Human Papillomaviruses, Herpes Simplex Viruses, and the Risk of Oral Cancer in Men

A population-based case-control study was conducted in western Washington state to examine the relations between infection with human papilloma viruses (HPV), herpes simplex viruses (HSV), and risk of oral squamous cell cancer in men. Interviews were completed on 131 oral cancer cases diagnosed betw...

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Veröffentlicht in:American journal of epidemiology 1992-05, Vol.135 (10), p.1093-1102
Hauptverfasser: Maden, Christopher, Beckmann, Anna Marie, Thomas, David B., McKnight, Barbara, Sherman, Karen J., Ashley, Rhoda L., Corey, Lawrence, Daling, Janet R.
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container_end_page 1102
container_issue 10
container_start_page 1093
container_title American journal of epidemiology
container_volume 135
creator Maden, Christopher
Beckmann, Anna Marie
Thomas, David B.
McKnight, Barbara
Sherman, Karen J.
Ashley, Rhoda L.
Corey, Lawrence
Daling, Janet R.
description A population-based case-control study was conducted in western Washington state to examine the relations between infection with human papilloma viruses (HPV), herpes simplex viruses (HSV), and risk of oral squamous cell cancer in men. Interviews were completed on 131 oral cancer cases diagnosed between January 1985 and December 1989 and 136 controls frequency matched to cases on age and date of diagnosis who were obtained by random digit dialing. The risk for oral cancer among men with 30 or more sexual partners was 2.4 times that of men with four or fewer partners (95% confidence.interval (Cl) 1.0–5.9). Men who ever practiced oral sex had lower risk for oral cancer relative to men who never practiced oral sex (relative risk (RR) = 0.4, 95% Cl 0.2–0.8). Analyses of exfoliated oral cavity cells for the presence of HPV-6 DNA with polymerase chain reaction revealed that men with an oral HPV-6 infection had 2.9 times the risk for oral cancer of noninfected men (95% Cl 1.1–7.3), whereas men with an oral HPV-16 infection had 6.2 times the risk for oral cancer of noninfected men (crude RR = 6.2, 95% Cl 0.7–52.2). Relative risks associated with serologically detected HSV-1 and HSV-2 infections were 0.8 (95% Cl 0.3–1.7) and 1.8 (95% Cl 0.7–4.6), respectively. The authors conclude that HPV-6 is associated with oral cancer. Although men infected with HPV-16 and HSV-2 were at elevated risk, these associations may have been due to chance. The role of specific sexual practices in the transmission of viruses to the oral cavity remains unclear. Am J Epidemiol 1992; 135: 1093–1102
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Interviews were completed on 131 oral cancer cases diagnosed between January 1985 and December 1989 and 136 controls frequency matched to cases on age and date of diagnosis who were obtained by random digit dialing. The risk for oral cancer among men with 30 or more sexual partners was 2.4 times that of men with four or fewer partners (95% confidence.interval (Cl) 1.0–5.9). Men who ever practiced oral sex had lower risk for oral cancer relative to men who never practiced oral sex (relative risk (RR) = 0.4, 95% Cl 0.2–0.8). Analyses of exfoliated oral cavity cells for the presence of HPV-6 DNA with polymerase chain reaction revealed that men with an oral HPV-6 infection had 2.9 times the risk for oral cancer of noninfected men (95% Cl 1.1–7.3), whereas men with an oral HPV-16 infection had 6.2 times the risk for oral cancer of noninfected men (crude RR = 6.2, 95% Cl 0.7–52.2). 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subjects Antibodies, Viral - blood
Biological and medical sciences
Case-Control Studies
DNA, Viral - analysis
herpes simplex
Herpes Simplex - epidemiology
Herpes Simplex - immunology
Herpes Simplex - microbiology
herpes simplex virus
homosexuality
Humans
Logistic Models
Male
Medical sciences
Mouth Neoplasms - epidemiology
Mouth Neoplasms - immunology
Mouth Neoplasms - microbiology
oral neoplasms
Otorhinolaryngology (head neck, general aspects and miscellaneous)
Otorhinolaryngology. Stomatology
Papillomaviridae - genetics
papillomaviruses
Risk Factors
Seroepidemiologic Studies
sex behavior
Sex Factors
sexually transmitted diseases
Simplexvirus - immunology
Tumor Virus Infections - epidemiology
Tumor Virus Infections - immunology
Tumor Virus Infections - microbiology
Tumors
Urban Population - statistics & numerical data
Washington - epidemiology
title Human Papillomaviruses, Herpes Simplex Viruses, and the Risk of Oral Cancer in Men
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