title: Oral sex and oropharyngeal cancer: The role of the primary care physicians.
abstract: BACKGROUND
  We aimed to study the prevalence of oral sex and its possible association with human papillomavirus (HPV) 16 infection in the development of oropharyngeal cancer in the US population for possible prevention.
  
  
  METHODS
  We conduct a systemic review on the prevalence of oral sex among Americans among different age groups, the prevalence of HPV 16 infection reported in oropharyngeal cancer, and correlation between oral sex and oropharyngeal cancer.
  
  
  RESULTS
  Oral sex is prevalent among adolescents and sexually active adults. Sixty percent of oropharyngeal cancer reported in the United States is associated with HPV 16 infections. Individuals who practiced oral sex with multiple partners are at risk for developing oropharyngeal cancer and need to be informed about practicing safe sex or getting vaccination.
  
  
  CONCLUSIONS
  Family physicians will play a key role in prevention and educating the public about the risk of oral sex.
authors.affiliation: Department of Radiation Oncology, Howard University, Washington, DC MDAnderson Cancer Center, Houston, TX Department of Radiation Oncology, Darmouth College of Medicine, New Lebanon, NH Department of Radiation Oncology, University of Miami, Miami, FL Department of Radiation Oncology, University of West Virginia, Morgantown, WV Department of Biostatistics, East Carolina University, Greenville, NC Department of Radiation Oncology, Marshfield Clinic, Marshfield, WI Department of Radiation Oncology, University of Martinique, Martinique, France.
authors.forename: Nam P
authors.initials: NP
authors.lastname: Nguyen
authors.forename: Ly M
authors.initials: LM
authors.lastname: Nguyen
authors.forename: Sroka
authors.initials: S
authors.lastname: Thomas
authors.forename: Bevan
authors.initials: B
authors.lastname: Hong-Ly
authors.forename: Alexander
authors.initials: A
authors.lastname: Chi
authors.forename: Paul
authors.initials: P
authors.lastname: Vos
authors.forename: Ulf
authors.initials: U
authors.lastname: Karlsson
authors.forename: Vincent
authors.initials: V
authors.lastname: Vinh-Hung
mesh_terms: D000293:Adolescent; D000328:Adult; D005260:Female; D052162:Human papillomavirus 16; D006801:Humans; D008297:Male; D009959:Oropharyngeal Neoplasms / Q000453:epidemiology / Q000821:virology*; D030361:Papillomavirus Infections / Q000453:epidemiology / Q000821:virology*; D015995:Prevalence; D012307:Risk Factors; D012725:Sexual Behavior; D012747:Sexual Partners; D014481:United States / Q000453:epidemiology