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Article: Sexual behaviors and intention for cervical screening among HPV-vaccinated young Chinese females

TitleSexual behaviors and intention for cervical screening among HPV-vaccinated young Chinese females
Authors
KeywordsSexual behaviour
Chinese
HPV vaccination
Cervical screening
Issue Date2020
Citation
Vaccine, 2020, v. 38, n. 5, p. 1025-1031 How to Cite?
AbstractBackground and objectives: Human papillomavirus (HPV) vaccination and cervical screening prevent cervical cancer effectively. However, there are concerns whether vaccination leads to high-risk sexual behaviors and less intention for cervical screening. We aimed to evaluate the influence of HPV vaccination on high-risk sexual behaviors, and intention for cervical screening among young Chinese females. We also reported the latest HPV vaccination uptake in Hong Kong. Methods: A population-based survey was conducted between September 2016 and January 2017. Subjects were school-age girls from twenty-five secondary schools (in-school) and community females between 18 and 27 years (out-school). Demographics, vaccine-related attitudes, intention for cervical screening and participants’ sexual behaviors were examined. Results: We surveyed 2260 females from in-school (n = 1664) and out-school (n = 596) settings. 11.5% in-school and 23.5% out-school participants received at least one dose of HPV vaccine. Vaccination was not associated with age (in-school Odds Ratio [OR] 0.99, p = 0.87; out-school OR 1, p = 0.94), ethnicity (in-school OR 0.82, p = 0.72; out-school OR 0, p = 0.98), maternal education (in-school OR for secondary school 1.19, p = 0.43; for post-secondary school 1.28, p = 0.48), underage sex (in-school OR 1.22, p = 0.80; out-school OR 0.63, p = 0.67), earlier sexual exposure (in-school β 0.01, p = 0.99; out-school β 0.13, p = 0.68), multiple sex partners (in-school OR 3.27, p = 0.22; out-school OR 1.16, p = 0.43), and unprotected sex (in-school OR 1.14, p = 0.78; out-school OR 0.60, p = 0.10). Out-school females with higher personal education level was associated with higher vaccine uptake (post-secondary OR 3.4, p < 0.001; bachelor's degree or above OR 3.71, p < 0.001). More vaccinated females intended for cervical screening (in-school 23.6% vs. 21.1%; out-school 53.6% vs. 43.6%). Costs and knowledge were important factors for non-vaccination and non-intention for cervical screening. Conclusions: HPV vaccination was not associated with earlier and high risk sexual behavior among Chinese young females. Vaccinated Chinese young females had a higher intention for cervical screening.
Persistent Identifierhttp://hdl.handle.net/10722/285855
ISSN
2020 Impact Factor: 3.641
2020 SCImago Journal Rankings: 1.585
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorChua, GT-
dc.contributor.authorHo, FK-
dc.contributor.authorTung, KT-
dc.contributor.authorWong, RS-
dc.contributor.authorCheong, KN-
dc.contributor.authorYip, PS-
dc.contributor.authorFan, SY-
dc.contributor.authorWong, WH-
dc.contributor.authorQiao, Y-
dc.contributor.authorChui, CS-
dc.contributor.authorLi, SX-
dc.contributor.authorIp, P-
dc.date.accessioned2020-08-18T04:56:49Z-
dc.date.available2020-08-18T04:56:49Z-
dc.date.issued2020-
dc.identifier.citationVaccine, 2020, v. 38, n. 5, p. 1025-1031-
dc.identifier.issn0264-410X-
dc.identifier.urihttp://hdl.handle.net/10722/285855-
dc.description.abstractBackground and objectives: Human papillomavirus (HPV) vaccination and cervical screening prevent cervical cancer effectively. However, there are concerns whether vaccination leads to high-risk sexual behaviors and less intention for cervical screening. We aimed to evaluate the influence of HPV vaccination on high-risk sexual behaviors, and intention for cervical screening among young Chinese females. We also reported the latest HPV vaccination uptake in Hong Kong. Methods: A population-based survey was conducted between September 2016 and January 2017. Subjects were school-age girls from twenty-five secondary schools (in-school) and community females between 18 and 27 years (out-school). Demographics, vaccine-related attitudes, intention for cervical screening and participants’ sexual behaviors were examined. Results: We surveyed 2260 females from in-school (n = 1664) and out-school (n = 596) settings. 11.5% in-school and 23.5% out-school participants received at least one dose of HPV vaccine. Vaccination was not associated with age (in-school Odds Ratio [OR] 0.99, p = 0.87; out-school OR 1, p = 0.94), ethnicity (in-school OR 0.82, p = 0.72; out-school OR 0, p = 0.98), maternal education (in-school OR for secondary school 1.19, p = 0.43; for post-secondary school 1.28, p = 0.48), underage sex (in-school OR 1.22, p = 0.80; out-school OR 0.63, p = 0.67), earlier sexual exposure (in-school β 0.01, p = 0.99; out-school β 0.13, p = 0.68), multiple sex partners (in-school OR 3.27, p = 0.22; out-school OR 1.16, p = 0.43), and unprotected sex (in-school OR 1.14, p = 0.78; out-school OR 0.60, p = 0.10). Out-school females with higher personal education level was associated with higher vaccine uptake (post-secondary OR 3.4, p < 0.001; bachelor's degree or above OR 3.71, p < 0.001). More vaccinated females intended for cervical screening (in-school 23.6% vs. 21.1%; out-school 53.6% vs. 43.6%). Costs and knowledge were important factors for non-vaccination and non-intention for cervical screening. Conclusions: HPV vaccination was not associated with earlier and high risk sexual behavior among Chinese young females. Vaccinated Chinese young females had a higher intention for cervical screening.-
dc.languageeng-
dc.relation.ispartofVaccine-
dc.subjectSexual behaviour-
dc.subjectChinese-
dc.subjectHPV vaccination-
dc.subjectCervical screening-
dc.titleSexual behaviors and intention for cervical screening among HPV-vaccinated young Chinese females-
dc.typeArticle-
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1016/j.vaccine.2019.11.044-
dc.identifier.pmid31786002-
dc.identifier.scopuseid_2-s2.0-85076223785-
dc.identifier.hkuros314789-
dc.identifier.volume38-
dc.identifier.issue5-
dc.identifier.spage1025-
dc.identifier.epage1031-
dc.identifier.eissn1873-2518-
dc.identifier.isiWOS:000514252100009-
dc.identifier.issnl0264-410X-

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