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Association between Sexual Activity and Human Papillomavirus (HPV) Vaccine Initiation and Completion among College Students

HPV vaccination is most effective if received before initiation of sexual activity. Previous studies suggested that young adult women who were not sexually active were not interested in receiving the vaccine because they did not think it was necessary. Whether this misperception is still prevalent t...

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Autores principales: Adjei Boakye, Eric, McKinney, Stacey L., Whittington, Kelli D., Boyer, Valerie E., Franca, Maria C., Lee, Minjee, McKinnies, Richard C., Collins, Sandra K., Gerend, Mary A.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9784235/
https://www.ncbi.nlm.nih.gov/pubmed/36560489
http://dx.doi.org/10.3390/vaccines10122079
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author Adjei Boakye, Eric
McKinney, Stacey L.
Whittington, Kelli D.
Boyer, Valerie E.
Franca, Maria C.
Lee, Minjee
McKinnies, Richard C.
Collins, Sandra K.
Gerend, Mary A.
author_facet Adjei Boakye, Eric
McKinney, Stacey L.
Whittington, Kelli D.
Boyer, Valerie E.
Franca, Maria C.
Lee, Minjee
McKinnies, Richard C.
Collins, Sandra K.
Gerend, Mary A.
author_sort Adjei Boakye, Eric
collection PubMed
description HPV vaccination is most effective if received before initiation of sexual activity. Previous studies suggested that young adult women who were not sexually active were not interested in receiving the vaccine because they did not think it was necessary. Whether this misperception is still prevalent today—and also shared by men—is unknown. This study examined whether sexual activity was associated with HPV vaccine uptake (initiation and completion) among university students. A cross-sectional study was conducted between February and May 2021 among students (n = 951) at a public Midwestern University. Sexual activity was categorized as “never” or “ever” had oral and/or vaginal sex. Outcome variables were HPV vaccine initiation, defined as receipt of ≥1 dose, and completion, defined as receipt of ≥3 doses. Multivariable logistic regression models estimated the association between sexual activity and HPV vaccine uptake, adjusting for sociodemographic factors. Approximately 18% of students reported never engaging in sexual activity. Overall, 45.5% initiated the HPV vaccine, and 16.5% completed the vaccine series. After adjusting for covariates, compared to students that reported never engaging in sexual activity, those that had ever engaged in sexual activity were more likely to have initiated the vaccine series (aOR = 2.06, 95% CI: 1.34–3.17); however, no difference was observed for completion. HPV vaccination was low; sexually naïve students were less likely to initiate the HPV vaccine. Since sexually naïve students may benefit from receiving the HPV vaccination, targeted interventions should be implemented towards this population to help increase vaccination rates and prevent HPV-associated diseases.
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spelling pubmed-97842352022-12-24 Association between Sexual Activity and Human Papillomavirus (HPV) Vaccine Initiation and Completion among College Students Adjei Boakye, Eric McKinney, Stacey L. Whittington, Kelli D. Boyer, Valerie E. Franca, Maria C. Lee, Minjee McKinnies, Richard C. Collins, Sandra K. Gerend, Mary A. Vaccines (Basel) Article HPV vaccination is most effective if received before initiation of sexual activity. Previous studies suggested that young adult women who were not sexually active were not interested in receiving the vaccine because they did not think it was necessary. Whether this misperception is still prevalent today—and also shared by men—is unknown. This study examined whether sexual activity was associated with HPV vaccine uptake (initiation and completion) among university students. A cross-sectional study was conducted between February and May 2021 among students (n = 951) at a public Midwestern University. Sexual activity was categorized as “never” or “ever” had oral and/or vaginal sex. Outcome variables were HPV vaccine initiation, defined as receipt of ≥1 dose, and completion, defined as receipt of ≥3 doses. Multivariable logistic regression models estimated the association between sexual activity and HPV vaccine uptake, adjusting for sociodemographic factors. Approximately 18% of students reported never engaging in sexual activity. Overall, 45.5% initiated the HPV vaccine, and 16.5% completed the vaccine series. After adjusting for covariates, compared to students that reported never engaging in sexual activity, those that had ever engaged in sexual activity were more likely to have initiated the vaccine series (aOR = 2.06, 95% CI: 1.34–3.17); however, no difference was observed for completion. HPV vaccination was low; sexually naïve students were less likely to initiate the HPV vaccine. Since sexually naïve students may benefit from receiving the HPV vaccination, targeted interventions should be implemented towards this population to help increase vaccination rates and prevent HPV-associated diseases. MDPI 2022-12-05 /pmc/articles/PMC9784235/ /pubmed/36560489 http://dx.doi.org/10.3390/vaccines10122079 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Adjei Boakye, Eric
McKinney, Stacey L.
Whittington, Kelli D.
Boyer, Valerie E.
Franca, Maria C.
Lee, Minjee
McKinnies, Richard C.
Collins, Sandra K.
Gerend, Mary A.
Association between Sexual Activity and Human Papillomavirus (HPV) Vaccine Initiation and Completion among College Students
title Association between Sexual Activity and Human Papillomavirus (HPV) Vaccine Initiation and Completion among College Students
title_full Association between Sexual Activity and Human Papillomavirus (HPV) Vaccine Initiation and Completion among College Students
title_fullStr Association between Sexual Activity and Human Papillomavirus (HPV) Vaccine Initiation and Completion among College Students
title_full_unstemmed Association between Sexual Activity and Human Papillomavirus (HPV) Vaccine Initiation and Completion among College Students
title_short Association between Sexual Activity and Human Papillomavirus (HPV) Vaccine Initiation and Completion among College Students
title_sort association between sexual activity and human papillomavirus (hpv) vaccine initiation and completion among college students
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9784235/
https://www.ncbi.nlm.nih.gov/pubmed/36560489
http://dx.doi.org/10.3390/vaccines10122079
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