pubmed.ncbi.nlm.nih.gov

Sexual behavior and its association with persistent oral lesions: analysis of the POP-Brazil study - PubMed

Sexual behavior and its association with persistent oral lesions: analysis of the POP-Brazil study

Amanda Ramos da Cunha et al. Clin Oral Investig. 2021 Mar.

Abstract

Objectives: To investigate whether the presence of persistent self-reported oral lesions (PSOLs) is associated with sexual behaviors and with the presence of sexually transmitted infections (STIs) in individuals aged 16-25 years in the state capitals of Brazil.

Materials and methods: Data from the POP-Brazil study were analyzed. An association analysis was performed by Poisson regression with the presence of PSOLs as the outcome. The exposure variables were the age at first sexual intercourse, the number of partners, oral sex practice, and aspects of condom use for model 1, and the presence of a self-reported STI or a positive rapid test for HIV/syphilis and the presence of genital human papillomavirus (HPV) for model 2. The results were adjusted for socioeconomic variables.

Results: The prevalence of PSOLs was 76% higher among individuals who had two or more sexual partners in the past year (p = 0.046) and 68% higher in those who reported not using condoms for contraception (p = 0.032). The group with HIV/syphilis or self-reported STI had a 140% higher PSOL prevalence (p = 0.003).

Conclusions: The self-report of oral lesions in adolescents and young adults may suggest risky sexual behavior and the presence of STI.

Clinical relevance: It is necessary to contextualize the reality of the young person to optimize oral health care.

Keywords: Human papillomavirus; Oral health; Oral mucosa; Sexual behavior; Sexually transmitted diseases.

PubMed Disclaimer

Conflict of interest statement

The authors declare that they have no conflict of interest.

Figures

Fig. 1
Fig. 1

The adjusted prevalence ratio and its 95% confidence interval for persistent self-reported oral lesions (PSOLs) and its relationships with the presence of sexually transmitted infections (STI) and the presence of HPV in a genital sample (HPV) considering all individuals, only individuals not practicing oral sex, and only individuals practicing oral sex (Brazil, 2017). STI: the presence of a self-reported STI, a positive rapid HIV test or a positive rapid test for syphilis. The results have been adjusted by sex, social class, and education level

Similar articles

Cited by

References

    1. Leuci S, Martina S, Adamo D, Ruoppo E, Santarelli A, Sorrentino R, Favia G, Mignogna MD. Oral syphilis: a retrospective analysis of 12 cases and a review of the literature. Oral Dis. 2013;19:738–746. doi: 10.1111/odi.12058. - DOI - PubMed
    1. Castro TMPG, Neto CER, Scala KA, Scala WA. Manifestações orais associadas ao papilomavírus humano (hpv) conceitos atuais: revisão bibliográfica. Rev Bras Otorrinolaringol. 2004;70:546–550. doi: 10.1590/S0034-72992004000400017. - DOI
    1. Chaturvedi AK. Epidemiology and clinical aspects of HPV in head and neck cancers. Head Neck Pathol. 2012;6:16–24. doi: 10.1007/s12105-012-0377-0. - DOI - PMC - PubMed
    1. Van Dyne EA, Henley SJ, Saraiya M, Thomas CC, Markowitz LE, Benard VB. Trends in human papillomavirus-associated cancers - United States, 1999-2015. Morb Mortal Wkly Rep. 2018;67:918–924. doi: 10.15585/mmwr.mm6733a2. - DOI - PMC - PubMed
    1. Marur S, D’Souza G, Westra WH, Forastiere AA. HPV-associated head and neck cancer: a virus-related cancer epidemic. Lancet Oncol Elsevier Ltd. 2010;11:781–789. doi: 10.1016/S1470-2045(10)70017-6. - DOI - PMC - PubMed

MeSH terms