The DOI matches its Crossref record; 19 of the 19 references it cites were found in a registry or an index.
Prevalence of human papillomavirus in the oral cavity/oropharynx in a large population of children and adolescents.
Abstract
OBJECTIVE: Human papillomavirus (HPV) in the oral cavity or oropharynx is associated with an increased risk of laryngeal papillomatosis, head and neck cancer, and cervical and other genital cancers. We evaluated the prevalence of HPV DNA in the oral cavity/oropharynx in a cross section of children aged 2 weeks to 20 years. METHODS: A risk factor questionnaire and oral exfoliated cells were collected from children (N = 1235). HPV DNA was detected using PCR, dot blot hybridization, and DNA sequencing. RESULTS: The HPV prevalence was 1.9% in the oral cavity/oropharynx of children. A bimodal age distribution was observed with the highest HPV prevalence in the youngest and oldest groups: 2.5% aged <1 year, 0.8% aged 1 to 4 years, 1.2% aged 5 to 11 years, 1.5% in aged 12 to 15 years, and 3.3% in aged 16 to 20 years. The prevalence of the HPV quadrivalent vaccine types (HPV-6, 11, 16, 18) reached 0.9% in the 16- to 20-year age group. In this age group, female gender [odds ratio (OR): 6.9, P = 0.04], genital warts (OR: 19.3, P < 0.01), and current smoker (OR: 6.5, P = 0.01) were associated with a higher risk of being detected with an oral HPV infection. No risk factors in parents were identified with transmission of HPV to infants. CONCLUSIONS: The age-specific prevalence rates of HPV in this large cross section of children and adolescents demonstrate that HPV infection is acquired gradually in childhood. These data support a target age for HPV vaccination before puberty to prevent serious HPV-related genital and oral diseases.
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“Genital warts have been diagnosed among children who have been sexually abused (1426) but also among children who have no other evidence of sexual abuse (1446,1447); lesions appearing for the first time in a child aged >5 years are more likely to have been caused by sexual transmission (1448).”
From Sexually Transmitted Infections Treatment Guidelines, 2021 (2021) · cites this paper as [1446]
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Harper, D. M., Franco, E. L., Wheeler, C. M., Ferris, D. G., Jenkins, D., Schuind, A., Zahaf, T., Innis, B. L., Naud, P., de Carvalho, N. S., et al. (2004) · The Lancet · doi:10.1016/s0140-6736(04)17398-4 · Cited by 1,639
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Human Papillomavirus in Oral Exfoliated Cells and Risk of Head and Neck Cancer
Smith, E., Ritchie, J. M., Summersgill, K. F., et al. (2004) · JNCI Journal of the National Cancer Institute · doi:10.1093/jnci/djh074 · Cited by 299
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Low risk of perinatal transmission of human papillomavirus: Results from a prospective cohort study
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Perinatal infection and persistence of human papillomavirus types 16 and 18 in infants
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- Harper, 2006, Sustained efficacy up to 4.5 years of a bivalent L1 virus-like particle vaccine against human papillomavirus types 16 and18 in young women: a randomized controlled trial., Lancet Oncol, 364, 1757, 10.1016/S0140-6736(04)17398-4 · DOI
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Sexually Transmitted Infections Treatment Guidelines, 2021
Workowski, K. A., Bachmann, L. H., Chan, P. A., Johnston, C. M., Muzny, C. A., Park, I., Reno, H., Zenilman, J. M., & Bolan, G. A. (2021) · MMWR. Recommendations and Reports · doi:10.15585/mmwr.rr7004a1 · Cited by 3,018
Metadata
- Authors
- Smith, E. M., Swarnavel, S., Ritchie, J. M., Wang, D., Haugen, T. H., & Turek, L. P.
- Affiliations
- University of Iowa (US)
- Corresponding author
- Smith, Elaine M.
- Swarnavel, Sandhya
- Venue
- Pediatric Infectious Disease Journal
- Published
- 2007-09
- Volume
- 26
- Issue
- 9
- Pages
- 836-840
- ISSN
- 0891-3668 (ISSN-L)
- OpenAlex
- W1991658990
- Cited by
- 122
- References
- 19
- Citations by year
- 2025: 3 · 2024: 1 · 2021: 4 · 2020: 1 · 2019: 3 · 2018: 4 · 2017: 6 · 2016: 6 · 2015: 8 · 2014: 13 · 2013: 14 · 2012: 18
- FWCI
- 7.05
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- The Pediatric Infectious Disease Journal (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institutes of Health (5p50de010758-05)
- National Institute of Dental and Craniofacial Research (DE10758)
- Topics
- Health Sciences › Medicine › Epidemiology › Cervical Cancer and HPV Research
- Health Sciences › Medicine › Otorhinolaryngology › Head and Neck Cancer Studies
- Health Sciences › Dentistry › General Dentistry › Oral Health Pathology and Treatment
- Keywords
- human papillomavirus, oral HPV infection, oropharynx, children and adolescents, HPV prevalence, age-specific prevalence, genital warts, smoking, recurrent respiratory papillomatosis, oral exfoliated cells, risk factors
- MeSH terms
- Adolescent, Adult, Child, Child, Preschool, Female, Hospitals, University, Humans, Infant, Infant, Newborn, Iowa, Male, Mouth, Pharynx, Surveys and Questionnaires, Risk Factors, Prevalence, Sequence Analysis, DNA, Sex Distribution, Papillomavirus Infections, Alphapapillomavirus
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