{"id":1052,"date":"2014-12-15T15:00:47","date_gmt":"2014-12-15T15:00:47","guid":{"rendered":"https:\/\/blogs.bmj.com\/sti\/?p=1052"},"modified":"2014-12-13T12:26:53","modified_gmt":"2014-12-13T12:26:53","slug":"heterosexual-transmission-of-hpv-to-male-oral-tract-via-oralgenital-route-indicated-by-partner-data","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/sti\/2014\/12\/15\/heterosexual-transmission-of-hpv-to-male-oral-tract-via-oralgenital-route-indicated-by-partner-data\/","title":{"rendered":"Heterosexual transmission of HPV to male oral tract via oral\/genital route indicated by partner data"},"content":{"rendered":"<p>The UK <em>Joint Committee for Vaccination and Immunization<\/em> (JCVI) has not so far decided to extend HPV vaccination to boys, but this possibility remains under consideration (<a href=\"https:\/\/www.gov.uk\/government\/uploads\/system\/uploads\/attachment_data\/file\/318686\/PHE_HPV_Q_A_health_professionals.pdf\">Public Health England Guidance on HPV 2014-15<\/a>). The potential benefit of protecting males from face and neck cancer will be an important consideration, both in the UK and in other countries contemplating this extension of HPV vaccination programs (<a href=\"http:\/\/sti.bmj.com\/content\/88\/7\/517.abstract?sid=ef6b4034-da36-4083-a2e7-fede4c7a7bcc\">STI\/Conway &amp; Adams<\/a>).\u00a0 Some have attributed the recent <a href=\"http:\/\/www.cancer.org\/cancer\/news\/rise-in-rate-of-throat-cancer-linked-to-hpv\">tripling<\/a> in number of cases of these cancers to oral HPV, thus transforming what was formerly a smokers\u2019 disease into an STI outcome. \u00a0A figure of <a href=\"http:\/\/www.healio.com\/hematology-oncology\/head-neck-cancer\/news\/print\/hemonc-today\/%7Bee366f1e-f083-4fd2-88af-02f0c52e5bdd%7D\/hpv-is-changing-the-face-of-head-and-neck-cancers\">2,000<\/a>.has been placed on the total of HPV attributable cases in UK males. \u00a0Such claims &#8211; and their public health policy implications &#8211; confer a new importance on research into the risk factors of oral HPV infection among young men.<\/p>\n<p>A recently reported sub-study taking place in the framework of the Montreal based <em>HPV Infection and Transmission among Couples through Heterosexual Activity<\/em> (HITCH) cohort study claims to be the first to have established the association of oral infection in males with sexual behaviour, not just on the basis of their reported sexual behaviour, but through the collection of data from their partners (<a href=\"http:\/\/cebp.aacrjournals.org\/content\/23\/12\/2959.abstract?sid=e33100d1-2cad-486c-9605-00f9b6399379\">Dahlstrom &amp; Franco<\/a>). \u00a0\u00a0The study administered questionnaires and tests to 222 young men and their partners at baseline and four-months.<\/p>\n<p>Prevalence of oral HPV among male study participants was <strong>7.2%<\/strong>.\u00a0 Of these <strong>28.6%<\/strong> <strong>(2)<\/strong> were found to have a partner with oral HPV infection, and <strong>11.5% (15)<\/strong> to have a partner with genital infection.\u00a0 The study also investigated type-specific HPV prevalences.\u00a0 The prevalence among the young men of oral HPV16 (especially associated with head and neck cancer) was <strong>2.3%<\/strong> (5); among the 33 men who had a partner with genital HPV, prevalence was (<strong>6.1%<\/strong>) (<strong>2\/33<\/strong>).\u00a0 In a rough and ready way, this study also establishes a correlation of oral HPV prevalence in males with frequency of oral sex (RR <strong>1.47<\/strong> as between rarely\/sometimes having oral sex &amp; rarely\/never having oral sex).\u00a0 The potential advance on previous studies is that this correlation is seen to hold only where the partner is genital HPV positive.<\/p>\n<p>The importance of these findings is, first, to corroborate, on the basis of partner data, the conclusion drawn by earlier studies of the relation of oral HPV with reported oral sex, that there is indeed transmission of HPV from the female partner to the male partner\u2019s oral tract, whether through oral or genital routes.\u00a0 Second, the association of <em>deep kissing<\/em> with oral HPV infection seen in earlier studies would seem to be confirmed by the higher prevalence among men with oral HPV of female partners with oral HPV.\u00a0 However, the alternative explanation of auto-inoculation, indicated in the study data by the high prevalence of genital HPV in self, cannot be excluded (<a href=\"http:\/\/sti.bmj.com\/content\/87\/5\/391.abstract?sid=1dcf0347-5e88-4086-b9f6-5c350ada3d08\">STI\/Hernandez &amp; Ning<\/a>).\u00a0 Third, the possibility of <em>oral sex<\/em> as a route of transmission is suggested by the increased prevalence of oral HPV among men with a genital HPV partner, and its relationship to frequency of oral sex.<\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>The UK Joint Committee for Vaccination and Immunization (JCVI) has not so far decided to extend HPV vaccination to boys, but this possibility remains under consideration (Public Health England Guidance on HPV 2014-15). The potential benefit of protecting males from face and neck cancer will be an important consideration, both in the UK and in [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/blogs.bmj.com\/sti\/2014\/12\/15\/heterosexual-transmission-of-hpv-to-male-oral-tract-via-oralgenital-route-indicated-by-partner-data\/\">Read More&#8230;<\/a><\/p>\n","protected":false},"author":152,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[4362,4358],"tags":[],"class_list":["post-1052","post","type-post","status-publish","format-standard","hentry","category-hpv-and-cancer","category-hpv-vaccination"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.6 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Heterosexual transmission of HPV to male oral tract via oral\/genital route indicated by partner data - Sexually Transmitted Infections<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/blogs.bmj.com\/sti\/2014\/12\/15\/heterosexual-transmission-of-hpv-to-male-oral-tract-via-oralgenital-route-indicated-by-partner-data\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Heterosexual transmission of HPV to male oral tract via oral\/genital route indicated by partner data - Sexually Transmitted Infections\" \/>\n<meta property=\"og:description\" content=\"The UK Joint Committee for Vaccination and Immunization (JCVI) has not so far decided to extend HPV vaccination to boys, but this possibility remains under consideration (Public Health England Guidance on HPV 2014-15). The potential benefit of protecting males from face and neck cancer will be an important consideration, both in the UK and in [...]Read More...\" \/>\n<meta property=\"og:url\" content=\"https:\/\/blogs.bmj.com\/sti\/2014\/12\/15\/heterosexual-transmission-of-hpv-to-male-oral-tract-via-oralgenital-route-indicated-by-partner-data\/\" \/>\n<meta property=\"og:site_name\" content=\"Sexually Transmitted Infections\" \/>\n<meta property=\"article:published_time\" content=\"2014-12-15T15:00:47+00:00\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"2 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/sti\\\/2014\\\/12\\\/15\\\/heterosexual-transmission-of-hpv-to-male-oral-tract-via-oralgenital-route-indicated-by-partner-data\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/sti\\\/2014\\\/12\\\/15\\\/heterosexual-transmission-of-hpv-to-male-oral-tract-via-oralgenital-route-indicated-by-partner-data\\\/\"},\"author\":{\"name\":\"\",\"@id\":\"\"},\"headline\":\"Heterosexual transmission of HPV to male oral tract via oral\\\/genital route indicated by partner data\",\"datePublished\":\"2014-12-15T15:00:47+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/sti\\\/2014\\\/12\\\/15\\\/heterosexual-transmission-of-hpv-to-male-oral-tract-via-oralgenital-route-indicated-by-partner-data\\\/\"},\"wordCount\":512,\"publisher\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/sti\\\/#organization\"},\"articleSection\":[\"HPV and cancer\",\"HPV vaccination\"],\"inLanguage\":\"en-US\"},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/sti\\\/2014\\\/12\\\/15\\\/heterosexual-transmission-of-hpv-to-male-oral-tract-via-oralgenital-route-indicated-by-partner-data\\\/\",\"url\":\"https:\\\/\\\/blogs.bmj.com\\\/sti\\\/2014\\\/12\\\/15\\\/heterosexual-transmission-of-hpv-to-male-oral-tract-via-oralgenital-route-indicated-by-partner-data\\\/\",\"name\":\"Heterosexual transmission of HPV to male oral tract via oral\\\/genital route indicated by partner data - Sexually Transmitted Infections\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/sti\\\/#website\"},\"datePublished\":\"2014-12-15T15:00:47+00:00\",\"breadcrumb\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/sti\\\/2014\\\/12\\\/15\\\/heterosexual-transmission-of-hpv-to-male-oral-tract-via-oralgenital-route-indicated-by-partner-data\\\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\\\/\\\/blogs.bmj.com\\\/sti\\\/2014\\\/12\\\/15\\\/heterosexual-transmission-of-hpv-to-male-oral-tract-via-oralgenital-route-indicated-by-partner-data\\\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/sti\\\/2014\\\/12\\\/15\\\/heterosexual-transmission-of-hpv-to-male-oral-tract-via-oralgenital-route-indicated-by-partner-data\\\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\\\/\\\/blogs.bmj.com\\\/sti\\\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Heterosexual transmission of HPV to male oral tract via oral\\\/genital route indicated by partner data\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/sti\\\/#website\",\"url\":\"https:\\\/\\\/blogs.bmj.com\\\/sti\\\/\",\"name\":\"Sexually Transmitted Infections\",\"description\":\"Discussion and suggestion space for readers of STIs\",\"publisher\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/sti\\\/#organization\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\\\/\\\/blogs.bmj.com\\\/sti\\\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"en-US\"},{\"@type\":\"Organization\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/sti\\\/#organization\",\"name\":\"Sexually Transmitted Infections\",\"url\":\"https:\\\/\\\/blogs.bmj.com\\\/sti\\\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/sti\\\/#\\\/schema\\\/logo\\\/image\\\/\",\"url\":\"https:\\\/\\\/blogs.bmj.com\\\/sti\\\/files\\\/2017\\\/10\\\/blog-logo-sti.png\",\"contentUrl\":\"https:\\\/\\\/blogs.bmj.com\\\/sti\\\/files\\\/2017\\\/10\\\/blog-logo-sti.png\",\"width\":378,\"height\":34,\"caption\":\"Sexually Transmitted Infections\"},\"image\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/sti\\\/#\\\/schema\\\/logo\\\/image\\\/\"}},{\"@type\":\"Person\",\"@id\":\"\",\"url\":\"https:\\\/\\\/blogs.bmj.com\\\/sti\\\/author\\\/\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Heterosexual transmission of HPV to male oral tract via oral\/genital route indicated by partner data - Sexually Transmitted Infections","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/blogs.bmj.com\/sti\/2014\/12\/15\/heterosexual-transmission-of-hpv-to-male-oral-tract-via-oralgenital-route-indicated-by-partner-data\/","og_locale":"en_US","og_type":"article","og_title":"Heterosexual transmission of HPV to male oral tract via oral\/genital route indicated by partner data - Sexually Transmitted Infections","og_description":"The UK Joint Committee for Vaccination and Immunization (JCVI) has not so far decided to extend HPV vaccination to boys, but this possibility remains under consideration (Public Health England Guidance on HPV 2014-15). The potential benefit of protecting males from face and neck cancer will be an important consideration, both in the UK and in [...]Read More...","og_url":"https:\/\/blogs.bmj.com\/sti\/2014\/12\/15\/heterosexual-transmission-of-hpv-to-male-oral-tract-via-oralgenital-route-indicated-by-partner-data\/","og_site_name":"Sexually Transmitted Infections","article_published_time":"2014-12-15T15:00:47+00:00","twitter_card":"summary_large_image","twitter_misc":{"Written by":"","Est. reading time":"2 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"Article","@id":"https:\/\/blogs.bmj.com\/sti\/2014\/12\/15\/heterosexual-transmission-of-hpv-to-male-oral-tract-via-oralgenital-route-indicated-by-partner-data\/#article","isPartOf":{"@id":"https:\/\/blogs.bmj.com\/sti\/2014\/12\/15\/heterosexual-transmission-of-hpv-to-male-oral-tract-via-oralgenital-route-indicated-by-partner-data\/"},"author":{"name":"","@id":""},"headline":"Heterosexual transmission of HPV to male oral tract via oral\/genital route indicated by partner data","datePublished":"2014-12-15T15:00:47+00:00","mainEntityOfPage":{"@id":"https:\/\/blogs.bmj.com\/sti\/2014\/12\/15\/heterosexual-transmission-of-hpv-to-male-oral-tract-via-oralgenital-route-indicated-by-partner-data\/"},"wordCount":512,"publisher":{"@id":"https:\/\/blogs.bmj.com\/sti\/#organization"},"articleSection":["HPV and cancer","HPV vaccination"],"inLanguage":"en-US"},{"@type":"WebPage","@id":"https:\/\/blogs.bmj.com\/sti\/2014\/12\/15\/heterosexual-transmission-of-hpv-to-male-oral-tract-via-oralgenital-route-indicated-by-partner-data\/","url":"https:\/\/blogs.bmj.com\/sti\/2014\/12\/15\/heterosexual-transmission-of-hpv-to-male-oral-tract-via-oralgenital-route-indicated-by-partner-data\/","name":"Heterosexual transmission of HPV to male oral tract via oral\/genital route indicated by partner data - Sexually Transmitted Infections","isPartOf":{"@id":"https:\/\/blogs.bmj.com\/sti\/#website"},"datePublished":"2014-12-15T15:00:47+00:00","breadcrumb":{"@id":"https:\/\/blogs.bmj.com\/sti\/2014\/12\/15\/heterosexual-transmission-of-hpv-to-male-oral-tract-via-oralgenital-route-indicated-by-partner-data\/#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["https:\/\/blogs.bmj.com\/sti\/2014\/12\/15\/heterosexual-transmission-of-hpv-to-male-oral-tract-via-oralgenital-route-indicated-by-partner-data\/"]}]},{"@type":"BreadcrumbList","@id":"https:\/\/blogs.bmj.com\/sti\/2014\/12\/15\/heterosexual-transmission-of-hpv-to-male-oral-tract-via-oralgenital-route-indicated-by-partner-data\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/blogs.bmj.com\/sti\/"},{"@type":"ListItem","position":2,"name":"Heterosexual transmission of HPV to male oral tract via oral\/genital route indicated by partner data"}]},{"@type":"WebSite","@id":"https:\/\/blogs.bmj.com\/sti\/#website","url":"https:\/\/blogs.bmj.com\/sti\/","name":"Sexually Transmitted Infections","description":"Discussion and suggestion space for readers of STIs","publisher":{"@id":"https:\/\/blogs.bmj.com\/sti\/#organization"},"potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/blogs.bmj.com\/sti\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"en-US"},{"@type":"Organization","@id":"https:\/\/blogs.bmj.com\/sti\/#organization","name":"Sexually Transmitted Infections","url":"https:\/\/blogs.bmj.com\/sti\/","logo":{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/blogs.bmj.com\/sti\/#\/schema\/logo\/image\/","url":"https:\/\/blogs.bmj.com\/sti\/files\/2017\/10\/blog-logo-sti.png","contentUrl":"https:\/\/blogs.bmj.com\/sti\/files\/2017\/10\/blog-logo-sti.png","width":378,"height":34,"caption":"Sexually Transmitted Infections"},"image":{"@id":"https:\/\/blogs.bmj.com\/sti\/#\/schema\/logo\/image\/"}},{"@type":"Person","@id":"","url":"https:\/\/blogs.bmj.com\/sti\/author\/"}]}},"_links":{"self":[{"href":"https:\/\/blogs.bmj.com\/sti\/wp-json\/wp\/v2\/posts\/1052","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/blogs.bmj.com\/sti\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/blogs.bmj.com\/sti\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/blogs.bmj.com\/sti\/wp-json\/wp\/v2\/users\/152"}],"replies":[{"embeddable":true,"href":"https:\/\/blogs.bmj.com\/sti\/wp-json\/wp\/v2\/comments?post=1052"}],"version-history":[{"count":0,"href":"https:\/\/blogs.bmj.com\/sti\/wp-json\/wp\/v2\/posts\/1052\/revisions"}],"wp:attachment":[{"href":"https:\/\/blogs.bmj.com\/sti\/wp-json\/wp\/v2\/media?parent=1052"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/blogs.bmj.com\/sti\/wp-json\/wp\/v2\/categories?post=1052"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/blogs.bmj.com\/sti\/wp-json\/wp\/v2\/tags?post=1052"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}