Sexual behavior, clinical outcomes and attendance of cervical cancer screening by HPV vaccinated and unvaccinated sexually active women
Concerns were raised about HPV vaccination possibly leading to riskier sexual behavior. We assessed sexual behaviors, risk of sexually transmitted infection, and attendance to cervical cancer screening by HPV vaccinated and unvaccinated young women. In this analysis, 1475 questionnaires completed by...
| Main Authors: | , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Taylor & Francis Group
2021-11-01
|
| Series: | Human Vaccines & Immunotherapeutics |
| Subjects: | |
| Online Access: | http://dx.doi.org/10.1080/21645515.2021.1961470 |
| _version_ | 1797673236251541504 |
|---|---|
| author | Chantal Sauvageau Vladimir Gilca Manale Ouakki Marilou Kiely François Coutlée Sara Mathieu-Chartier Fannie Defay Gilles Lambert |
| author_facet | Chantal Sauvageau Vladimir Gilca Manale Ouakki Marilou Kiely François Coutlée Sara Mathieu-Chartier Fannie Defay Gilles Lambert |
| author_sort | Chantal Sauvageau |
| collection | DOAJ |
| description | Concerns were raised about HPV vaccination possibly leading to riskier sexual behavior. We assessed sexual behaviors, risk of sexually transmitted infection, and attendance to cervical cancer screening by HPV vaccinated and unvaccinated young women. In this analysis, 1475 questionnaires completed by women aged 17–29 years were included. The majority of respondents (67.9%) were vaccinated against HPV. The proportion of those vaccinated decreased with age: from 93.2% in those aged 17–19 to 72.9% in those aged 20–22, and 21.8% in 23–29-year olds. A higher proportion of unvaccinated respondents had at least one sexual intercourse under the age of 15 when compared to those vaccinated (30% vs. 23%, p < .0001). The number of sexual partners during the last 12 months was similar between vaccinated and unvaccinated participants. Vaccinated participants reported more condom use (45% versus 38%; p = .0002), and less sexually transmitted infections (10% versus 28%; p < .0001), and less anogenital condylomas (2.2% vs. 11.6%; p < .0001). A screening test has been reported by 51% and 77% of vaccinated and unvaccinated participants, respectively (p < .0001). The association between vaccination status and cervical cancer screening disappeared when adjusting for participants’ age. The study results consolidate the existing body of data regarding the absence of an impact of HPV vaccination on sexual behavior or use of contraceptives. |
| first_indexed | 2024-03-11T21:41:35Z |
| format | Article |
| id | doaj.art-4bbd680f9897484ca260746bdd337d32 |
| institution | Directory Open Access Journal |
| issn | 2164-5515 2164-554X |
| language | English |
| last_indexed | 2024-03-11T21:41:35Z |
| publishDate | 2021-11-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | Human Vaccines & Immunotherapeutics |
| spelling | doaj.art-4bbd680f9897484ca260746bdd337d322023-09-26T13:00:33ZengTaylor & Francis GroupHuman Vaccines & Immunotherapeutics2164-55152164-554X2021-11-0117114393439610.1080/21645515.2021.19614701961470Sexual behavior, clinical outcomes and attendance of cervical cancer screening by HPV vaccinated and unvaccinated sexually active womenChantal Sauvageau0Vladimir Gilca1Manale Ouakki2Marilou Kiely3François Coutlée4Sara Mathieu-Chartier5Fannie Defay6Gilles Lambert7Institut National de Santé Publique du Québec, Montreal and Quebec, Quebec, Canada, Université Laval, Axe Maladies Infectieuses et Immunitaires, Centre de Recherche du CHU de QuebecInstitut National de Santé Publique du Québec, Montreal and Quebec, Quebec, Canada, Axe Maladies Infectieuses et Immunitaires, Centre de Recherche du CHU de QuebecInstitut National de Santé Publique du Québec, Montreal and QuebecInstitut National de Santé Publique du Québec, Montreal and QuebecCentre Hospitalier de l’Universite de MontrealSanté au Travail, Institut National de Santé Publique du QuédaInstitut National de Santé Publique du Québec, Montreal and QuebecDirection Régionale de Santé Publique, Centre Intégré Universitaire de Santé et de Services Sociauxdu Centre-Sud-de-l’Île-de-Montréal, Direction des Risques Biologiques et de la Santé au Travail, Institut National de Santé Publique du Québec, Montreal and Quebec, Quebec, CanadaConcerns were raised about HPV vaccination possibly leading to riskier sexual behavior. We assessed sexual behaviors, risk of sexually transmitted infection, and attendance to cervical cancer screening by HPV vaccinated and unvaccinated young women. In this analysis, 1475 questionnaires completed by women aged 17–29 years were included. The majority of respondents (67.9%) were vaccinated against HPV. The proportion of those vaccinated decreased with age: from 93.2% in those aged 17–19 to 72.9% in those aged 20–22, and 21.8% in 23–29-year olds. A higher proportion of unvaccinated respondents had at least one sexual intercourse under the age of 15 when compared to those vaccinated (30% vs. 23%, p < .0001). The number of sexual partners during the last 12 months was similar between vaccinated and unvaccinated participants. Vaccinated participants reported more condom use (45% versus 38%; p = .0002), and less sexually transmitted infections (10% versus 28%; p < .0001), and less anogenital condylomas (2.2% vs. 11.6%; p < .0001). A screening test has been reported by 51% and 77% of vaccinated and unvaccinated participants, respectively (p < .0001). The association between vaccination status and cervical cancer screening disappeared when adjusting for participants’ age. The study results consolidate the existing body of data regarding the absence of an impact of HPV vaccination on sexual behavior or use of contraceptives.http://dx.doi.org/10.1080/21645515.2021.1961470human papillomavirushpv vaccinationsexual behavior, cervical cancer screening |
| spellingShingle | Chantal Sauvageau Vladimir Gilca Manale Ouakki Marilou Kiely François Coutlée Sara Mathieu-Chartier Fannie Defay Gilles Lambert Sexual behavior, clinical outcomes and attendance of cervical cancer screening by HPV vaccinated and unvaccinated sexually active women Human Vaccines & Immunotherapeutics human papillomavirus hpv vaccination sexual behavior, cervical cancer screening |
| title | Sexual behavior, clinical outcomes and attendance of cervical cancer screening by HPV vaccinated and unvaccinated sexually active women |
| title_full | Sexual behavior, clinical outcomes and attendance of cervical cancer screening by HPV vaccinated and unvaccinated sexually active women |
| title_fullStr | Sexual behavior, clinical outcomes and attendance of cervical cancer screening by HPV vaccinated and unvaccinated sexually active women |
| title_full_unstemmed | Sexual behavior, clinical outcomes and attendance of cervical cancer screening by HPV vaccinated and unvaccinated sexually active women |
| title_short | Sexual behavior, clinical outcomes and attendance of cervical cancer screening by HPV vaccinated and unvaccinated sexually active women |
| title_sort | sexual behavior clinical outcomes and attendance of cervical cancer screening by hpv vaccinated and unvaccinated sexually active women |
| topic | human papillomavirus hpv vaccination sexual behavior, cervical cancer screening |
| url | http://dx.doi.org/10.1080/21645515.2021.1961470 |
| work_keys_str_mv | AT chantalsauvageau sexualbehaviorclinicaloutcomesandattendanceofcervicalcancerscreeningbyhpvvaccinatedandunvaccinatedsexuallyactivewomen AT vladimirgilca sexualbehaviorclinicaloutcomesandattendanceofcervicalcancerscreeningbyhpvvaccinatedandunvaccinatedsexuallyactivewomen AT manaleouakki sexualbehaviorclinicaloutcomesandattendanceofcervicalcancerscreeningbyhpvvaccinatedandunvaccinatedsexuallyactivewomen AT mariloukiely sexualbehaviorclinicaloutcomesandattendanceofcervicalcancerscreeningbyhpvvaccinatedandunvaccinatedsexuallyactivewomen AT francoiscoutlee sexualbehaviorclinicaloutcomesandattendanceofcervicalcancerscreeningbyhpvvaccinatedandunvaccinatedsexuallyactivewomen AT saramathieuchartier sexualbehaviorclinicaloutcomesandattendanceofcervicalcancerscreeningbyhpvvaccinatedandunvaccinatedsexuallyactivewomen AT fanniedefay sexualbehaviorclinicaloutcomesandattendanceofcervicalcancerscreeningbyhpvvaccinatedandunvaccinatedsexuallyactivewomen AT gilleslambert sexualbehaviorclinicaloutcomesandattendanceofcervicalcancerscreeningbyhpvvaccinatedandunvaccinatedsexuallyactivewomen |