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Human papillomavirus risk perceptions and relationship status: a barrier to HPV vaccination?

  • Erika L. ThompsonEmail author
  • Cheryl A. Vamos
  • Rumour Piepenbrink
  • Mika Kadono
  • Coralia Vázquez-Otero
  • Sarah Matthes
  • Ellen M. Daley
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Abstract

The purpose of this study was to assess the association between relationship status and perceived risk for human papillomavirus (HPV) among young adults. College adults, aged 18–26 years, completed an online survey from November 2016–April 2017 (n = 385). The survey assessed HPV vaccination status, perceived HPV risk, and current relationship status. Logistic regression models estimated the odds of perceived high risk for HPV, stratified by vaccination status. Among unvaccinated women, relationship status and HPV risk perception were significantly associated, with dating women more likely (OR = 5.33, 95%CI 1.16–24.50) to perceive a high risk for HPV compared to women in a committed relationship. Women in relationships were less likely to perceive themselves at high risk for HPV, even though HPV infection is prevalent among young adults. This association is not present for vaccinated women, suggesting that relationship status and risk perceptions may represent barriers to HPV vaccine uptake.

Keywords

Vaccination Risk perceptions Prevention Young adults 

Notes

Acknowledgements

The authors would like to acknowledge the many graduate research assistants at the College of Public Health, University of South Florida for their assistance with data collection on this project.

Funding

This study was funded by the University of South Florida College of Public Health Interdisciplinary Research Grant.

Compliance with ethical standards

Conflict of interest

Erika L. Thompson, Cheryl A. Vamos, Rumour Piepenbrink, Mika Kadono, Coralia Vázquez-Otero, Sarah Matthes and Ellen M. Daley have no conflicts to disclose.

Human and animal rights and Informed consent

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. Informed consent was obtained from all individual participants included in the study.

References

  1. American College Health Association. (2018). Healthy campus 2020: Student objectives. Retrieved from https://www.acha.org/HealthyCampus/Objectives/Student_Objectives/HealthyCampus/Student_Objectives.aspx?hkey=a9f191de-243b-41c6-b913-c012961ecab9. Accessed 21 June 2018.
  2. Barnard, M., George, P., Perryman, M. L., & Wolff, L. A. (2017). Human papillomavirus (HPV) vaccine knowledge, attitudes, and uptake in college students: Implications from the precaution adoption process model. PLoS ONE, 12, e0182266.CrossRefGoogle Scholar
  3. Bernat, D. H., Gerend, M. A., Chevallier, K., Zimmerman, M. A., & Bauermeister, J. A. (2013). Characteristics associated with initiation of the human papillomavirus vaccine among a national sample of male and female young adults. Journal of Adolescent Health, 53, 630–636.CrossRefGoogle Scholar
  4. Bolton, R. (1992). AIDS and promiscuity: Muddles in the models of HIV prevention. Medical Anthropology, 14, 145–223.CrossRefGoogle Scholar
  5. Centers for Disease Control and Prevention. (2016). CDC fact sheet: New HIV infections in the United States. Retrieved from https://www.cdc.gov/nchhstp/newsroom/docs/factsheets/new-hiv-infections-508.pdf. Accessed 21 June 2018.
  6. 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, 660–664.CrossRefGoogle Scholar
  7. Denny-Smith, T., Bairan, A., & Page, M. C. (2006). A survey of female nursing students’ knowledge, health beliefs, perceptions of risk, and risk behaviors regarding human papillomavirus and cervical cancer. Journal of the American Association of Nurse Practitioners, 18, 62–69.CrossRefGoogle Scholar
  8. Fontenot, H. B., Fantasia, H. C., 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, 186–192.CrossRefGoogle Scholar
  9. Fontenot, H. B., & Morelock, N. (2012). HPV in men is a women’s health issue. Nursing for Women’s Health, 16, 57–65.CrossRefGoogle Scholar
  10. Gunasekaran, B., Jayasinghe, Y., Brotherton, J. M., Fenner, Y., Moore, E. E., Wark, J. D., et al. (2015). Asking about human papillomavirus vaccination and the usefulness of registry validation: A study of young women recruited using Facebook. Vaccine, 33, 826–831.CrossRefGoogle Scholar
  11. Laz, T. H., Rahman, M., & Berenson, A. B. (2013). Human papillomavirus vaccine uptake among 18- to 26-year-old women in the United States: National Health Interview Survey, 2010. Cancer, 119, 1386–1392.CrossRefGoogle Scholar
  12. Lehmiller, J. J. (2015). A comparison of sexual health history and practices among monogamous and consensually nonmonogamous sexual partners. The Journal of Sexual Medicine, 12, 2022–2028.CrossRefGoogle Scholar
  13. Liddon, N. C., Hood, J. E., & Leichliter, J. S. (2012). Intent to receive HPV vaccine and reasons for not vaccinating among unvaccinated adolescent and young women: Findings from the 2006–2008 National Survey of Family Growth. Vaccine, 30, 2676–2682.CrossRefGoogle Scholar
  14. Manhart, L. E., Burgess-Hull, A. J., Fleming, C. B., Bailey, J. A., Haggerty, K. P., & Catalano, R. F. (2011). HPV vaccination among a community sample of young adult women. Vaccine, 29, 5238–5244.CrossRefGoogle Scholar
  15. Marlow, L. A., Waller, J., & Wardle, J. (2015). Barriers to cervical cancer screening among ethnic minority women: A qualitative study. Journal of Family Planning and Reproductive Health Care, 41, 248–254.CrossRefGoogle Scholar
  16. Morris, M., & Kretzschmar, M. (1997). Concurrent partnerships and the spread of HIV. AIDS, 11, 641–648.CrossRefGoogle Scholar
  17. Munoz, N., Bosch, F. X., de Sanjose, S., Herrero, R., Castellsague, X., Shah, K. V., et al. (2003). Epidemiologic classification of human papillomavirus types associated with cervical cancer. New England Journal of Medicine, 348, 518–527.CrossRefGoogle Scholar
  18. Nan, X., Dahlstrom, M. F., Richards, A., & Rangarajan, S. (2015). Influence of evidence type and narrative type on HPV risk perception and intention to obtain the HPV vaccine. Health Communication, 30, 301–308.CrossRefGoogle Scholar
  19. Newman, P. A., Logie, C. H., Doukas, N., & Asakura, K. (2013). HPV vaccine acceptability among men: A systematic review and meta-analysis. Sexually Transmitted Infections, 89, 568–574.CrossRefGoogle Scholar
  20. Ott, M. A., Katschke, A., Tu, W., & Fortenberry, J. D. (2011). Longitudinal associations among relationship factors, partner change, and sexually transmitted infection acquisition in adolescent women. Sexually Transmitted Diseases, 38, 153–157.CrossRefGoogle Scholar
  21. Petrosky, E., Bocchini, J. A., Jr., Hariri, S., Chesson, H., Curtis, C. R., Saraiya, M., et al. (2015). Use of 9-valent human papillomavirus (HPV) vaccine: Updated HPV vaccination recommendations of the Advisory Committee on Immunization Practices. MMWR Morbidity and Mortality Weekly Report, 64, 300–304.Google Scholar
  22. Rolnick, S. J., Parker, E. D., Nordin, J. D., Hedblom, B. D., Wei, F., Kerby, T., et al. (2013). Self-report compared to electronic medical record across eight adult vaccines: Do results vary by demographic factors? Vaccine, 31, 3928–3935.CrossRefGoogle Scholar
  23. Satterwhite, C. L., Torrone, E., Meites, E., Dunne, E. F., Mahajan, R., Ocfemia, M. C., et al. (2013). Sexually transmitted infections among US women and men: Prevalence and incidence estimates, 2008. Sexually Transmitted Diseases, 40, 187–193.CrossRefGoogle Scholar
  24. Schmidt, S., & Parsons, H. M. (2014). Vaccination interest and trends in human papillomavirus vaccine uptake in young adult women aged 18 to 26 years in the United States: An analysis using the 2008–2012 National Health Interview Survey. American Journal of Public Health, 104, 946–953.CrossRefGoogle Scholar
  25. Stupiansky, N. W., Zimet, G. D., Cummings, T., Fortenberry, J. D., & Shew, M. (2012). Accuracy of self-reported human papillomavirus vaccine receipt among adolescent girls and their mothers. Journal of Adolescent Health, 50, 103–105.CrossRefGoogle Scholar
  26. Swan, D. J., & Thompson, S. C. (2016). Monogamy, the protective fallacy: Sexual versus emotional exclusivity and the implication for sexual health risk. Journal of Sex Research, 53, 64–73.CrossRefGoogle Scholar
  27. Thompson, E. L., Vamos, C. A., Sappenfield, W. M., Straub, D. M., & Daley, E. M. (2016). Relationship status impacts primary reasons for interest in the HPV vaccine among young adult women. Vaccine, 34, 3119–3124.CrossRefGoogle Scholar
  28. Thompson, E. L., Vamos, C. A., StraubDM, Sappenfield, W. M., & Daley, E. M. (2017). “We’ve Been Together. We Don’t Have It. We’re Fine.” How relationship status impacts human papillomavirus vaccine behavior among young adult women. Womens Health Issues, 27, 228–236.CrossRefGoogle Scholar
  29. Viens, L. J., Henley, S. J., Watson, M., Markowitz, L. E., Thomas, C. C., Thompson, T. D., et al. (2016). Human papillomavirus-associated cancers—United States, 2008–2012. MMWR Morbidity and Mortality Weekly Report, 65, 661–666.CrossRefGoogle Scholar
  30. Walker, T. Y., Elam-Evans, L. D., Singleton, J. A., Yankey, D., Markowitz, L. E., Fredua, B., et al. (2017). National, regional, state, and selected local area vaccination coverage among adolescents aged 13–17 years—United States, 2016. MMWR Morbidity and Mortality Weekly Report, 66, 874–882.CrossRefGoogle Scholar
  31. Warren, J. T., Harvey, S. M., & Agnew, C. R. (2012). One love: Explicit monogamy agreements among heterosexual young adult couples at increased risk of sexually transmitted infections. Journal of Sex Research, 49, 282–289.CrossRefGoogle Scholar
  32. Williams, W. W., Lu, P. J., O’Halloran, A., Kim, D. K., Grohskopf, L. A., Pilishvili, T., et al. (2017). Surveillance of vaccination coverage among adult populations—United States, 2015. MMWR Surveillance Summaries, 66, 1–28.CrossRefGoogle Scholar
  33. Wilson, A. R., Hashibe, M., Bodson, J., Gren, L. H., Taylor, B. A., Greenwood, J., et al. (2016). Factors related to HPV vaccine uptake and 3-dose completion among women in a low vaccination region of the USA: An observational study. BMC Womens Health, 16, 41.CrossRefGoogle Scholar
  34. Zimet, G. D., Weiss, T. W., Rosenthal, S. L., Good, M. B., & Vichnin, M. D. (2010). Reasons for non-vaccination against HPV and future vaccination intentions among 19–26 year-old women. BMC Womens Health, 10, 27.CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Department of Health Behavior and Health Systems, School of Public HealthUniversity of North Texas Health Science CenterFort WorthUSA
  2. 2.Community and Family Health Concentration, College of Public HealthUniversity of South FloridaTampaUSA
  3. 3.Department of Anthropology, College of Arts and SciencesUniversity of South FloridaTampaUSA
  4. 4.Department of Biostatistics and Epidemiology, School of Public HealthUniversity of North Texas Health Science CenterFort WorthUSA

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