“…Qualitative studies reported beliefs that HPV vaccination might encourage promiscuity or earlier sexual debut in young girls 61,[65][66][67]100,101,106,108,119 and that the vaccine could lead to unsafe sexual behaviour and a decrease in the use of condoms and cervical cancer screening. 55,57,63,64,66,67,80,106,108,109,119 Additionally, some participants mentioned that the vaccine is being given to girls when they are too young because they have not started to menstruate, are not yet sexually active or married, 54,57,58,61,100,108 or because they are too "naïve and immature" to give their consent. 98,103 Some also reported that it is not easy to talk about HPV vaccination with girls that are so young.…”