Oral/oropharyngeal "selfies" in gay and bisexual men: a pilot study exploring oropharyngeal screening for HPV-related possible malignancies.
Oral/oropharyngeal "selfies" in gay and bisexual men: a pilot study exploring oropharyngeal screening for HPV-related possible malignancies.
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DOI：
10.3389/fpubh.2023.1233274
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发表时间：
2023
影响因子：
5.2
通讯作者：
Khariwala, Samir S.
中科院分区：
文献类型：
--
作者：
Ross, Michael W.;Bennis, Sarah L.;Nichols, C. Mark;Zoschke, I. Niles;Wilkerson, J. Michael;Rosser, B. R. Simon;Stull, Cyndee L.;Nyitray, Alan G.;Flash, Charlene;Khariwala, Samir S.
这项研究旨在确定男同性恋者/双性恋者口咽部自拍的潜在摄取率和质量，作为HPV相关性口咽癌的筛查方法。从1699名美国同性恋/双性恋男性中，对口咽癌的知识和态度进行了调查，随机抽取了320名男性，邀请他们用智能手机拍摄口咽部自拍，并将其发送到研究网站：113人(35.5%)这样做了。图像的质量由三个医疗保健专业评分员进行，彼此视而不见，以耳鼻咽喉科医生为黄金标准。在第二波中，那些图像被评为不可接受的人被发送了一段简短的教学视频，并被要求发送另一张图像。在65名受邀者中，有46人这样做了。另有15.2%的样本发送了可接受的图像，总共有28.3%的样本是可接受的。共有1121名男性愿意参与这项未来的研究，他们相信自己可以拍出高质量的“口头自拍”，他们可能有资格参加这项活动。随机抽样320名参与者：153名参与者(47.8%)开始，113名参与者(35.3%)提交了一张图片。应答者更有可能更年轻，对口咽部HPV相关癌症有更高的知识得分，并接受过HPV疫苗接种。三位评分者之间有很高的一致性。图像质量良好/可接受占22.1%，口咽部分遮挡图像占29.2%，口咽不可见图像占18.6%，图像太暗占21.2%，图像太小占8.8%。在带有教学视频的第二波请求中，另外15.2%的请求发送了高质量的图像，其余的问题是舌头部分阻塞扁桃体。三分之一的受邀男同性恋者和双性恋者将口咽部自拍图像发送到研究网站，总共有28.3%的人具有临床可接受的质量。在一段关于较差质量图像的教学视频之后，收到了更高质量的图像。保留了一个障碍，即舌头对口咽的部分阻塞。高质量的口咽部“自拍”可以在网上买到。
This study aims to determine the potential uptake and quality of oropharyngeal “selfies” taken by gay/bisexual men as a screening approach for HPV-associated oropharyngeal cancer. From 1,699 gay/bisexual men in the US, surveyed about knowledge and attitudes to HPV-associated oropharyngeal cancer, a random sample of 320 men were invited to take an oropharyngeal “selfie” by smartphone and send it to the study website: 113 (35.5%) did so. Images were rated for quality by three healthcare professional raters blinded to each other's rating, with an otolaryngologist as the gold standard. In the second wave, those whose images were rated as unacceptable were sent a short instructional video and asked to send another image. Of the 65 invited, 46 did so. An additional 15.2% sent acceptable images, and a total of 28.3% of the sample was acceptable. A total of 1,121 men willing to participate in the future study who believed they could take a quality “oral selfie” were potentially eligible for this activity. A random sample of 320 participated: 153 participants started (47.8%) and 113 participants (35.3%) submitted an image. Responders were more likely to be younger, have higher knowledge scores on oropharyngeal HPV-related cancer, and have had HPV vaccination. There was high agreement between the three raters. Images of good/acceptable quality were 22.1%; oropharynx partially occluded images were 29.2%; oropharynx not visible images were 18.6%; images too dark were 21.2%; and images too small were 8.8%. From the second wave of requests with instructional videos, an additional 15.2% sent in quality images, with the remaining issues being partial occlusion of the tonsils by the tongue. One-third of the invited gay and bisexual men sent oropharyngeal selfie images to the study website and a total of 28.3% were of clinically acceptable quality. Following an instructional video on poorer-quality images, additional quality images were received. One barrier, i.e., partial occlusion of the oropharynx by the tongue remained. Quality oropharyngeal “selfies” are obtainable online.
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DOI：
10.1176/appi.ajp.2020.20010005
发表时间：
2020-11-01
期刊：
The American journal of psychiatry
影响因子：
--
作者：
Evans-Polce RJ;Kcomt L;Veliz PT;Boyd CJ;McCabe SE
通讯作者：
McCabe SE
影响因子：
5.2
作者：
Zoschke, I. Niles;Bennis, Sarah L.;Wilkerson, J. Michael;Stull, Cynthia L.;Nyitray, Alan G.;Khariwala, Samir S.;Nichols, C. Mark;Rosser, B. R. Simon;Flash, Charlene;Ross, Michael W.
通讯作者：
Ross, Michael W.
影响因子：
4.7
作者：
Wang, Melinda;Gendreau, James L.;Raugi, Gregory J.
通讯作者：
Raugi, Gregory J.
影响因子：
4.8
作者：
Amini, Arya;Jasem, Jagar;Karam, Sana D.
通讯作者：
Karam, Sana D.
DOI：
10.1056/nejmoa0912217
发表时间：
2010-07-01
期刊：
The New England journal of medicine
影响因子：
--
作者：
Ang KK;Harris J;Wheeler R;Weber R;Rosenthal DI;Nguyen-Tân PF;Westra WH;Chung CH;Jordan RC;Lu C;Kim H;Axelrod R;Silverman CC;Redmond KP;Gillison ML
通讯作者：
Gillison ML