Premium
Risk perception and sexual behavior in HPV‐vaccinated and unvaccinated young Colombian women
Author(s) -
RuizSternberg Ángela M.,
PinzónRondón Ángela M.
Publication year - 2014
Publication title -
international journal of gynecology and obstetrics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.895
H-Index - 97
eISSN - 1879-3479
pISSN - 0020-7292
DOI - 10.1016/j.ijgo.2014.03.033
Subject(s) - medicine , vaccination , demography , odds ratio , confidence interval , multivariate analysis , risk perception , young adult , cervical cancer , cross sectional study , genital warts , gynecology , gerontology , perception , immunology , cancer , biology , pathology , neuroscience , sociology
Objective To compare sexual behaviors and risk perception between young women vaccinated for HPV and unvaccinated Colombian women. Methods In a cross‐sectional design study, 1436 women (231 adolescents, < 18 years; 1205 young women, 18–26 years) completed a self‐administered questionnaire between May 2011 and March 2012 in Bogotá, Colombia. Data from vaccinated and unvaccinated women were compared by descriptive statistics and multivariate models. Results Sexual risk behaviors were not associated with vaccination after adjustment for risk perception, age, educational level, and HPV knowledge. By contrast, vaccination was associated with higher routine Pap smear screening (odds ratio [OR], 2.35; 95% confidence interval [CI], 1.69–3.28), use of modern contraceptives (OR, 2.02; 95% CI, 1.26–3.22), and consistent use of condoms (OR, 1.49; 95% CI, 1.11–2.01). Vaccinated young women were more likely to have had sex (OR, 2.08; 95% CI, 1.56–2.78), but sexual debut among adolescents was not associated with vaccination. In bivariate and multivariate analyses, vaccination status was negatively associated with perceived risk of HPV infection, warts, and cervical cancer. There was no association between vaccination and perceived risk of sexually transmitted infections in any model. Conclusion No association was found between changes in risk perception after HPV vaccination and sexual risk behaviors.