Gender Disparity in Oral HPV Infection

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Overall prevalence 11.5% in men, 3.2% in women; high-risk HPV also more prevalent in men.
Overall prevalence 11.5% in men, 3.2% in women; high-risk HPV also more prevalent in men.

(HealthDay News) -- Oral human papillomavirus (HPV) infection and high-risk oral HPV infection are more common among men than women, according to a study published online in the Annals of Internal Medicine.

Kalyani Sonawane, PhD, from the University of Florida in Gainesville, and colleagues examined the prevalence of oral HPV infection and the concordance of oral and genital HPV infection infection among men and women aged 18 to 69 using 2011-2014 data from the National Health and Nutrition Examination Survey.

The researchers found that the overall prevalence of oral HPV infection was 11.5 and 3.2% in men and women, respectively. The prevalence of high-risk oral HPV infection was higher among men than women (7.3 vs 1.4%, respectively). Oral HPV 16 was more common in men than women (1.8 vs 0.3%, respectively). The prevalence of HPV infection was 12.7 and 3.6%, respectively, among men and women who reported having same-sex partners. The prevalence of high-risk HPV infection was 22.2% among men who reported having two or more same-sex oral sex partners. Oral HPV prevalence was 19.3 and 4.4% in men with concurrent genital HPV infection and those without, respectively. Compared with women, men had a 5.4 percent greater predicted probability of high-risk oral HPV infection.

"This study's findings provide several policy implications to guide future OPSCC [oropharyngeal squamous cell carcinoma] prevention efforts to combat this disease," the authors write.

Several authors disclosed financial ties to the pharmaceutical industry.

References

Sonawane K, Suk R, Chiao EY, et al. Oral Human Papillomavirus Infection: Differences in Prevalence Between Sexes and Concordance With Genital Human Papillomavirus Infection, NHANES 2011 to 2014. Ann Intern Med. doi: 10.7326/M17-1363

Gravitt PE. Unraveling the Epidemiology of Oral Human Papillomavirus Infection. Ann Intern Med. doi: 10.7326/M17-2628

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