Oral/oropharyngeal “selfies” in gay and bisexual men: a pilot study exploring oropharyngeal screening for HPV-related possible malignancies
ObjectivesThis study aims to determine the potential uptake and quality of oropharyngeal “selfies” taken by gay/bisexual men as a screening approach for HPV-associated oropharyngeal cancer.MethodsFrom 1,699 gay/bisexual men in the US, surveyed about knowledge and attitudes to HPV-associated orophary...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2023-09-01
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| Series: | Frontiers in Public Health |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fpubh.2023.1233274/full |
| _version_ | 1797685698718859264 |
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| author | Michael W. Ross Sarah L. Bennis C. Mark Nichols I. Niles Zoschke J. Michael Wilkerson B. R. Simon Rosser Cyndee L. Stull Alan G. Nyitray Charlene Flash Samir S. Khariwala |
| author_facet | Michael W. Ross Sarah L. Bennis C. Mark Nichols I. Niles Zoschke J. Michael Wilkerson B. R. Simon Rosser Cyndee L. Stull Alan G. Nyitray Charlene Flash Samir S. Khariwala |
| author_sort | Michael W. Ross |
| collection | DOAJ |
| description | ObjectivesThis study aims to determine the potential uptake and quality of oropharyngeal “selfies” taken by gay/bisexual men as a screening approach for HPV-associated oropharyngeal cancer.MethodsFrom 1,699 gay/bisexual men in the US, surveyed about knowledge and attitudes to HPV-associated oropharyngeal cancer, a random sample of 320 men were invited to take an oropharyngeal “selfie” by smartphone and send it to the study website: 113 (35.5%) did so. Images were rated for quality by three healthcare professional raters blinded to each other's rating, with an otolaryngologist as the gold standard. In the second wave, those whose images were rated as unacceptable were sent a short instructional video and asked to send another image. Of the 65 invited, 46 did so. An additional 15.2% sent acceptable images, and a total of 28.3% of the sample was acceptable.ResultsA total of 1,121 men willing to participate in the future study who believed they could take a quality “oral selfie” were potentially eligible for this activity. A random sample of 320 participated: 153 participants started (47.8%) and 113 participants (35.3%) submitted an image. Responders were more likely to be younger, have higher knowledge scores on oropharyngeal HPV-related cancer, and have had HPV vaccination. There was high agreement between the three raters. Images of good/acceptable quality were 22.1%; oropharynx partially occluded images were 29.2%; oropharynx not visible images were 18.6%; images too dark were 21.2%; and images too small were 8.8%. From the second wave of requests with instructional videos, an additional 15.2% sent in quality images, with the remaining issues being partial occlusion of the tonsils by the tongue.ConclusionOne-third of the invited gay and bisexual men sent oropharyngeal selfie images to the study website and a total of 28.3% were of clinically acceptable quality. Following an instructional video on poorer-quality images, additional quality images were received. One barrier, i.e., partial occlusion of the oropharynx by the tongue remained. Quality oropharyngeal “selfies” are obtainable online. |
| first_indexed | 2024-03-12T00:54:07Z |
| format | Article |
| id | doaj.art-45dccdb8cf414815ad7a390532973748 |
| institution | Directory Open Access Journal |
| issn | 2296-2565 |
| language | English |
| last_indexed | 2024-03-12T00:54:07Z |
| publishDate | 2023-09-01 |
| publisher | Frontiers Media S.A. |
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| series | Frontiers in Public Health |
| spelling | doaj.art-45dccdb8cf414815ad7a3905329737482023-09-14T14:37:38ZengFrontiers Media S.A.Frontiers in Public Health2296-25652023-09-011110.3389/fpubh.2023.12332741233274Oral/oropharyngeal “selfies” in gay and bisexual men: a pilot study exploring oropharyngeal screening for HPV-related possible malignanciesMichael W. Ross0Sarah L. Bennis1C. Mark Nichols2I. Niles Zoschke3J. Michael Wilkerson4B. R. Simon Rosser5Cyndee L. Stull6Alan G. Nyitray7Charlene Flash8Samir S. Khariwala9Department of Family Medicine and Community Health, Medical School, University of Minnesota, Minneapolis, MN, United StatesDivision of Epidemiology and Community Health, School of Public Health, University of Minnesota, Minneapolis, MN, United StatesAvenue 360 Clinic, Houston, TX, United StatesSchool of Public Health, University of Texas Health Science Center at Houston, Houston, TX, United StatesSchool of Public Health, University of Texas Health Science Center at Houston, Houston, TX, United StatesDivision of Epidemiology and Community Health, School of Public Health, University of Minnesota, Minneapolis, MN, United StatesSchool of Dentistry, University of Minnesota, Minneapolis, MN, United StatesDepartment of Psychiatry and Behavioral Medicine, Medical College of Wisconsin, Milwaukee, WI, United StatesAvenue 360 Clinic, Houston, TX, United StatesDepartment of Otolaryngology, Head and Neck Surgery, Medical School, University of Minnesota, Minneapolis, MN, United StatesObjectivesThis study aims to determine the potential uptake and quality of oropharyngeal “selfies” taken by gay/bisexual men as a screening approach for HPV-associated oropharyngeal cancer.MethodsFrom 1,699 gay/bisexual men in the US, surveyed about knowledge and attitudes to HPV-associated oropharyngeal cancer, a random sample of 320 men were invited to take an oropharyngeal “selfie” by smartphone and send it to the study website: 113 (35.5%) did so. Images were rated for quality by three healthcare professional raters blinded to each other's rating, with an otolaryngologist as the gold standard. In the second wave, those whose images were rated as unacceptable were sent a short instructional video and asked to send another image. Of the 65 invited, 46 did so. An additional 15.2% sent acceptable images, and a total of 28.3% of the sample was acceptable.ResultsA total of 1,121 men willing to participate in the future study who believed they could take a quality “oral selfie” were potentially eligible for this activity. A random sample of 320 participated: 153 participants started (47.8%) and 113 participants (35.3%) submitted an image. Responders were more likely to be younger, have higher knowledge scores on oropharyngeal HPV-related cancer, and have had HPV vaccination. There was high agreement between the three raters. Images of good/acceptable quality were 22.1%; oropharynx partially occluded images were 29.2%; oropharynx not visible images were 18.6%; images too dark were 21.2%; and images too small were 8.8%. From the second wave of requests with instructional videos, an additional 15.2% sent in quality images, with the remaining issues being partial occlusion of the tonsils by the tongue.ConclusionOne-third of the invited gay and bisexual men sent oropharyngeal selfie images to the study website and a total of 28.3% were of clinically acceptable quality. Following an instructional video on poorer-quality images, additional quality images were received. One barrier, i.e., partial occlusion of the oropharynx by the tongue remained. Quality oropharyngeal “selfies” are obtainable online.https://www.frontiersin.org/articles/10.3389/fpubh.2023.1233274/fullhuman papillomavirus (HPV)gayoropharyngeal cancerscreeningonlinetelemedicine |
| spellingShingle | Michael W. Ross Sarah L. Bennis C. Mark Nichols I. Niles Zoschke J. Michael Wilkerson B. R. Simon Rosser Cyndee L. Stull Alan G. Nyitray Charlene Flash Samir S. Khariwala Oral/oropharyngeal “selfies” in gay and bisexual men: a pilot study exploring oropharyngeal screening for HPV-related possible malignancies Frontiers in Public Health human papillomavirus (HPV) gay oropharyngeal cancer screening online telemedicine |
| title | Oral/oropharyngeal “selfies” in gay and bisexual men: a pilot study exploring oropharyngeal screening for HPV-related possible malignancies |
| title_full | Oral/oropharyngeal “selfies” in gay and bisexual men: a pilot study exploring oropharyngeal screening for HPV-related possible malignancies |
| title_fullStr | Oral/oropharyngeal “selfies” in gay and bisexual men: a pilot study exploring oropharyngeal screening for HPV-related possible malignancies |
| title_full_unstemmed | Oral/oropharyngeal “selfies” in gay and bisexual men: a pilot study exploring oropharyngeal screening for HPV-related possible malignancies |
| title_short | Oral/oropharyngeal “selfies” in gay and bisexual men: a pilot study exploring oropharyngeal screening for HPV-related possible malignancies |
| title_sort | oral oropharyngeal selfies in gay and bisexual men a pilot study exploring oropharyngeal screening for hpv related possible malignancies |
| topic | human papillomavirus (HPV) gay oropharyngeal cancer screening online telemedicine |
| url | https://www.frontiersin.org/articles/10.3389/fpubh.2023.1233274/full |
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