title: Sexual behavior, HPV knowledge, and association with head and neck cancer among a high-risk group.
abstract: OBJECTIVE
  To understand knowledge of HPV, its association with head and neck cancer (HNC), and source of knowledge in a high-risk population.
  
  
  METHODS
  A cross-sectional survey was conducted among attendees at a Drag Racing event in East St. Louis in 2013.
  
  
  RESULTS
  Only 29.9% knew that HPV definitely increases the risk of developing HNC, 42.4% thought HPV was same as HIV, and only 25.1% received HPV information from a healthcare practitioner. Participants that thought number of sexual partners did not increase risk of developing HPV were more likely to have low knowledge scores (r=.74, p<.001). There were significant associations between HNC knowledge, number of sexual partners, age at initial coitus, and risk perception; and those who did not think having more sexual partner increases the chance of developing HPV infection were 33times more likely to have lower knowledge of the association between HPV and HNC (OR=33.27; 95% CI: 16.34, 67.74).
  
  
  CONCLUSIONS
  Knowledge of HPV and its association with head and neck cancer has significant gaps in this population, with a large number of the population accessing HPV information from sources other than a healthcare provider.
authors: Saint Louis University Cancer Center, 3655 Vista Avenue, Saint Louis, MO 63110, United States; Saint Louis University, School of Medicine, Department of Otolaryngology-Head and Neck Surgery, 3635 Vista Avenue, Saint Louis, MO 63110, United States. Electronic address: nosazuwa@slu.edu.
authors: Nosayaba
authors: N
authors: Osazuwa-Peters
authors: Saint Louis University, School of Medicine, 1402 S Grand Blvd., Saint Louis, MO 63104, United States.
authors: Dawei David
authors: DD
authors: Wang
authors: Saint Louis University, School of Medicine, 1402 S Grand Blvd., Saint Louis, MO 63104, United States.
authors: Arya
authors: A
authors: Namin
authors: Saint Louis University, School of Medicine, 1402 S Grand Blvd., Saint Louis, MO 63104, United States.
authors: Vivek Mathew
authors: VM
authors: John
authors: Saint Louis University, School of Medicine, 1402 S Grand Blvd., Saint Louis, MO 63104, United States.
authors: John
authors: J
authors: Vivek
authors: Saint Louis University, School of Medicine, 1402 S Grand Blvd., Saint Louis, MO 63104, United States.
authors: Michael
authors: M
authors: O'Neill
authors: Saint Louis University, School of Medicine, 1402 S Grand Blvd., Saint Louis, MO 63104, United States.
authors: Pranav V
authors: PV
authors: Patel
authors: Saint Louis University Cancer Center, 3655 Vista Avenue, Saint Louis, MO 63110, United States; Saint Louis University, School of Medicine, Department of Otolaryngology-Head and Neck Surgery, 3635 Vista Avenue, Saint Louis, MO 63110, United States.
authors: Mark A
authors: MA
authors: Varvares
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D052685:Alphapapillomavirus / Q000302:isolation & purification / Q000472:pathogenicity*; D001364:Awareness; D005260:Female; D006258:Head and Neck Neoplasms / Q000150:complications*; D006801:Humans; D008297:Male; D008875:Middle Aged; D030361:Papillomavirus Infections / Q000150:complications / Q000635:transmission* / Q000821:virology; D012725:Sexual Behavior; D055815:Young Adult
keywords: Community knowledge; Head and neck cancer (HNC); Human papillomavirus (HPV); Oropharyngeal cancer; Risk factors; Source of HPV information