Prevalence of current oral HPV infection among 100 betel nut chewers or cigarette smokers in Northern Taiwan

Background: The incidence of HPV positive oropharyngeal cancer is increasing in Taiwan. Given this, it is critical to understand the prevalence of oral HPV infection since this cancer is potentially preventable. A community-based study was conducted to evaluate the prevalence of oral HPV infection a...

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Main Authors: Cheng-Ping Wang, Tseng-Cheng Chen, Hao-Hui Chen, Wan-Lun Hsu, Yih-Leong Chang
Format: Article
Language:English
Published: Elsevier 2019-01-01
Series:Journal of the Formosan Medical Association
Online Access:http://www.sciencedirect.com/science/article/pii/S0929664617306307
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author Cheng-Ping Wang
Tseng-Cheng Chen
Hao-Hui Chen
Wan-Lun Hsu
Yih-Leong Chang
author_facet Cheng-Ping Wang
Tseng-Cheng Chen
Hao-Hui Chen
Wan-Lun Hsu
Yih-Leong Chang
author_sort Cheng-Ping Wang
collection DOAJ
description Background: The incidence of HPV positive oropharyngeal cancer is increasing in Taiwan. Given this, it is critical to understand the prevalence of oral HPV infection since this cancer is potentially preventable. A community-based study was conducted to evaluate the prevalence of oral HPV infection and sexual behavior changes. Methods: Between January and December 2016, 100 subjects between 20 and 70 years-old with current/ever betel nut chewing or current cigarette smoking visited the Department of Health, New Taipei City. Subjects with cancer history or known HIV/AIDS were excluded. Sexual behavior information was collected through a questionnaire. Oral rinse samples and oropharyngeal swabs were obtained for HPV genotyping using the EasyChip HPV genotyping array (King-Car, Taiwan). Results: 92 men and 8 women were recruited. The prevalence of oral HPV infection was 3%, present between 60 and 70 (11%) and between 30 and 40 years old (4%). The prevalence of the first sexual contact at younger than 20 years old were 71.4%, 53.6%, 15.4% and 44% in <40, 40–49, 50–59 and 60+ years old, respectively (p for trend = 0.0036). The prevalence of 3 or more lifetime sexual partners were 60.7%, 57.1%, 23.1% and 16.7%, respectively for <40, 40–49, 50–59 and 60+ years old (p for trend = 0.0005). Conclusion: The prevalence of oral HPV infection is 3%, in current/ever betel nut chewers or current cigarette smokers in Northern Taiwan. Younger generation have more lifetime sexual partners and younger first sexual contact. This could explain the rising incidence of HPV positive oropharyngeal cancer in Taiwan. Keywords: Human papillomavirus, Oropharyngeal cancer, Tongue base, Tonsil, Screening
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spelling doaj.art-2727ccc5cf3b421ca15fd0718a6097952022-12-22T01:56:28ZengElsevierJournal of the Formosan Medical Association0929-66462019-01-011181203208Prevalence of current oral HPV infection among 100 betel nut chewers or cigarette smokers in Northern TaiwanCheng-Ping Wang0Tseng-Cheng Chen1Hao-Hui Chen2Wan-Lun Hsu3Yih-Leong Chang4Department of Otolaryngology, National Taiwan University Hospital and National Taiwan University, College of Medicine, Taipei, Taiwan; Graduate Institute of Pathology, National Taiwan University College of Medicine, Taipei, TaiwanDepartment of Otolaryngology, National Taiwan University Hospital and National Taiwan University, College of Medicine, Taipei, Taiwan; Graduate Institute of Pathology, National Taiwan University College of Medicine, Taipei, TaiwanDepartment of Otolaryngology, National Taiwan University Hospital Yun-Lin Branch, Yun-Lin, TaiwanGenomics Research Center, Academia Sinica, Taipei, TaiwanGraduate Institute of Pathology, National Taiwan University College of Medicine, Taipei, Taiwan; Department of Pathology, National Taiwan University Hospital and National Taiwan University College of Medicine, Taipei, Taiwan; Corresponding author. Department of Pathology, National Taiwan University Hospital, 7, Chung-Shan South Rd., Taipei, Taiwan. Fax: +886 2 23410905.Background: The incidence of HPV positive oropharyngeal cancer is increasing in Taiwan. Given this, it is critical to understand the prevalence of oral HPV infection since this cancer is potentially preventable. A community-based study was conducted to evaluate the prevalence of oral HPV infection and sexual behavior changes. Methods: Between January and December 2016, 100 subjects between 20 and 70 years-old with current/ever betel nut chewing or current cigarette smoking visited the Department of Health, New Taipei City. Subjects with cancer history or known HIV/AIDS were excluded. Sexual behavior information was collected through a questionnaire. Oral rinse samples and oropharyngeal swabs were obtained for HPV genotyping using the EasyChip HPV genotyping array (King-Car, Taiwan). Results: 92 men and 8 women were recruited. The prevalence of oral HPV infection was 3%, present between 60 and 70 (11%) and between 30 and 40 years old (4%). The prevalence of the first sexual contact at younger than 20 years old were 71.4%, 53.6%, 15.4% and 44% in <40, 40–49, 50–59 and 60+ years old, respectively (p for trend = 0.0036). The prevalence of 3 or more lifetime sexual partners were 60.7%, 57.1%, 23.1% and 16.7%, respectively for <40, 40–49, 50–59 and 60+ years old (p for trend = 0.0005). Conclusion: The prevalence of oral HPV infection is 3%, in current/ever betel nut chewers or current cigarette smokers in Northern Taiwan. Younger generation have more lifetime sexual partners and younger first sexual contact. This could explain the rising incidence of HPV positive oropharyngeal cancer in Taiwan. Keywords: Human papillomavirus, Oropharyngeal cancer, Tongue base, Tonsil, Screeninghttp://www.sciencedirect.com/science/article/pii/S0929664617306307
spellingShingle Cheng-Ping Wang
Tseng-Cheng Chen
Hao-Hui Chen
Wan-Lun Hsu
Yih-Leong Chang
Prevalence of current oral HPV infection among 100 betel nut chewers or cigarette smokers in Northern Taiwan
Journal of the Formosan Medical Association
title Prevalence of current oral HPV infection among 100 betel nut chewers or cigarette smokers in Northern Taiwan
title_full Prevalence of current oral HPV infection among 100 betel nut chewers or cigarette smokers in Northern Taiwan
title_fullStr Prevalence of current oral HPV infection among 100 betel nut chewers or cigarette smokers in Northern Taiwan
title_full_unstemmed Prevalence of current oral HPV infection among 100 betel nut chewers or cigarette smokers in Northern Taiwan
title_short Prevalence of current oral HPV infection among 100 betel nut chewers or cigarette smokers in Northern Taiwan
title_sort prevalence of current oral hpv infection among 100 betel nut chewers or cigarette smokers in northern taiwan
url http://www.sciencedirect.com/science/article/pii/S0929664617306307
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