Risk Perceptions and Subsequent Sexual Behaviors After HPV Vaccination in Adolescents
Risk Perceptions and Subsequent Sexual Behaviors After HPV Vaccination in Adolescents
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DOI：
10.1542/peds.2013-2822
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发表时间：
2014-03-01
期刊：
影响因子：
8
通讯作者：
Kahn, Jessica A.
中科院分区：
文献类型：
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作者：
Mayhew, Allison;Mullins, Tanya L. Kowalczyk;Kahn, Jessica A.
目的：人们担心，人乳头瘤病毒（HPV）疫苗接种可能会导致风险观念的改变和青少年危险性行为的增加。本研究的目的是评估是否青少年的风险认知后，第一剂疫苗预测随后的性行为。方法：年轻女性13至21岁（N = 339）完成问卷调查后立即接种HPV疫苗，2个月和6个月后，评估人口统计学特征，知识/态度有关HPV疫苗接种，风险认知和性行为。风险感知通过使用2个5项量表评估：（1）感知的性传播感染（STI）风险，而不是HPV，（2）感知需要HPV疫苗接种后更安全的性行为。我们通过逻辑回归评估了基线时的风险认知与未来6个月内的性行为之间的关系，并根据基线时的性经历和年龄对参与者进行了分层（13-15 vs 16-21岁）。结果：在所有性经验不足的参与者中（42.5%），基线风险认知与随后的性行为开始无关;在年龄分层分析中，16至21岁的女孩报告其他性传播感染的风险较低，（不适当的认知）不太可能开始性行为（比值比[OR] 0.13，95%置信区间[CI] 0.03-0.69）。在所有有性经验的参与者（57.5%）和年龄分层分析，基线风险认知与随后的性伴侣或避孕套use.Conclusions的数量无关：HPV疫苗接种后的风险认知与随后的6个月在本研究样本的风险性行为。
OBJECTIVES: Concerns have been raised that human papillomavirus (HPV) vaccination could lead to altered risk perceptions and an increase in risky sexual behaviors among adolescents. The aim of this study was to assess whether adolescent risk perceptions after the first vaccine dose predicted subsequent sexual behaviors.METHODS: Young women 13 to 21 years of age (N = 339) completed questionnaires immediately after HPV vaccination, and 2 and 6 months later, assessing demographic characteristics, knowledge/attitudes about HPV vaccination, risk perceptions, and sexual behaviors. Risk perceptions were measured by using 2 5-item scales assessing: (1) perceived risk of sexually transmitted infections (STI) other than HPV, and (2) perceived need for safer sexual behaviors after HPV vaccination. We assessed associations between risk perceptions at baseline and sexual behaviors over the next 6 months by using logistic regression, stratifying participants by sexual experience at baseline and age (13-15 vs 16-21 years).RESULTS: Among all sexually inexperienced participants (42.5%), baseline risk perceptions were not associated with subsequent sexual initiation; in age-stratified analyses, girls 16 to 21 years of age who reported lower perceived risk for other STI (an inappropriate perception) were less likely to initiate sex (odds ratio [OR] 0.13, 95% confidence interval [CI] 0.03-0.69). Among all sexually experienced participants (57.5%) and in age-stratified analyses, baseline risk perceptions were not associated with subsequent number of sexual partners or condom use.CONCLUSIONS: Risk perceptions after HPV vaccination were not associated with riskier sexual behaviors over the subsequent 6 months in this study sample.