Differences in history of sexual behavior between patients with oropharyngeal squamous cell carcinoma and patients with squamous cell carcinoma at other head and neck sites
Article first published online: 24 AUG 2010
Copyright © 2010 Wiley Periodicals, Inc.
Head & Neck
Volume 33, Issue 6, pages 847–855, June 2011
How to Cite
Dahlstrom, K. R., Li, G., Tortolero-Luna, G., Wei, Q. and Sturgis, E. M. (2011), Differences in history of sexual behavior between patients with oropharyngeal squamous cell carcinoma and patients with squamous cell carcinoma at other head and neck sites. Head Neck, 33: 847–855. doi: 10.1002/hed.21550
- Issue published online: 10 MAY 2011
- Article first published online: 24 AUG 2010
- Manuscript Accepted: 7 JUN 2010
- National Institutes of Health (NIH) SPORE grant in Head and Neck Cancer Career Development Award
- The University of Texas MD Anderson Cancer Center. Grant Number: NIH P-30 grant CA-16672
- Unknown funding agency. Grant Numbers: NIH R01 grant CA-131274, NIH R01 grant ES-11740, NIH grant R03 CA128110-01A1, NIH R03 grant CA-135679, NIH K07 grant CA-133099, NIH K-12 grant 88084
- The University of Texas MD Anderson Cancer Center Institutional Research Grants
- The University of Texas MD Anderson Cancer Center start-up funds
- head and neck neoplasms;
- human papillomavirus;
- sexual behavior;
An emerging epidemic of human papillomavirus (HPV)-associated oropharyngeal cancer has been proposed. The purpose of this study was for us to compare the sexual behaviors of patients with squamous cell carcinoma of the oropharynx (SCCOP) and patients with squamous cell carcinoma of non-oropharyngeal (SCCNOP) head and neck sites to expand our understanding of sexual behavior as a risk factor for HPV-associated head and neck cancer.
The sexual history of 165 patients with SCCOP and 87 patients with SCCNOP was determined in a hospital-based case-to-case comparison study.
Patients with SCCOP were significantly more likely than patients with SCCNOP to have had >9 lifetime sex partners (odds ratio [OR], 39.2; 95% confidence interval [CI], 8.2–187.3), to have engaged in oral-genital sex (OR, 3.5; 95% CI, 1.1–11.1), and to have had >4 oral-genital sex partners (OR, 8.6; 95% CI, 2.2–33.4).
The findings of this study suggest that some risk factors are site-specific and provide further evidence that certain sexual behaviors increase the risk of HPV-associated SCCOP. © 2010 Wiley Periodicals, Inc. Head Neck, 2011