title: Head and neck cancer screenings and human papillomavirus knowledge across diverse suburban and urban populations.
abstract: BACKGROUND
  Minimal research has explored community dwelling adults' knowledge of the human papillomavirus (HPV) in relation to head and neck cancer (HNC). The purpose of this study was to report on community dwelling adults' knowledge of HPV in relation to infection, symptoms, and the development of HNC.
  
  
  METHODS
  Cross-sectional assessment of community-dwelling adults on history of behavioral risk factors for HNC, health literacy, and knowledge regarding HPV in relation to HNC.
  
  
  RESULTS
  Of those who completed the measure of health literacy, 17.1% read at or below an 8th grade level. Participants reported a range of history of behaviors putting them at increased risk for HPV and HNC. Respondents answered an average of 67.2% of HPV questions correctly, only one person answered all 15 questions correctly. There were no differences in knowledge of HPV in relation to HNC based upon demographics, suburban versus urban location, health literacy, or cancer history.
  
  
  CONCLUSIONS
  Adults reported a range of behaviors associated with an increased risk of HPV transmission but also displayed large gaps in knowledge regarding HPV in relation to HNC.
authors.affiliation: Transplant Institute, Henry Ford Health System, Detroit, MI, USA; Behavioral Health, Henry Ford Health System, Detroit, MI, USA. Electronic address: mjesse1@hfhs.org.
authors.forename: Michelle T
authors.initials: MT
authors.lastname: Jesse
authors.affiliation: Department of Otolaryngology - Head and Neck Surgery, Henry Ford Health System, Detroit, MI, USA.
authors.forename: Naomi
authors.initials: N
authors.lastname: Fei
authors.affiliation: Department of Otolaryngology - Head and Neck Surgery, Henry Ford Health System, Detroit, MI, USA.
authors.forename: Eric
authors.initials: E
authors.lastname: Goldstein
authors.affiliation: Department of Otolaryngology - Head and Neck Surgery, Henry Ford Health System, Detroit, MI, USA.
authors.forename: Ilya
authors.initials: I
authors.lastname: Rakitin
authors.affiliation: Department of Otolaryngology - Head and Neck Surgery, Henry Ford Health System, Detroit, MI, USA.
authors.forename: Liat
authors.initials: L
authors.lastname: Shama
authors.affiliation: Department of Otolaryngology - Head and Neck Surgery, Henry Ford Health System, Detroit, MI, USA.
authors.forename: Francis
authors.initials: F
authors.lastname: Hall
authors.affiliation: Department of Otolaryngology - Head and Neck Surgery, Henry Ford Health System, Detroit, MI, USA.
authors.forename: Tamer
authors.initials: T
authors.lastname: Ghanem
mesh_terms: D000328:Adult; D000367:Age Factors; D000368:Aged; D001294:Attitude to Health; D003430:Cross-Sectional Studies; D005260:Female; D006258:Head and Neck Neoplasms / Q000175:diagnosis* / Q000453:epidemiology / Q000821:virology*; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008297:Male; D008403:Mass Screening / Q000379:methods*; D008875:Middle Aged; D030361:Papillomavirus Infections / Q000175:diagnosis* / Q000453:epidemiology; D018570:Risk Assessment; D012424:Rural Population; D012737:Sex Factors; D011795:Surveys and Questionnaires; D014481:United States; D014505:Urban Population; D055815:Young Adult