The aim of this study is to compare the knowledge of the relationship between HPV and head and neck cancer (HNCA) in three unique populations: general public at a sporting event, undergraduates, and medical students, and to compare the frequency that a healthcare provider has discussed the topics of cervical cancer and HNCA amongst these populations. A one-way between subjects design was used to evaluate participants at a community based head and neck cancer screening, and students in individual classrooms. A28-item questionnaire was administered to 491 NASCAR race attendees, 186 undergraduate students, and 158 medical students. The survey assessed their knowledge of the relationship between HPV and HNCA using a Likert scale. The survey also assessed the level of information disseminated by healthcare providers regarding HPV and HNCA. NASCAR attendees evidenced significantly (p < .001, η2 = .10) lower levels of knowledge of the relationship between HPV and cervical cancer than college or medical students. NASCAR attendees evidenced significantly (p < .001, η2 = .02) lower levels of knowledge of the relationship between HPV and HNCA. NASCAR attendees reported significantly (p < .001, η2 = .10) more frequent discussions with health care providers regarding HNCA compared to college or medical students. Undergraduates and medical students reported significantly (p < .001, η2 = .02) more frequent discussions with health care providers regarding HPV than NASCAR attendees. Results demonstrated group differences in knowledge between the relationship of HPV and cervical cancer and HPV and HNCA. All groups were more aware of HPV’s association with cervical cancer than with HNCA.
| [1] | Chaturvedi AK, Engels EA, Pfeiffer RM, et al. Human papillomavirus and rising oropharyngeal incidence in the United States. J Clin Oncol. 2001; 29(32);4294-4301.View Article PubMed |
| [2] | Ernster JA, Sciotto CG, O’Brien MM, et al. Rising incidence of oropharyngeal cancer and the role of oncogenic human papilloma virus. Laryngoscope. 2007; 117:2115-2128.View Article PubMed |
| [3] | Rogers SN, Shreya VV, Lowe D. Reasons for delayed presentation in oral and oropharyngeal cancer: the patients perspective. Brit J Oral Max Surg. 2011;49(5):349-353.View Article PubMed |
| [4] | Attner P, Nasman A, Du J, et al. Survival in patients with human papillomavirus positive tonsillar cancer in relation to treatment. Int J Cancer. 2012; 131:1124-1130.View Article PubMed |
| [5] | White LJ, Chin-Quee AL, Berg CJ, et al. Differences in head and neck cancer risk perception between smoking and non-smoking NASCAR attendees. Otolaryngol Head Neck Surg. 2012;147:63-8.View Article PubMed |
| [6] | Smith, EM, Ritchie JM, Summersgill KF, et al. Age, sexual behavior, and human papillomavirus infection in oral cavity and oropharyngeal cancers. Int J Cancer 2004;108:766-772.View Article PubMed |
| [7] | Schwartz SM, Daling JR, Doody DR, et al. Oral cancer risk in relation to sexual history and evidence of human papillomavirus infection. J Natl Cancer Inst. 1998;90:1626-1636.View Article PubMed |
| [8] | D’Souza G, Agrawal Y, Hapern J, et al. Oral sexual behaviors associated with prevalent oral human papillomavirus infection. J Infect Disease. 2009; 199:1263-1269.View Article PubMed |
| [9] | Hariri S, Unger ER, Sternberg M, et al. Prevalence of genital human papillomavirus among females in the United States, the National Health and Nutrition Examination Survey, 2003-2006. J Infect Dis. 2011; 204(4):566-573.View Article PubMed |
| [10] | Centers for Disease Control and Prevention. 2010 Sexually Transmitted Diseases Surveillance. http://www.cdc.gov/std/stats10/other.htm, accessed August 10, 2012. |
| [11] | Gerend MA, Shepherd JE. Correlates of HPV knowledge in the Era of HPV vaccination: A study of unvaccinated young adult women. Women Health. 2011; 51(1):25-40.View Article PubMed |
| [12] | Centers for Disease Control and Prevention. Advisory Committee on Immunization Practices. Grading of recommendations, assessment, development, and evaluation for HPV vaccine in males. MMWR. 2011; 60:1705-8. PubMed |
| [13] | Tiro JA, Meissner, HI, Kobrin S, Chollette V. What do women in the U.S. know about Human Papillomavirus and cervical cancer? Cancer Epidemio Biomarkers Prev. 2007; 16:288-294.View Article PubMed |
| [14] | Wolf AMD, Becker DM. Cancer screening and informed patient discussions. Arch Intern Med. 1996: 156(10):1069-1072.View Article PubMed |
| [15] | Mohyuddin N, Langerman A, LeHew C, et al. Knowledge of head and neck cancer among medical students at 2 Chicago Universities. Arch Otolaryngol Head Neck Surg. 2008:134(12):1294-8.View Article PubMed |
| [16] | Wu EC, Passy V, Armstrong WB. Preliminary evaluation of junior medical students’ comfort with performing the basic head and neck examination. Laryngoscope. 2011;121:1431-1435.View Article PubMed |
| [17] | Ferullo A, Silk H, Savageau JA. Teaching oral health in US medical Schools: Results of a national survey. Acad Med. 2011; 86:226-230.View Article PubMed |
| [18] | Park ER, Ostroff JS, Rakowski W, et al. Risk perceptions among participants undergoing lung cancer screening: baseline results from the National Lung Screening Trial. Ann Behav Med. 2009; 37(3):268-79.View Article PubMed |
| [19] | Viscusi, WK. Age variations in risk perceptions and smoking decisions. Rev Econ Statist. 1991;73:577-588.View Article |
| [20] | Viscusi, WK. Do smokers underestimate risk? J Polit Economy. 1990;98:1253-1269.View Article |