Monogamy as a Barrier to Human Papillomavirus Catch-Up Vaccination.

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Title: Monogamy as a Barrier to Human Papillomavirus Catch-Up Vaccination.
Authors: Waters, Ansley V., Merrell, Laura K., Thompson, Erika L.
Source: Journal of Women's Health (15409996). May2021, Vol. 30 Issue 5, p705-712. 8p.
Subjects: Sexually transmitted disease risk factors, Papillomavirus diseases, Medical care use, Sexual partners, Monogamous relationships, Health attitudes, Vaccination, Human sexuality, Sensory perception, Human papillomavirus vaccines, Descriptive statistics, Attitude (Psychology), Odds ratio, Medical records, Acquisition of data, Interpersonal relations, Data analysis software, Confidence intervals, Risk perception
Abstract: Background: Human papillomavirus (HPV) is the most prevalent sexually transmitted infection (STI) in the United States. Although a vaccine to prevent HPV infection exists, only 53.7% of females 13–17 years of age were up-to-date on the HPV vaccination series in 2018. There is a catch-up period of vaccination for females 18–26 years of age that shows consistent underparticipation. A potential barrier to vaccination is relationship status, as long-term relationships may negatively impact HPV risk perception. This study examined monogamy as a risk factor for nonvaccination and explored how risk perception may influence this association. Materials and Methods: An electronic survey was distributed to females 18–26 years of age who attended a large public university in the mid-Atlantic region (n = 629). Multivariable and descriptive statistics were estimated using SAS 9.4 to explore the likelihood of vaccination during the catch-up period by relationship status. Results: Most participants had received the HPV vaccine, a small proportion of whom received it during the catch-up period. After adjusting for confounders, women who were in monogamous relationships were significantly less likely to have participated in HPV catch-up vaccination compared to women who were single and dating (adjusted odds ratio: 0.36, 95% confidence interval: 0.15, 0.87). Women in monogamous relationships had a lower average sexually transmitted disease (STD) risk perception compared to women who were single and dating (p < 0.0001). Conclusions: A decreased risk perception may present a barrier to participating in catch-up vaccination for monogamous women. Practitioners and the public health community should focus on communicating HPV risk to women in monogamous relationships, especially given the recently expanded age range for HPV vaccination. [ABSTRACT FROM AUTHOR]
Copyright of Journal of Women's Health (15409996) is the property of Mary Ann Liebert, Inc. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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– Name: Abstract
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  Data: Background: Human papillomavirus (HPV) is the most prevalent sexually transmitted infection (STI) in the United States. Although a vaccine to prevent HPV infection exists, only 53.7% of females 13–17 years of age were up-to-date on the HPV vaccination series in 2018. There is a catch-up period of vaccination for females 18–26 years of age that shows consistent underparticipation. A potential barrier to vaccination is relationship status, as long-term relationships may negatively impact HPV risk perception. This study examined monogamy as a risk factor for nonvaccination and explored how risk perception may influence this association. Materials and Methods: An electronic survey was distributed to females 18–26 years of age who attended a large public university in the mid-Atlantic region (n = 629). Multivariable and descriptive statistics were estimated using SAS 9.4 to explore the likelihood of vaccination during the catch-up period by relationship status. Results: Most participants had received the HPV vaccine, a small proportion of whom received it during the catch-up period. After adjusting for confounders, women who were in monogamous relationships were significantly less likely to have participated in HPV catch-up vaccination compared to women who were single and dating (adjusted odds ratio: 0.36, 95% confidence interval: 0.15, 0.87). Women in monogamous relationships had a lower average sexually transmitted disease (STD) risk perception compared to women who were single and dating (p &lt; 0.0001). Conclusions: A decreased risk perception may present a barrier to participating in catch-up vaccination for monogamous women. Practitioners and the public health community should focus on communicating HPV risk to women in monogamous relationships, especially given the recently expanded age range for HPV vaccination. [ABSTRACT FROM AUTHOR]
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  Data: &lt;i&gt;Copyright of Journal of Women&#39;s Health (15409996) is the property of Mary Ann Liebert, Inc. and its content may not be copied or emailed to multiple sites without the copyright holder&#39;s express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.&lt;/i&gt; (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1089/jwh.2020.8724
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 8
        StartPage: 705
    Subjects:
      – SubjectFull: Sexually transmitted disease risk factors
        Type: general
      – SubjectFull: Papillomavirus diseases
        Type: general
      – SubjectFull: Medical care use
        Type: general
      – SubjectFull: Sexual partners
        Type: general
      – SubjectFull: Monogamous relationships
        Type: general
      – SubjectFull: Health attitudes
        Type: general
      – SubjectFull: Vaccination
        Type: general
      – SubjectFull: Human sexuality
        Type: general
      – SubjectFull: Sensory perception
        Type: general
      – SubjectFull: Human papillomavirus vaccines
        Type: general
      – SubjectFull: Descriptive statistics
        Type: general
      – SubjectFull: Attitude (Psychology)
        Type: general
      – SubjectFull: Odds ratio
        Type: general
      – SubjectFull: Medical records
        Type: general
      – SubjectFull: Acquisition of data
        Type: general
      – SubjectFull: Interpersonal relations
        Type: general
      – SubjectFull: Data analysis software
        Type: general
      – SubjectFull: Confidence intervals
        Type: general
      – SubjectFull: Risk perception
        Type: general
    Titles:
      – TitleFull: Monogamy as a Barrier to Human Papillomavirus Catch-Up Vaccination.
        Type: main
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          Name:
            NameFull: Waters, Ansley V.
      – PersonEntity:
          Name:
            NameFull: Merrell, Laura K.
      – PersonEntity:
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            NameFull: Thompson, Erika L.
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            – D: 01
              M: 05
              Text: May2021
              Type: published
              Y: 2021
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              Value: 30
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              Value: 5
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            – TitleFull: Journal of Women's Health (15409996)
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