Influence of Oral Sex and Oral Cancer Information on Young Adults' Oral Sexual-Risk Cognitions and Likelihood of HPV Vaccination

Abstract

Public health information and educational interventions regarding human papillomavirus (HPV) have focused on the link between vaginal sex and cervical cancer among women. Many people are unaware that HPV can be transmitted through oral sex or that HPV causes oral cancers. Given that HPV infections and unprotected oral sex are increasing, research on oral sex-related HPV risk is important. This study examined the effect of a brief informational intervention regarding HPV and oral sex on the sexual risk cognitions of young adults. College students (N = 238) read information on HPV, oral sex, and oral cancer or no information. Participants then completed measures of oral sex and HPV knowledge, oral sex willingness, HPV vaccination likelihood, and risk perceptions. Participants who read the information on HPV and oral sex and cancer (compared to those who did not) reported greater knowledge, perceived risk and concern, and lower willingness to engage in oral sex. These effects were only significant among women. However, men reported a higher likelihood of future HPV vaccination compared to women who had not yet received the vaccine. Focusing on oral sex and cancer, this study adds to research investigating ways to reduce HPV infections.

Notes

Note. N = 238. All variables were coded such that high scores indicate more of the construct. For gender, 0 = male, 1 = female; human papillomavirus (HPV) vaccine coded 0 = no, 1 = yes; sexually transmitted infection (STI) diagnosis coded 0 = no, 1 = yes; knowledge coded 0 = incorrect or don't know, 1 = correct. The correlations with the measure HPV vaccine included the women only (n = 131), and HPV vaccination intentions correlations do not include the women who had already received the vaccine (n = 180).

*p < .05. **p ≤ .01. ***p ≤ .001. †p < .10.

Note. N = 238. All variables coded such that high scores indicate more of the construct. The means for human papillomavirus (HPV) vaccination intentions do not include the women who had already received the vaccine (n = 180). Parameter estimates in each row that share subscripts do not differ significantly.