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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

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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.
Literatuur
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Metagegevens
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

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