivers in our study; only 41.5% knew that it could be found in the mouth, lower than that reported by the adolescent cis boys’ main caregiver survey study (49.5%) ( 23 ) and that reported by a study in an adult population in USA (49.3%) ( 20 ).…”

Section: Discussioncontrasting

confidence: 83%

“…The survey instrument was HPV-related diseases Knowledge Transwomen questionnaire (HPV-TQ), a 19-item self-administered questionnaire with True–False forced-response questions based on a validated survey but adapted to the transgender population ( 20 ). It covers basic knowledge of HPV infection as its characteristics, including transmission, viral properties, treatment, prevalence, vaccination, perception of sexual risk behavior, and specific risk in trans women.…”

Section: Methodsmentioning

confidence: 99%

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Factors associated with knowledge and vaccination intention for human papillomavirus on trans girls by their main caregiver: A cross-sectional study

et al. 2023

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IntroductionTrans women are highly affected by the human papillomavirus (HPV) and are at risk of suffering from HPV-related diseases such as oropharyngeal, anal, penile, or neovaginal neoplasia. HPV vaccination seems to be a good strategy to reduce HPV-related diseases, mainly during the early age before the first sexual intercourse, but only cisgender girls are covered by the National Health Services, while some high-risk groups such as trans girls are not included. Achieving a high vaccination rate is important in the adolescent population, but there are many factors that could affect it, such as lack of knowledge about HPV or fear of side effects by patients and main caregivers. The aim of our study is to analyze the knowledge of trans girls’ main caregivers about HPV-related diseases in the general population and, in particular, in trans women, as well as factors associated with HPV vaccination intention.MethodsA cross-sectional study was performed with the collaboration of main caregivers of adolescent trans girls, between 9 and 16 years old, assisted in two reference centers’ multidisciplinary Gender Diversity Units. Information was requested through a self-completed questionnaire: HPV-related diseases Knowledge Transwomen questionnaire (HPV-TQ) was elaborated based on a 19-item self-administered questionnaire and score was standardized from 0 to 19 points. Percentage of correct answers was calculated and defined by the group of high scores that showed over 70% correct answers.ResultsA total of 65 main caregivers were included. Almost all main caregivers were mothers with a Caucasian ethnicity. The HPV-TQ average score was 11 (3.7) with an average correct answer of 58.1% (19.6). Only 17/65 (26.1%) of main caregivers were highly knowledgeable in HPV. Of 65 trans girls, 14 were already vaccinated (29.8% of trans girls over 12 years old); 78.5% were not vaccinated and only 21.5% had intentions to be vaccinated. The group with a high score in HPV-TQ had a longer follow-up at the transgender unit, a higher maternal vaccination rate, and a positive family history of HPV-related disease, especially in mothers.ConclusionAdolescent trans girls attended to in our units had a low rate and a low intention of vaccination against HPV. Education on and promotion and prevention of transgender HPV-related diseases should probably be implemented to achieve a higher knowledge and vaccination coverage in adolescent trans girls.

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Section: Discussioncontrasting

confidence: 83%

Section: Methodsmentioning

confidence: 99%

Factors associated with knowledge and vaccination intention for human papillomavirus on trans girls by their main caregiver: A cross-sectional study

et al. 2023

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“…While differences in HPV-associated HNC knowledge by race have been shown in the general population, this trend has not been investigated in the medical student population. 37–39 – 43 , 44 This is important because minorities are less likely to receive HPV vaccine recommendations from providers despite more often relying on primary care provider as a primary source of health information. 45–47 It is important to recognize these differences in knowledge by race and sex in developing interventions for these groups, and in improving the medical curricula.…”

Section: Discussionmentioning

confidence: 99%

Medical students’ knowledge of HPV, HPV vaccine, and HPV-associated head and neck cancer

Boakye

Taylor

et al. 2022

Human Vaccines & Immunotherapeutics

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On the basis of their training, medical students are considered “the best case scenario” among university students in knowledge of the human papillomavirus (HPV). We evaluated differences in knowledge of HPV, HPV vaccine, and head and neck cancer (HNC) among medical students. A previously validated questionnaire was completed by 247 medical students at a Midwestern university. Outcomes of interest were knowledge score for HPV and HPV vaccine, and HNC, derived from combining questionnaire items to form HPV knowledge and HNC scores, and analyzed using multivariate linear regression. Mean scores for HPV knowledge were 19.4 out of 26, and 7.2 out of 12 for HNC knowledge. In the final multivariate linear regression model, sex, race, and year of study were independently associated with HPV and HPV vaccine knowledge. Males had significantly lower HPV vaccine knowledge than females (β = −1.53; 95% CI: −2.53, −0.52), as did nonwhite students (β = −1.05; 95% CI: −2.07, −0.03). There was a gradient in HPV vaccine knowledge based on the year of study, highest among fourth year students (β = 6.75; 95% CI: 5.17, 8.33). Results were similar for factors associated with HNC knowledge, except for sex. HNC knowledge similarly increased based on year of study, highest for fourth year students (β = 2.50; 95% CI: 1.72, 3.29). Among medical students, gaps remain in knowledge of HPV, HPV vaccine, and HPV-linked HNC. Male medical students have significantly lower knowledge of HPV. This highlights the need to increase medical student knowledge of HPV and HPV-linked HNC.

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“…For non-oropharyngeal cancer, which is mostly associated with tobacco use, it is important that public health messaging about primary prevention through tobacco cessation is sustained [45]. Additionally, while the United States Preventative Task Force have found no mortality benefit in mass asymptomatic screenings in primary care settings [46], some researchers and expert groups have suggested that providing oral cavity screenings for early detection and education about oral cancer risk factors remain beneficial especially for high-risk groups [47][48][49][50][51]. For oropharyngeal cancer, primary cancer screenings may not be effective; however, individuals might benefit from HPV vaccinations, which have been shown to prevent oral HPV 16 and 18, which cause over 90% of all HPV-positive oropharyngeal cancer [23].…”

Section: Clinical and Public Health Implicationsmentioning

confidence: 99%

Change in Age at Diagnosis of Oropharyngeal Cancer in the United States, 1975–2016

Cline

Simpson

Gropler

et al. 2020

Cancers

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The emergence of the human papillomavirus (HPV) as the primary etiology of oropharyngeal cancer has changed head and neck cancer (HNC) epidemiology. This study described change in the age at diagnosis of oropharyngeal and non-oropharyngeal HNC in the United States in the last four decades. Using a retrospective cohort analysis, the Surveillance, Epidemiology, and End Results dataset from 1975 to 2016 was queried for eligible adult cases of HNC, grouped as oropharyngeal (n = 31,702) versus non-oropharyngeal (n = 87,108). Age at diagnosis was compared by gender (female, male) using independent t-test, and by race/ethnicity (Hispanic, non-Hispanic black, non-Hispanic white, non-Hispanic other) using analysis of variance. Joinpoint regression estimated yearly increases/decreases in age of diagnosis by sex and race/ethnicity through annual percent changes (APC), which were summarized with average annual percent changes (AAPC). Mean age at diagnosis for oropharyngeal cancer was 60.3 years. While there was initially a decrease in age at diagnosis, a 0.37% annual increase occurred from 2002 to 2016 (APC = 0.37, 95% confidence interval (CI) 0.28, 0.45). For non-oropharyngeal cancer, mean age at diagnosis was 63.2 years, with a continuous increase in age at diagnosis throughout the study period (1975–2016 AAPC = 0.08, 95% CI 0.04, 0.12). Females had higher average age at diagnosis than males for both sites, while blacks (57.4 years for oropharyngeal cancer; 59.0 years for non-oropharyngeal) had the lowest age at diagnosis of all races/ethnicity. Age at diagnosis of oropharyngeal cancer has increased significantly since 2002, while non-oropharyngeal HNC has increased significantly in the last four decades.

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Sociodemographic Factors Associated With Knowledge and Risk Perception of Human Papillomavirus and Human Papillomavirus–Associated Oropharyngeal Squamous Cell Carcinoma Among a Predominantly Black Population

Cited by 15 publications

References 35 publications

Factors associated with knowledge and vaccination intention for human papillomavirus on trans girls by their main caregiver: A cross-sectional study

Factors associated with knowledge and vaccination intention for human papillomavirus on trans girls by their main caregiver: A cross-sectional study

Medical students’ knowledge of HPV, HPV vaccine, and HPV-associated head and neck cancer

Change in Age at Diagnosis of Oropharyngeal Cancer in the United States, 1975–2016

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