Risk perceptions and subsequent sexual behaviors after HPV vaccination in adolescents

Allison Mayhew, Tanya L. Kowalczyk Mullins, Lili Ding, Susan L. Rosenthal, Gregory Zimet, Charlene Morrow, Jessica A. Kahn

Research output: Contribution to journalArticle

39 Citations (Scopus)

Abstract

OBJECTIVES: Concerns have been raised that human papillomavirus (HPV) vaccination could lead to altered risk perceptions and an increase in risky sexual behaviors among adolescents. The aim of this study was to assess whether adolescent risk perceptions after the first vaccine dose predicted subsequent sexual behaviors. METHODS: Young women 13 to 21 years of age (N = 339) completed questionnaires immediately after HPV vaccination, and 2 and 6 months later, assessing demographic characteristics, knowledge/attitudes about HPV vaccination, risk perceptions, and sexual behaviors. Risk perceptions were measured by using 2 5-item scales assessing: (1) perceived risk of sexually transmitted infections (STI) other than HPV, and (2) perceived need for safer sexual behaviors after HPV vaccination. We assessed associations between risk perceptions at baseline and sexual behaviors over the next 6 months by using logistic regression, stratifying participants by sexual experience at baseline and age (13-15 vs 16-21 years). RESULTS: Among all sexually inexperienced participants (42.5%), baseline risk perceptions were not associated with subsequent sexual initiation; in age-stratified analyses, girls 16 to 21 years of age who reported lower perceived risk for other STI (an inappropriate perception) were less likely to initiate sex (odds ratio [OR] 0.13, 95% confidence interval [CI] 0.03-0.69). Among all sexually experienced participants (57.5%) and in age-stratified analyses, baseline risk perceptions were not associated with subsequent number of sexual partners or condom use. CONCLUSIONS: Risk perceptions after HPV vaccination were not associated with riskier sexual behaviors over the subsequent 6 months in this study sample.

Original languageEnglish
Pages (from-to)404-411
Number of pages8
JournalPediatrics
Volume133
Issue number3
DOIs
StatePublished - 2014

Fingerprint

Sexual Behavior
Vaccination
Sexually Transmitted Diseases
Risk Perception
Sexual Partners
Sex Ratio
Condoms
Vaccines
Logistic Models
Odds Ratio
Demography
Confidence Intervals
Sexual

Keywords

  • Adolescent
  • HPV vaccines
  • Perception
  • Risk
  • Sexual behavior

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Arts and Humanities (miscellaneous)

Cite this

Mayhew, A., Kowalczyk Mullins, T. L., Ding, L., Rosenthal, S. L., Zimet, G., Morrow, C., & Kahn, J. A. (2014). Risk perceptions and subsequent sexual behaviors after HPV vaccination in adolescents. Pediatrics, 133(3), 404-411. https://doi.org/10.1542/peds.2013-2822

Risk perceptions and subsequent sexual behaviors after HPV vaccination in adolescents. / Mayhew, Allison; Kowalczyk Mullins, Tanya L.; Ding, Lili; Rosenthal, Susan L.; Zimet, Gregory; Morrow, Charlene; Kahn, Jessica A.

In: Pediatrics, Vol. 133, No. 3, 2014, p. 404-411.

Research output: Contribution to journalArticle

Mayhew, A, Kowalczyk Mullins, TL, Ding, L, Rosenthal, SL, Zimet, G, Morrow, C & Kahn, JA 2014, 'Risk perceptions and subsequent sexual behaviors after HPV vaccination in adolescents', Pediatrics, vol. 133, no. 3, pp. 404-411. https://doi.org/10.1542/peds.2013-2822
Mayhew A, Kowalczyk Mullins TL, Ding L, Rosenthal SL, Zimet G, Morrow C et al. Risk perceptions and subsequent sexual behaviors after HPV vaccination in adolescents. Pediatrics. 2014;133(3):404-411. https://doi.org/10.1542/peds.2013-2822
Mayhew, Allison ; Kowalczyk Mullins, Tanya L. ; Ding, Lili ; Rosenthal, Susan L. ; Zimet, Gregory ; Morrow, Charlene ; Kahn, Jessica A. / Risk perceptions and subsequent sexual behaviors after HPV vaccination in adolescents. In: Pediatrics. 2014 ; Vol. 133, No. 3. pp. 404-411.
@article{4472674831564205b25025d63a0cc533,
title = "Risk perceptions and subsequent sexual behaviors after HPV vaccination in adolescents",
abstract = "OBJECTIVES: Concerns have been raised that human papillomavirus (HPV) vaccination could lead to altered risk perceptions and an increase in risky sexual behaviors among adolescents. The aim of this study was to assess whether adolescent risk perceptions after the first vaccine dose predicted subsequent sexual behaviors. METHODS: Young women 13 to 21 years of age (N = 339) completed questionnaires immediately after HPV vaccination, and 2 and 6 months later, assessing demographic characteristics, knowledge/attitudes about HPV vaccination, risk perceptions, and sexual behaviors. Risk perceptions were measured by using 2 5-item scales assessing: (1) perceived risk of sexually transmitted infections (STI) other than HPV, and (2) perceived need for safer sexual behaviors after HPV vaccination. We assessed associations between risk perceptions at baseline and sexual behaviors over the next 6 months by using logistic regression, stratifying participants by sexual experience at baseline and age (13-15 vs 16-21 years). RESULTS: Among all sexually inexperienced participants (42.5{\%}), baseline risk perceptions were not associated with subsequent sexual initiation; in age-stratified analyses, girls 16 to 21 years of age who reported lower perceived risk for other STI (an inappropriate perception) were less likely to initiate sex (odds ratio [OR] 0.13, 95{\%} confidence interval [CI] 0.03-0.69). Among all sexually experienced participants (57.5{\%}) and in age-stratified analyses, baseline risk perceptions were not associated with subsequent number of sexual partners or condom use. CONCLUSIONS: Risk perceptions after HPV vaccination were not associated with riskier sexual behaviors over the subsequent 6 months in this study sample.",
keywords = "Adolescent, HPV vaccines, Perception, Risk, Sexual behavior",
author = "Allison Mayhew and {Kowalczyk Mullins}, {Tanya L.} and Lili Ding and Rosenthal, {Susan L.} and Gregory Zimet and Charlene Morrow and Kahn, {Jessica A.}",
year = "2014",
doi = "10.1542/peds.2013-2822",
language = "English",
volume = "133",
pages = "404--411",
journal = "Pediatrics",
issn = "0031-4005",
publisher = "American Academy of Pediatrics",
number = "3",

}

TY - JOUR

T1 - Risk perceptions and subsequent sexual behaviors after HPV vaccination in adolescents

AU - Mayhew, Allison

AU - Kowalczyk Mullins, Tanya L.

AU - Ding, Lili

AU - Rosenthal, Susan L.

AU - Zimet, Gregory

AU - Morrow, Charlene

AU - Kahn, Jessica A.

PY - 2014

Y1 - 2014

N2 - OBJECTIVES: Concerns have been raised that human papillomavirus (HPV) vaccination could lead to altered risk perceptions and an increase in risky sexual behaviors among adolescents. The aim of this study was to assess whether adolescent risk perceptions after the first vaccine dose predicted subsequent sexual behaviors. METHODS: Young women 13 to 21 years of age (N = 339) completed questionnaires immediately after HPV vaccination, and 2 and 6 months later, assessing demographic characteristics, knowledge/attitudes about HPV vaccination, risk perceptions, and sexual behaviors. Risk perceptions were measured by using 2 5-item scales assessing: (1) perceived risk of sexually transmitted infections (STI) other than HPV, and (2) perceived need for safer sexual behaviors after HPV vaccination. We assessed associations between risk perceptions at baseline and sexual behaviors over the next 6 months by using logistic regression, stratifying participants by sexual experience at baseline and age (13-15 vs 16-21 years). RESULTS: Among all sexually inexperienced participants (42.5%), baseline risk perceptions were not associated with subsequent sexual initiation; in age-stratified analyses, girls 16 to 21 years of age who reported lower perceived risk for other STI (an inappropriate perception) were less likely to initiate sex (odds ratio [OR] 0.13, 95% confidence interval [CI] 0.03-0.69). Among all sexually experienced participants (57.5%) and in age-stratified analyses, baseline risk perceptions were not associated with subsequent number of sexual partners or condom use. CONCLUSIONS: Risk perceptions after HPV vaccination were not associated with riskier sexual behaviors over the subsequent 6 months in this study sample.

AB - OBJECTIVES: Concerns have been raised that human papillomavirus (HPV) vaccination could lead to altered risk perceptions and an increase in risky sexual behaviors among adolescents. The aim of this study was to assess whether adolescent risk perceptions after the first vaccine dose predicted subsequent sexual behaviors. METHODS: Young women 13 to 21 years of age (N = 339) completed questionnaires immediately after HPV vaccination, and 2 and 6 months later, assessing demographic characteristics, knowledge/attitudes about HPV vaccination, risk perceptions, and sexual behaviors. Risk perceptions were measured by using 2 5-item scales assessing: (1) perceived risk of sexually transmitted infections (STI) other than HPV, and (2) perceived need for safer sexual behaviors after HPV vaccination. We assessed associations between risk perceptions at baseline and sexual behaviors over the next 6 months by using logistic regression, stratifying participants by sexual experience at baseline and age (13-15 vs 16-21 years). RESULTS: Among all sexually inexperienced participants (42.5%), baseline risk perceptions were not associated with subsequent sexual initiation; in age-stratified analyses, girls 16 to 21 years of age who reported lower perceived risk for other STI (an inappropriate perception) were less likely to initiate sex (odds ratio [OR] 0.13, 95% confidence interval [CI] 0.03-0.69). Among all sexually experienced participants (57.5%) and in age-stratified analyses, baseline risk perceptions were not associated with subsequent number of sexual partners or condom use. CONCLUSIONS: Risk perceptions after HPV vaccination were not associated with riskier sexual behaviors over the subsequent 6 months in this study sample.

KW - Adolescent

KW - HPV vaccines

KW - Perception

KW - Risk

KW - Sexual behavior

UR - http://www.scopus.com/inward/record.url?scp=84895190305&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84895190305&partnerID=8YFLogxK

U2 - 10.1542/peds.2013-2822

DO - 10.1542/peds.2013-2822

M3 - Article

C2 - 24488747

AN - SCOPUS:84895190305

VL - 133

SP - 404

EP - 411

JO - Pediatrics

JF - Pediatrics

SN - 0031-4005

IS - 3

ER -