Risk Perceptions and Subsequent Sexual Behaviors After HPV Vaccination in Adolescents

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

doi:10.1542/peds.2013-2822

Cited by 59 publications

(53 citation statements)

References 33 publications

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“…More detailed results from the individual studies, including differences between vaccinated and unvaccinated women, can be found in previous articles. [16][17][18]20,21 HPV results were as follows: 69.0% were positive for at least one HPV type, 56.1% for at least one high-risk type, 21.2% for at least one 2-valent vaccine type (15.8% for HPV16 and 8.0% for HPV18), 27.2% for at least one 4-valent type, and 41.5% for at least one 9-valent vaccine type (Table 2). Among HPVinfected women, 81.4% were positive for at least one high-risk type, 30.7% for at least one 2-valent type (22.9% for HPV16 and 11.6% for HPV18), 39.5% for at least one 4-valent type, and 60.2% for at least one 9-valent type.…”

Section: Resultsmentioning

confidence: 99%

Distribution of Vaccine-Type Human Papillomavirus Does Not Differ by Race or Ethnicity Among Unvaccinated Young Women

Whittemore

Ding

Widdice

et al. 2016

Journal of Women's Health

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Background: Previous studies have demonstrated racial and ethnic differences in the distribution of human papillomavirus (HPV) types among adult women with cervical precancers. The aim of this study was to determine whether the distribution of vaccine-targeted HPV types varies by race/ethnicity among unvaccinated young women. Materials and Methods: A secondary analysis was performed using data from four studies of sexually experienced, unvaccinated, 13-26-year-old women. Participants completed surveys and provided a cervicovaginal swab for HPV DNA testing. Multivariable logistic regression analyses were performed to examine whether race, ethnicity, and other factors were associated with type-specific HPV infection among the overall sample and among HPV-infected participants. Models controlled for age, HPV knowledge, sexual behaviors, substance use, and random study effect. Results: The mean age of participants (N = 841) was 19.3 years; 64.4% were black and 8.9% Hispanic. Black women were more likely than white women to be positive for ‡1 HPV type (odds ratio [OR] 1.83, 95% CI 1.30-2.58) and Hispanic women were less likely than non-Hispanic women to be positive for ‡1 HPV type (OR 0.47, 95% CI 0.24-0.92). However, among all young women and HPV-infected women, neither race nor ethnicity was associated with positivity for HPV types targeted by the following vaccines: 2-valent (HPV16 and/or 18), 11,16,and/or 18),11,16,18, 31, 33, 45, 52, and/or 58). Conclusion: The prevalence of HPV types targeted by the 2-valent, 4-valent, and 9-valent vaccines did not differ by race or ethnicity among all and among HPV-infected women in this sample.

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Section: Resultsmentioning

confidence: 99%

Distribution of Vaccine-Type Human Papillomavirus Does Not Differ by Race or Ethnicity Among Unvaccinated Young Women

Whittemore

Ding

Widdice

et al. 2016

Journal of Women's Health

Self Cite

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“…These biased perceptions of vulnerability can result in increases in risky behavior (Mayhew et al, 2014). In contrast, perceptions of vulnerability to negative health outcomes and health-protective behaviors are usually heightened when people learn that similar others have experienced misfortune (Gerend, Aiken, West, & Erchull, 2004; Rothman et al, 1999; Weinstein & Klein, 1995).…”

Section: Social Comparison Theory Similarity and Risk Cognitionsmentioning

confidence: 99%

It only takes once: The absent-exempt heuristic and reactions to comparison-based sexual risk information.

Stock¹,

Gibbons²,

Beekman³

et al. 2015

Journal of Personality and Social Psychology

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Three studies (N = 545) investigated the effects of social comparison on a type of heuristic called “absent-exempt” (AE; feeling exempt from future risk). Study 1 examined how comparison with an infected peer (comparison target) who was similar or non-similar in terms of sexual risk (number of partners, lack of condom use), influenced willingness and intentions to engage in sex without a condom and conditional perceived vulnerability to a sexually transmitted disease (STD). Participants generally reported lower willingness and higher conditional vulnerability if they compared with a similar-risk level target. However, high-risk students who compared with a low-risk comparison target engaged in what appeared to be AE thinking, reporting the highest willingness and lowest conditional vulnerability. Intentions to have sex without a condom were not influenced. Study 2 included a direct measure of AE thinking, and compared the impact of a low-risk comparison target with a Public Service Announcement (PSA) stating that negative outcomes (e.g., STDs) can happen even to low-risk targets. Among high-risk participants, comparing with the low-risk target led to an increase in AE thinking. As expected, the effects in Studies 1 and 2 were strongest among participants high in tendencies to socially compare. Study 3 explored whether AE thinking could be decreased by encouraging more reasoned processing. Results indicated that asking participants to think about the illogicality of AE thinking reduces AE endorsement and increases STD testing intentions. Findings suggest that comparison-based information can have a stronger influence on health cognitions than analytic-based information (e.g., most PSAs). Implications for dual-processing models of decision-making and their applicability to interventions and health messages are discussed.

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“…The factors include concern about sexual disinhibition following HPV vaccination of pre-teenage girls, although studies have shown that neither being offered HPV vaccine nor receiving it affected sexual behavior. [43][44][45] Availability of HPV9, which contains five additional strains, will protect against additional cancer-causing HPV strains, but initially may add confusion regarding HPV9 vaccination for adolescents who previously had received HPV2 or HPV4.…”

Section: Public Perceptionmentioning

confidence: 99%

Lessons learned from making and implementing vaccine recommendations in the U.S.

Walton

Orenstein

Pickering

2015

Vaccine

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After publication of certain vaccine recommendations made by the Advisory Committee on Immunization Practices, several unexpected events have occurred during implementation of these recommendations. These have included changes in recommendations following adverse events involved with a particular vaccine and the conferral of community protection as an offshoot of vaccination of a specific population. Vaccine shortages and hesitancy have also been proven impediments to full implementation, and vaccine recommendations have not gone unaffected by either public perception of a vaccine or by cost considerations.

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Risk Perceptions and Subsequent Sexual Behaviors After HPV Vaccination in Adolescents

Cited by 59 publications

References 33 publications

Distribution of Vaccine-Type Human Papillomavirus Does Not Differ by Race or Ethnicity Among Unvaccinated Young Women

Distribution of Vaccine-Type Human Papillomavirus Does Not Differ by Race or Ethnicity Among Unvaccinated Young Women

It only takes once: The absent-exempt heuristic and reactions to comparison-based sexual risk information.

Lessons learned from making and implementing vaccine recommendations in the U.S.

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