title: Oral sexual behaviors associated with prevalent oral human papillomavirus infection.
abstract: Oral human papillomavirus (HPV) infection is a cause of oropharyngeal cancer. We investigated whether sexual behaviors that elevated the odds of oropharyngeal cancer developing in a case-control study similarly elevated the odds of oral HPV infection developing among control patients. HPV infection was detected in 4.8% of 332 control patients from an outpatient clinic and in 2.9% of 210 college-aged men (age range, 18-23 years). Among control patients, the odds of infection developing independently increased with increases in the lifetime number of oral (P = .007, for trend) or vaginal sex partners (P = .003, for trend). Among college-aged men, the odds of oral HPV infection developing increased with increases in the number of recent oral sex partners (P = .046, for trend) or open-mouthed kissing partners (P = .023, for trend) but not vaginal sex partners. Oral sex and open-mouthed kissing are associated with the development of oral HPV infection.
authors.affiliation: Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
authors.forename: Gypsyamber
authors.initials: G
authors.lastname: D'Souza
authors.forename: Yuri
authors.initials: Y
authors.lastname: Agrawal
authors.forename: Jane
authors.initials: J
authors.lastname: Halpern
authors.forename: Sacared
authors.initials: S
authors.lastname: Bodison
authors.forename: Maura L
authors.initials: ML
authors.lastname: Gillison