Evaluation of knowledge and awareness of dentists and dental students about human papillomavirus vaccination and oropharyngeal cancer relationship
Year 2020,
Volume: 10 Issue: 3, 309 - 315, 29.09.2020
Melih Özdede
,
Nuray Bağcı
,
Tuba Gündüz
,
İlkay Peker
Abstract
Objective: As the incidence of oropharyngeal cancer (OPC) associated with human papillomavirus (HPV) has increased rapidly in recent years, the role of dentists on this issue is also increasing. This study aims to determine the knowledge and awareness of dentists and dental students about HPV vaccination and the relationship of OPC.
Methods: A total of 209 participants, consisting of 82 dentists and 127 dental students, were filled out the questionnaires about the general HPV knowledge, HPV-OPC relationship, and HPV vaccination. The Fisher Exact and the Mann Whitney U tests were used to determining the difference between the two groups. The analyses were performed in R, and the significance levels were set at 0.05.
Results: The majority of the respondents answered the general questions about HPV correctly. Almost all of the participants in our study were found to have high awareness about the HPV-OPC relationship, most of them do not have enough information about the HPV-related OPCs have a better prognosis than other OPCs. Both dentists and dental students stated that they did not think they had enough information about HPV vaccination. Dental students were more conscious and more motivated than dentists in recommending HPV vaccination to their patients (p < 0.05).
Conclusion: Our study showed that dentists and dentistry students had a high level of knowledge in general subjects related to HPV. It was determined that the knowledge of both groups was insufficient regarding the HPV-OPC relationship and HPV vaccination, and the participants were eager to overcome these shortcomings.
References
- Gupta SS, Gupta SS. Role of human papillomavirus in oral squamous cell carcinoma and oral potentially malignant disorders: A review of the literature. Indian J Dent 2015; 6:91–98.
- Rutkoski H, Fowler B, Mooney R, Pappas L, Dixon BL, Pinzon LM, Winkler J, Kepka D. Pilot test of survey to assess dental and dental hygiene student human papillomavirus-related oropharyngeal cancer knowledge, perceptions, and clinical practices. J Cancer Educ 2018; 33:907–914.
- Güneri P, Gürhan C, Karaca B. The role of the human papilloma virus in head and neck squamous cell carcinoma. EÜ Dişhek Fak Derg 2018; 39:123–124.
- D’Souza G, Agrawal Y, Halpern J, Bodison S, Gillison ML. Oral sexual behaviors associated with prevalent oral human papillomavirus infection. J Infect Dis 2009; 199:1263–1269.
- Ragin C, Edwards R, Larkins-Pettigrew M, Taioli E, Eckstein S, Thurman N, Bloome J, Markovic N. Oral HPV ınfection and sexuality: a cross-sectional study in women. Int J Mol Sci 2011; 12:3928–3940.
- Mallen-St Clair J, Alani M, Wang MB, Srivastan ES. Human papillomavirus in oropharyngeal cancer: The changing face of a disease. Biochim Biophys Acta - Rev Cancer 2016; 1866:141–150.
- Miller CS, Johnstone BM. Human papillomavirus as a risk factor for oral squamous cell carcinoma: A meta-analysis, 1982-1997. Oral Surgery, Oral Med Oral Pathol Oral Radiol Endodontology 2001; 91:622–635.
- Gooi Z, Chan JYK, Fakhry C. The epidemiology of the human papillomavirus related to oropharyngeal head and neck cancer. Laryngoscope 2016; 126:894–900.
- Arnell TL, York C, Nadeau A, Donnelly ML, Till L, Zargari P, Davis W, Finley C, Delaney T, Carney J. The role of the dental community in oropharyngeal cancer prevention through HPV vaccine advocacy. J Cancer Educ. 2019 Nov 14. doi: 10.1007/s13187-019-01628-w. [Epub ahead of print].
- Patel S, Koskan A, Spolarich A, Perry M, Flood T. Dental professionals’ knowledge, attitudes, and practice behaviors related to human papillomavirus vaccination. J Public Health Dent 2020; 80:61–69.
- Kartal M, Gunvar T, Limnili G, Hatipoglu S, Guldal D. Birinci basamak hekimleri serviks kanseri ve HPV asisi ile ilgili ne biliyorlar? Turki Aile Hek Derg 2011; 15:1–6.
- Yuksel B, Sencan H, Kucur Kabil S, Gozukara I, Seven A, Polat M, Keskin N. Human papilloma virus (HPV) enfeksiyonu ve HPV aşısı hakkında bilgi düzeyi ve genel eğilimler; Dumlupınar Üniversitesi - Evliya Çelebi Eğitim ve Araştırma Hastanesi’ndeki doktor, hemşire ve sağlık personellerini içeren anket taraması. Jinekoloji - Obstet ve Neonatoloji Tıp Derg 2015; 12:64–67.
- Rutkoski H, Tay DL, Dixon BL, Pinzon LM, Mooney R, Winkler JR, Kepka D. A Multi-state evaluation of oral health students’ knowledge of human papillomavirus-related oropharyngeal cancer and HPV vaccination. J Cancer Educ. 2019 Jun 20. doi: 10.1007/s13187-019-01561-y. [Epub ahead of print].
- Daley E, Dodd V, DeBate R, Vamos C, Wheldon C, Kline N, Smith S, Chandler R, Dyer K, Helmy H, Driscoll A. Prevention of HPV-related oral cancer: assessing dentists’ readiness. Public Health 2014; 128:231–238.
- Brewer NT, Fazekas KI. Predictors of HPV vaccine acceptability: A theory-informed, systematic review. Prev Med (Baltim) 2007; 45:107–114.
- Applebaum E, Ruhlen TN, Kronenberg FR, Hayes C, Peters ES. Oral cancer knowledge, attitudes and practices. J Am Dent Assoc 2009; 140:461–467.
- Chaturvedi AK, Engels EA, Anderson WF, Gillison ML. Incidence trends for human papillomavirus–related and –unrelated oral squamous cell carcinomas in the United States. J Clin Oncol 2008; 26:612–619.
- Naleway AL, Henninger ML, Waiwaiole LA, Mosen DM, Leo MC, Pihlstrom DJ. Dental provider practices and perceptions regarding adolescent vaccination. J Public Health Dent 2018; 78:159–164.
- Daley E, DeBate R, Dodd V, Dyer K, Fuhrmann H, Helmy H, Smith SA. Exploring awareness, attitudes, and perceived role among oral health providers regarding HPV-related oral cancers. J Public Health Dent 2011; 71:136–142.
- ADA Adopts Policy on HPV Vaccination for the Prevention of Oral HPV Infection [Internet]. [cited 2020 Jun 1]. Available from: https://www.ada.org/en/press-room/news-releases/2018-archives/october/ada-adopts-policy-on-hpv-vaccination-for-the-prevention-of-oral-hpv-infection
- Görkem Ü, Toğrul C, İnal HA, Salman-Özgü B, Güngör T. Üniversite hastanesinde çalışan yardımcı sağlık personelinin Human Papilloma Virüs ve aşısı hakkında bilgi düzeyleri ve tutumları. Turk Hij Den Biyol Derg 2015; 72:303–310.
- Güdücü N, Gönenç G, İşçi H, Yiğiter AB, Dünder İ. Awareness of human papilloma virus, cervical cancer and HPV vaccine in healthcare workers and students of medical and nursing schools. J Clin Exp Investig 2012;3: 318–325.
- Özakar Akça S, Selen F, Büyükgönenç L. Hemşirelerin human papilloma virüs (HPV) enfeksiyonu ve HPV aşısı hakkındaki bilgi düzeyleri: eğitim ve araştırma hastanesi örneği. Hemşirelikte Eğitim ve Araştırma Derg 2016; 13:116–121.
Year 2020,
Volume: 10 Issue: 3, 309 - 315, 29.09.2020
Melih Özdede
,
Nuray Bağcı
,
Tuba Gündüz
,
İlkay Peker
References
- Gupta SS, Gupta SS. Role of human papillomavirus in oral squamous cell carcinoma and oral potentially malignant disorders: A review of the literature. Indian J Dent 2015; 6:91–98.
- Rutkoski H, Fowler B, Mooney R, Pappas L, Dixon BL, Pinzon LM, Winkler J, Kepka D. Pilot test of survey to assess dental and dental hygiene student human papillomavirus-related oropharyngeal cancer knowledge, perceptions, and clinical practices. J Cancer Educ 2018; 33:907–914.
- Güneri P, Gürhan C, Karaca B. The role of the human papilloma virus in head and neck squamous cell carcinoma. EÜ Dişhek Fak Derg 2018; 39:123–124.
- D’Souza G, Agrawal Y, Halpern J, Bodison S, Gillison ML. Oral sexual behaviors associated with prevalent oral human papillomavirus infection. J Infect Dis 2009; 199:1263–1269.
- Ragin C, Edwards R, Larkins-Pettigrew M, Taioli E, Eckstein S, Thurman N, Bloome J, Markovic N. Oral HPV ınfection and sexuality: a cross-sectional study in women. Int J Mol Sci 2011; 12:3928–3940.
- Mallen-St Clair J, Alani M, Wang MB, Srivastan ES. Human papillomavirus in oropharyngeal cancer: The changing face of a disease. Biochim Biophys Acta - Rev Cancer 2016; 1866:141–150.
- Miller CS, Johnstone BM. Human papillomavirus as a risk factor for oral squamous cell carcinoma: A meta-analysis, 1982-1997. Oral Surgery, Oral Med Oral Pathol Oral Radiol Endodontology 2001; 91:622–635.
- Gooi Z, Chan JYK, Fakhry C. The epidemiology of the human papillomavirus related to oropharyngeal head and neck cancer. Laryngoscope 2016; 126:894–900.
- Arnell TL, York C, Nadeau A, Donnelly ML, Till L, Zargari P, Davis W, Finley C, Delaney T, Carney J. The role of the dental community in oropharyngeal cancer prevention through HPV vaccine advocacy. J Cancer Educ. 2019 Nov 14. doi: 10.1007/s13187-019-01628-w. [Epub ahead of print].
- Patel S, Koskan A, Spolarich A, Perry M, Flood T. Dental professionals’ knowledge, attitudes, and practice behaviors related to human papillomavirus vaccination. J Public Health Dent 2020; 80:61–69.
- Kartal M, Gunvar T, Limnili G, Hatipoglu S, Guldal D. Birinci basamak hekimleri serviks kanseri ve HPV asisi ile ilgili ne biliyorlar? Turki Aile Hek Derg 2011; 15:1–6.
- Yuksel B, Sencan H, Kucur Kabil S, Gozukara I, Seven A, Polat M, Keskin N. Human papilloma virus (HPV) enfeksiyonu ve HPV aşısı hakkında bilgi düzeyi ve genel eğilimler; Dumlupınar Üniversitesi - Evliya Çelebi Eğitim ve Araştırma Hastanesi’ndeki doktor, hemşire ve sağlık personellerini içeren anket taraması. Jinekoloji - Obstet ve Neonatoloji Tıp Derg 2015; 12:64–67.
- Rutkoski H, Tay DL, Dixon BL, Pinzon LM, Mooney R, Winkler JR, Kepka D. A Multi-state evaluation of oral health students’ knowledge of human papillomavirus-related oropharyngeal cancer and HPV vaccination. J Cancer Educ. 2019 Jun 20. doi: 10.1007/s13187-019-01561-y. [Epub ahead of print].
- Daley E, Dodd V, DeBate R, Vamos C, Wheldon C, Kline N, Smith S, Chandler R, Dyer K, Helmy H, Driscoll A. Prevention of HPV-related oral cancer: assessing dentists’ readiness. Public Health 2014; 128:231–238.
- Brewer NT, Fazekas KI. Predictors of HPV vaccine acceptability: A theory-informed, systematic review. Prev Med (Baltim) 2007; 45:107–114.
- Applebaum E, Ruhlen TN, Kronenberg FR, Hayes C, Peters ES. Oral cancer knowledge, attitudes and practices. J Am Dent Assoc 2009; 140:461–467.
- Chaturvedi AK, Engels EA, Anderson WF, Gillison ML. Incidence trends for human papillomavirus–related and –unrelated oral squamous cell carcinomas in the United States. J Clin Oncol 2008; 26:612–619.
- Naleway AL, Henninger ML, Waiwaiole LA, Mosen DM, Leo MC, Pihlstrom DJ. Dental provider practices and perceptions regarding adolescent vaccination. J Public Health Dent 2018; 78:159–164.
- Daley E, DeBate R, Dodd V, Dyer K, Fuhrmann H, Helmy H, Smith SA. Exploring awareness, attitudes, and perceived role among oral health providers regarding HPV-related oral cancers. J Public Health Dent 2011; 71:136–142.
- ADA Adopts Policy on HPV Vaccination for the Prevention of Oral HPV Infection [Internet]. [cited 2020 Jun 1]. Available from: https://www.ada.org/en/press-room/news-releases/2018-archives/october/ada-adopts-policy-on-hpv-vaccination-for-the-prevention-of-oral-hpv-infection
- Görkem Ü, Toğrul C, İnal HA, Salman-Özgü B, Güngör T. Üniversite hastanesinde çalışan yardımcı sağlık personelinin Human Papilloma Virüs ve aşısı hakkında bilgi düzeyleri ve tutumları. Turk Hij Den Biyol Derg 2015; 72:303–310.
- Güdücü N, Gönenç G, İşçi H, Yiğiter AB, Dünder İ. Awareness of human papilloma virus, cervical cancer and HPV vaccine in healthcare workers and students of medical and nursing schools. J Clin Exp Investig 2012;3: 318–325.
- Özakar Akça S, Selen F, Büyükgönenç L. Hemşirelerin human papilloma virüs (HPV) enfeksiyonu ve HPV aşısı hakkındaki bilgi düzeyleri: eğitim ve araştırma hastanesi örneği. Hemşirelikte Eğitim ve Araştırma Derg 2016; 13:116–121.