Top

Gepubliceerd in:

05-01-2024

Factors associated with HPV-associated sexual risk behaviors among sexually active college students

Auteurs: Minjee Lee, Mary A. Gerend, Kelli D. Whittington, Sandra K. Collins, Stacey L. McKinney, Maria C. Franca, Valerie E. Boyer, Richard C. McKinnies, Cheng-Chia Chen, Jorge Villegas, Eric Adjei Boakye

Gepubliceerd in: Journal of Behavioral Medicine | Uitgave 2/2024

Abstract

High-risk sexual behavior is the primary risk factor for the acquisition and persistence of human papillomavirus (HPV) infection and the development of HPV-associated diseases including cancer. Incidence of HPV infection is high among individuals in their late teens and early 20s. Thus, college students represent a historically high-risk group for HPV infection yet are also a group with the ability to independently access HPV vaccination for HPV prevention. To inform future interventions, we examined factors associated with HPV-associated risky sexual behaviors among sexually active college students. Data (N = 741) were from an anonymous online survey distributed to students at a public Midwestern university in 2021. The outcomes were HPV-associated sexual risk behaviors—number of oral or vaginal sexual partners [high (≥ 5) or low (< 5)] and age of oral or vaginal sexual debut [early (< 18 years) or late (≥ 18 years)]. Multivariable logistic regression models estimated the association between HPV-associated risky sexual behaviors and several predictors including age, gender, relationship status, academic level, country of birth, and rural–urban status. Among sexually active students, approximately 47% and 41% had a high number of lifetime vaginal and oral partners, respectively. Among the same group, 60% and 64% had early vaginal and oral sexual debut. Students who were single and dating (aOR = 1.93; 95% CI = 1.21, 3.08) or single and not dating (2.11; 1.28, 3.48) were more likely to have a high number of vaginal lifetime partners compared with married students. Single (vs. married) students were also about twice as likely to have a high number of oral lifetime partners. Relative to graduate students, freshmen/sophomores were more likely to have an early vaginal (2.44; 1.45, 4.11) and oral (2.14; 1.26, 3.63) sexual debut. Interventions tailored to college freshmen/sophomores and unmarried students should encourage students to receive the HPV vaccine for prevention of future HPV-associated diseases.

vorige artikel High study participation but diverging adherence levels: qualitatively unpacking PrEP use among adolescent girls and young women over two years in Eastern Cape, South Africa

volgende artikel The contribution of pain catastrophizing, depression and anxiety symptoms among patients with persistent pain and opioid misuse behaviours

Adjei Boakye, E., Tobo, B. B., Osazuwa-Peters, N., Mohammed, K. A., Geneus, C. J., & Schootman, M. (2017). A comparison of parent- and provider-reported human papillomavirus vaccination of Adolescents. American Journal of Preventive Medicine., 52(6), 742–752. https://doi.org/10.1016/j.amepre.2016.10.016CrossRefPubMed

Adjei Boakye, E., Lew, D., Muthukrishnan, M., et al. (2018). Correlates of human papillomavirus (HPV) vaccination initiation and completion among 18–26 year olds in the United States. Human Vaccines and Immunotherapeutics., 14(8), 2016–2024. https://doi.org/10.1080/21645515.2018.1467203CrossRefPubMedPubMedCentral

Barnard, M., Cole, A. C., Ward, L., Gravlee, E., Cole, M. L., & Compretta, C. (2019). Interventions to increase uptake of the human papillomavirus vaccine in unvaccinated college students: A systematic literature review. Preventive Medicine Reports, 14, 100884. https://doi.org/10.1016/j.pmedr.2019.100884CrossRefPubMedPubMedCentral

Bendik, M. K., Mayo, R. M., & Parker, V. G. (2011). Knowledge, perceptions, and motivations related to HPV vaccination among college women. Journal of Cancer Education, 26(3), 459–464. https://doi.org/10.1007/s13187-011-0200-8CrossRefPubMed

Brouwer, A. F., Delinger, R. L., Eisenberg, M. C., Campredon, L. P., Walline, H. M., Carey, T. E., & Meza, R. (2019). HPV vaccination has not increased sexual activity or accelerated sexual debut in a college-aged cohort of men and women. BMC Public Health, 19, 1–8.CrossRef

Center for Disease Control and Prevention. (2020) Behavioral Risk Factor Surveillance System (BRFSS). https://www.cdc.gov/brfss/data_documentation/index.htm. Accessed 8 September 2020

Chesson, H. W., Dunne, E. F., Hariri, S., & Markowitz, L. E. (2014). The estimated lifetime probability of acquiring human papillomavirus in the United States. Sexually Transmitted Diseases, 41(11), 660–664. https://doi.org/10.1097/olq.0000000000000193CrossRefPubMedPubMedCentral

Chesson, H. W., Meites, E., Ekwueme, D. U., Saraiya, M., & Markowitz, L. E. (2019). Updated medical care cost estimates for HPV-associated cancers: Implications for cost-effectiveness analyses of HPV vaccination in the United States. Human Vaccines & Immunotherapeutics, 15(7–8), 1942–1948. https://doi.org/10.1080/21645515.2019.1603562CrossRef

Daniels, V., Saxena, K., Roberts, C., et al. (2021). Impact of reduced human papillomavirus vaccination coverage rates due to COVID-19 in the United States: A model based analysis. Article Vaccine, 39(20), 2731–2735. https://doi.org/10.1016/j.vaccine.2021.04.003CrossRefPubMed

Fontenot, H. B., Collins Fantasia, H., Charyk, A., & Sutherland, M. A. (2014). Human papillomavirus (HPV) risk factors, vaccination patterns, and vaccine perceptions among a sample of male college students. Journal of American College Health, 62(3), 186–192. https://doi.org/10.1080/07448481.2013.872649CrossRefPubMed

Gerend, M. A., Shepherd, M. A., & Shepherd, J. E. (2013). The multidimensional nature of perceived barriers: Global versus practical barriers to HPV vaccination. Health Psychology, 32(4), 361–369. https://doi.org/10.1037/a0026248CrossRefPubMed

Halkitis, P. N., LoSchiavo, C., Martino, R. J., De La Cruz, B. M., Stults, C. B., & Krause, K. D. (2021). Age of sexual debut among young gay-identified sexual minority men: The P18 cohort study. The Journal of Sex Research, 58(5), 573–580. https://doi.org/10.1080/00224499.2020.1783505CrossRefPubMed

Kennedy, C., Gray Brunton, C., & Hogg, R. (2014). Just that little bit of doubt’: Scottish parents’, teenage girls’ and health professionals’ views of the MMR, H1N1 and HPV vaccines. International Journal of Behavioral Medicine, 21(1), 3–10. https://doi.org/10.1007/s12529-013-9356-4CrossRefPubMed

Lei, J., Ploner, A., Elfstrom, K. M., et al. (2020). HPV vaccination and the risk of invasive cervical cancer. New England Journal of Medicine, 383(14), 1340–1348. https://doi.org/10.1056/NEJMoa1917338CrossRefPubMed

Liddon, N. C., Leichliter, J. S., & Markowitz, L. E. (2012). Human papillomavirus vaccine and sexual behavior among adolescent and young women. American Journal of Preventive Medicine, 42(1), 44–52. https://doi.org/10.1016/j.amepre.2011.09.024CrossRefPubMed

Lieblong, B. J., Montgomery, B. E. E., Su, L. J., & Nakagawa, M. (2019). Natural history of human papillomavirus and vaccinations in men: A literature review. Health Sci Rep., 2(5), e118. https://doi.org/10.1002/hsr2.118CrossRefPubMedPubMedCentral

Magnusson, B. M., Nield, J. A., & Lapane, K. L. (2015). Age at first intercourse and subsequent sexual partnering among adult women in the United States, a cross-sectional study. BMC Public Health, 15, 1–9.CrossRef

Marchand, E., Glenn, B. A., & Bastani, R. (2013). HPV vaccination and sexual behavior in a community college sample. Journal of Community Health, 38(6), 1010–1014. https://doi.org/10.1007/s10900-013-9710-0CrossRefPubMed

Martinez, G. M., & Abma, J. C. (2015). Sexual activity, contraceptive use, and childbearing of teenagers aged 15–19 in the United States. NCHS Data Brief, 209, 1–8.

Martinez, G. M., & Abma, J. C. (2020). Sexual activity and contraceptive use among teenagers aged 15–19 in the United States, 2015–2017. NCHS Data Brief, 366, 1–8.

Martin-Gutierrez, G., Wallander, J. L., Song, A. V., Elliott, M. N., Tortolero, S. R., & Schuster, M. A. (2017). Health-related issues in Latina youth: Racial/ethnic, gender, and generational status differences. Journal of Adolescent Health, 61(4), 478–485. https://doi.org/10.1016/j.jadohealth.2017.04.007CrossRef

National Cancer Institute. (2020) Health Information National Trends Survey, https://hints.cancer.gov/data/default.aspx. Accessed 8 August 2020.

National Center for Health Statistics. (2015). National Health Interview Survey (NHIS) Public Use Data Release. ftp://ftp.cdc.gov/pub/Health_Statistics/NCHS/Dataset_Documentation/NHIS/2015/srvydesc.pdf. Accessed 5 November 2017.

Osazuwa-Peters, N., Adjei Boakye, E., Rohde, R. L., Ganesh, R. N., Moiyadi, A. S., Hussaini, A. S., & Varvares, M. A. (2019). Understanding of risk factors for the human papillomavirus (HPV) infection based on gender and race. Scientific Reports, 9(1), 297. https://doi.org/10.1038/s41598-018-36638-zADSCrossRefPubMedPubMedCentral

Rohde, R. L., Adjei Boakye, E., Christopher, K. M., et al. (2018a). Assessing university students’ sexual risk behaviors as predictors of human papillomavirus (HPV) vaccine uptake behavior. Vaccine, 36(25), 3629–3634. https://doi.org/10.1016/j.vaccine.2018.05.022CrossRefPubMed

Rohde, R. L., Adjei Boakye, E., Christopher, K. M., et al. (2018b). Assessing university students’ sexual risk behaviors as predictors of human papillomavirus (HPV) vaccine uptake behavior. Vaccine, 36(25), 3629–3634.CrossRefPubMed

Rosenblum, H. G., Lewis, R. M., Gargano, J. W., Querec, T. D., Unger, E. R., & Markowitz, L. E. (2021). Declines in prevalence of human papillomavirus vaccine-type infection among females after introduction of vaccine—United States, 2003–2018. Morbidity and Mortality Weekly Report, 70(12), 415.CrossRefPubMedPubMedCentral

Saxena, K., Dawson, R. S., Cyhaniuk, A., Bello, T., & Janjan, N. (2022). Clinical and economic burden of HPV-related cancers in the US veteran population. Journal of Medical Economics, 25(1), 299–308. https://doi.org/10.1080/13696998.2022.2041855CrossRefPubMed

Senkomago, V., Henley, S. J., Thomas, C. C., Mix, J. M., Markowitz, L. E., & Saraiya, M. (2019). Human papillomavirus-attributable cancers—United States, 2012–2016. MMWR. Morbidity and Mortality Weekly Report, 68(33), 724–728. https://doi.org/10.15585/mmwr.mm6833a3CrossRefPubMedPubMedCentral

Truong-Vu, K. P. (2021). On-time, late, or never: Incorporating intersectionality to predict age-specific probabilities of initiating the HPV vaccine series. Social Science and Medicine, 287, 114227. https://doi.org/10.1016/j.socscimed.2021.114227CrossRefPubMed

Van Dyne, E. A., Henley, S. J., Saraiya, M., Thomas, C. C., Markowitz, L. E., & Benard, V. B. (2018). Trends in human papillomavirus-associated cancers—United States, 1999–2015. MMWR. Morbidity and Mortality Weekly Report, 67(33), 918–924. https://doi.org/10.15585/mmwr.mm6733a2CrossRefPubMedPubMedCentral

Winer, R. L., Hughes, J. P., Feng, Q., et al. (2006). Condom use and the risk of genital human papillomavirus infection in young women. New England Journal of Medicine, 354(25), 2645–2654. https://doi.org/10.1056/NEJMoa053284CrossRefPubMed

Titel: Factors associated with HPV-associated sexual risk behaviors among sexually active college students
Auteurs: Minjee Lee
Mary A. Gerend
Kelli D. Whittington
Sandra K. Collins
Stacey L. McKinney
Maria C. Franca
Valerie E. Boyer
Richard C. McKinnies
Cheng-Chia Chen
Jorge Villegas
Eric Adjei Boakye
Publicatiedatum: 05-01-2024
Uitgeverij: Springer US
Gepubliceerd in: Journal of Behavioral Medicine / Uitgave 2/2024
Print ISSN: 0160-7715
Elektronisch ISSN: 1573-3521
DOI: https://doi.org/10.1007/s10865-023-00463-1

Bohn Stafleu van Loghum

Deel dit onderdeel of sectie (kopieer de link)

Abstract

Log in om toegang te krijgen

Andere artikelen Uitgave 2/2024

Using behavioral theory to understand partisan differences in COVID-19 vaccination and booster intentions

Wearable device adherence among insufficiently-active young adults is independent of identity and motivation for physical activity

Factors associated with prior completion of colorectal cancer and hepatitis C virus screenings among community health center patients: a cross-sectional study to inform a multi-behavioral educational intervention

Conservatism, anti-vaccination attitudes, and intellectual humility: examining their associations through a social judgment theory framework

Sex-specific associations between self-reported physical activity and PTSD among survivors of sexual violence

High study participation but diverging adherence levels: qualitatively unpacking PrEP use among adolescent girls and young women over two years in Eastern Cape, South Africa