The sexually transmitted virus that causes cervical cancer also sharply increases the risk of certain types of throat cancer among people infected through oral sex, according to a study being published Thursday.
The study, involving 100 people with throat cancer and 200 without it, found that those infected with the human papillomavirus were 32 times as likely to develop one form of oral cancer than those free of the virus. Although previous research had indicated HPV caused oral cancer, the new study is the first to definitively establish the link, researchers said.
"It makes it absolutely clear that oral HPV infection is a risk factor," said Maura L. Gillison, an assistant professor of oncology and epidemiology at the Johns Hopkins Medical Institutions in Baltimore, who led the study published in the New England Journal of Medicine.
The findings could help explain why oral cancer rates have been increasing in recent years, particularly among younger people and those who are not smokers or heavy drinkers, which had long been the primary at-risk groups, experts said.
"There's been a kind of sea change in the last 10 years in who we're seeing with these cancers," Gillison said. "It makes sense with some changes we've seen in sexual behavior."
The findings provide new evidence that contradicts widespread misconceptions about oral sex.
"Many adolescents, and adults too, say they engage in oral sex as a less risky type of sex," said Mark A. Schuster of the Rand Corp. and UCLA, noting that herpes, syphilis, gonorrhea, HIV and other sexually transmitted infections can spread through oral sex. "What this article and others show is you absolutely can get serious sexually transmitted diseases through oral sex." |