Tobacco use and oral sex practice among dental clinic attendees

Tobacco use and oral sex (OS) are important risk factors for oral and oropharyngeal Human papillomavirus (HPV) infection. Little is known about the prevalence of OS practice in South Africa. This study aimed to determine the prevalence of OS practice and tobacco use in a South African patient popula...

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Vydáno v:PloS one Ročník 14; číslo 3; s. e0213729
Hlavní autoři: Wood, Neil H., Ayo-Yusuf, Olalekan A., Gugushe, Tshepo S., Bogers, John-Paul
Médium: Journal Article
Jazyk:angličtina
Vydáno: United States Public Library of Science 13.03.2019
Public Library of Science (PLoS)
Témata:
Adolescent
Adult
Africans
Areca - adverse effects
Biology and Life Sciences
Black People
Cross-Sectional Studies
Dental Clinics
Female
Health aspects
HIV Infections - complications
Humans
Infection
Information management
Male
Medicine and Health Sciences
Middle Aged
Oral sex
Papillomavirus
Papillomavirus infections
Papillomavirus Infections - complications
Papillomavirus Infections - epidemiology
Papillomavirus Infections - ethnology
People and Places
Prevalence
Regression Analysis
Risk Factors
Sexual Behavior
Smoking
Social Sciences
South Africa - epidemiology
South Africa - ethnology
Surveys and Questionnaires
Tobacco habit
Tobacco Use - adverse effects
Tobacco Use Disorder - complications
Tobacco Use Disorder - ethnology
Tobacco, Smokeless - adverse effects
White People
Young Adult
South Africa
ISSN:1932-6203, 1932-6203
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Shrnutí:Tobacco use and oral sex (OS) are important risk factors for oral and oropharyngeal Human papillomavirus (HPV) infection. Little is known about the prevalence of OS practice in South Africa. This study aimed to determine the prevalence of OS practice and tobacco use in a South African patient population. This cross-sectional study used a structured questionnaire to collect socio-demographic characteristics, tobacco use, betel nut use and OS practice data from consenting adults (≥18 years; n = 850). Oral sex practices were recorded for patients 18-45 years-old (n = 514). Data analysis included chi-square and multiple logistic regression analyses. Of the study population, 55.2% (n = 468) were female, 88% (n = 748) self-identified as black Africans and 45.1% (n = 383) were unemployed. Furthermore, 19.7% (n = 167), 6.4% (n = 54) and 2.1% (n = 18) were current smokers, snuff users and betel nut users, respectively. Out of the 514 who answered the questionnaire in relation to OS, 22.8% (n = 115) reported to practice it. Oral sex practice in the age group 18-45 years was most common among the self-identified white participants (41.9%); and among tobacco users than among non-tobacco users (30.9% vs. 20.5%; p = 0.022). A multivariable-adjusted regression model showed that white South Africans were more likely to use tobacco than black Africans (OR = 5.25; 95% CI = 2.21-12.47). The practice of OS was more likely among those 18-35 years-old (OR = 1.67; 95% CI = 1.01-2.74), but had no significant association with tobacco use (OR = 1.06; 95% CI = 0.62-1.83). The observed age and ethnic differences in both risk behaviours suggest a need for targeted population intervention in order to reduce the risk for oral HPV infection.
Bibliografie:ObjectType-Article-1
SourceType-Scholarly Journals-1
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Competing Interests: The authors have declared that no competing interests exist.
ISSN:1932-6203
1932-6203
DOI:10.1371/journal.pone.0213729