title: Oral human papillomavirus infection in adults is associated with sexual behavior and HIV serostatus.
abstract: The prevalence and risk factors for oral human papillomavirus (HPV) infection are unknown, despite evidence for an etiological role for HPV in oral cancers. Oral samples from human immunodeficiency virus (HIV)-seronegative (n=396) and HIV-seropositive (n=190) adults were tested for HPV DNA. High-risk HPV infections were present in 2.1% of tonsil and 6.3% of oral-rinse specimens. The prevalence of oral high-risk HPV infection was greater in HIV-seropositive individuals (13.7% vs. 4.5%; P<.001). In multiple logistic regression, odds of oral HPV infection increased with age, male sex, and herpes simplex virus (HSV)-2 seropositivity in HIV-seronegative individuals and with CD4 cell count <200 cells/mL, HSV-2 seropositivity, oral mucosal abnormalities, and >1 oral sex partner during the previous year (odds ratio, 12.8; 95% confidence interval, 3.1-52.7) among HIV-seropositive individuals. HPV type 16, which is present in most HPV-associated tonsillar cancers, was the most prevalent high-risk oral HPV infection.
authors.affiliation: Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 21231, USA.
authors.forename: Aimee R
authors.initials: AR
authors.lastname: Kreimer
authors.forename: Anthony J
authors.initials: AJ
authors.lastname: Alberg
authors.forename: Richard
authors.initials: R
authors.lastname: Daniel
authors.forename: Patti E
authors.initials: PE
authors.lastname: Gravitt
authors.forename: Rapheal
authors.initials: R
authors.lastname: Viscidi
authors.forename: Elizabeth S
authors.initials: ES
authors.lastname: Garrett
authors.forename: Keerti V
authors.initials: KV
authors.lastname: Shah
authors.forename: Maura L
authors.initials: ML
authors.lastname: Gillison
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D015142:Baltimore; D004279:DNA, Viral / Q000097:blood; D005260:Female; D018023:HIV Seronegativity; D006679:HIV Seropositivity; D006801:Humans; D008297:Male; D008875:Middle Aged; D009059:Mouth Diseases / Q000175:diagnosis / Q000453:epidemiology / Q000821:virology*; D009062:Mouth Neoplasms / Q000209:etiology / Q000821:virology; D027383:Papillomaviridae / Q000235:genetics / Q000302:isolation & purification; D030361:Papillomavirus Infections / Q000175:diagnosis* / Q000453:epidemiology; D016133:Polymerase Chain Reaction; D044469:Racial Groups; D016036:Seroepidemiologic Studies; D012959:Socioeconomic Factors; D014412:Tumor Virus Infections / Q000175:diagnosis* / Q000453:epidemiology
chemical_list: D004279:DNA, Viral