Sex of Sexual Partners and Human Papillomavirus Vaccination Among US Girls and Women
Sex of Sexual Partners and Human Papillomavirus Vaccination Among US Girls and Women
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DOI：
10.1016/j.amepre.2015.08.025
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发表时间：
2016-03-01
影响因子：
5.5
通讯作者：
Austin, S. Bryn
中科院分区：
文献类型：
--
作者：
Agenor, Madina;McCauley, Heather L.;Austin, S. Bryn
简介：女孩和妇女在其一生中有可能从男女性伴侣感染人乳头瘤病毒和患宫颈癌。然而，没有研究评估性伴侣的性别（性取向的一个维度）与女孩和妇女的HPV疫苗接种之间的关系。方法：2014年，来自2006-2010年全国家庭增长调查的数据被用来进行logistic回归分析，估计一生中的性别与过去的性别之间的关系。美国15-25岁女孩和妇女的性伴侣和HPV疫苗意识和启动情况结果：在15-25岁的美国女孩和妇女中，HPV疫苗知晓率和HPV疫苗启动率分别为84.4%和28.5%。调整社会人口学因素后，仅与女性上年性伴侣的参与者启动HPV疫苗接种的几率显著低于仅与男性上年性伴侣的参与者（OR = 0.16，95%CI = 0.05，0.55）。同样，与仅有男性性伴侣的受试者相比，无终生（OR = 0.65，95%CI = 0.46，0.92）或上年（OR = 0.69，95%CI = 0.50，0.94）性伴侣的受试者启动HPV疫苗的调整几率显著降低。没有明显的差异，在参与者之间的男性和女性的性伴侣和那些只有男性sexual partners.Conclusions启动HPV疫苗接种的几率：医疗和公共卫生专业人员应确保只有女性或没有性伴侣的女孩和妇女包括在HPV疫苗的教育和推广工作。(C)2016年美国预防医学杂志
Introduction: Girls and women are at risk of human papillomavirus (HPV) infection and cervical cancer from male and female sexual partners throughout the life course. However, no study has assessed how sex of sexual partners, a dimension of sexual orientation, may relate to HPV vaccination among girls and women.Methods: In 2014, data from the 2006-2010 National Survey of Family Growth were used to conduct logistic regression analyses estimating the relationship between sex of lifetime and past-year sexual partners and HPV vaccine awareness and initiation among U.S. girls and women aged 15-25 years (N = 3,253).Results: Among U.S. girls and women aged 15-25 years, the prevalence of HPV vaccine awareness and HPV vaccine initiation was 84.4% and 28.5%, respectively. Adjusting for sociodemographic factors, participants with only female past-year sexual partners had significantly lower odds of initiating HPV vaccination relative to those with only male past-year sexual partners (OR = 0.16, 95% CI = 0.05, 0.55). Similarly, respondents with no lifetime (OR = 0.65, 95% CI = 0.46, 0.92) or past-year (OR = 0.69, 95% CI = 0.50, 0.94) sexual partners had significantly lower adjusted odds of HPV vaccine initiation compared with those with only male sexual partners. No difference was apparent in the odds of initiating HPV vaccination between participants with male and female sexual partners and those with only male sexual partners.Conclusions: Medical and public health professionals should ensure that girls and women with only female or no sexual partners are included in HPV vaccine education and promotion efforts. (C) 2016 American Journal of Preventive Medicine