scholarly journals HPV vaccination and sexual behaviour in healthcare seeking young women in Luxembourg

PeerJ ◽  
2020 ◽  
Vol 8 ◽  
pp. e8516 ◽  
Author(s):  
Camille Soudeyns ◽  
Niko Speybroeck ◽  
Marc Brisson ◽  
Joël Mossong ◽  
Ardashel Latsuzbaia
Keyword(s):  
Young Women ◽  
Sexual Behaviour ◽  
Sexual Partner ◽  
Sexual Debut ◽  
Hpv Vaccination ◽  
Sexual Partners ◽  
Age Difference ◽  
Relationship Duration ◽  
Younger Age ◽  
Unsafe Sexual Behaviour

Introduction Human papillomavirus (HPV) is the most common sexually transmitted infection (STI) worldwide. Despite recommendations for HPV vaccination of young women from health authorities, parental concerns were raised whether vaccination could induce unsafe sexual behaviour in young women. Therefore, the primary aim of this study was to investigate if HPV vaccination in healthcare seeking adult women in Luxembourg was associated with unsafe sexual behaviour. Methods Seven hundred twenty-nine women (mean age = 22.5; range 18–43 years) were recruited either at Luxembourg family planning centres or at private gynaecology practices. All participants completed a questionnaire on vaccination status and sexual behaviour. Poisson and logistic regressions were used to study the association between sexual behaviour and vaccination status (N = 538). Both models were restricted to women younger than 26 years, since the first cohort being vaccinated would be 25 years old at the time of sampling. Assortativity of sexual mixing by age was also assessed for further transmission modelling for women <30 years reporting age of last/current sexual partner (N = 649). Women older than 29 years were excluded from the assortativity analysis due to restricted sample size. Results In total, 386/538 (71.8%) of participants reported receiving HPV vaccine. Vaccination uptake significantly varied by nationality and was higher in Portuguese 112/142 (78.9%) and in Luxembourgish 224/313(71.6%) residents, and lower in residents of other nationalities 50/83 (60.2%) (p = 0.011). HPV vaccination was not associated with unsafe sexual behaviour such as shorter relationship duration with current or last sexual partner (odds ratio (OR) = 1.05, 95% CI [0.94–1.16]), younger age of sexual debut (OR = 1.00, 95% CI [0.88–1.14]), increased number of lifetime sexual partners (OR = 0.95, 95% CI [0.87–1.03), higher age difference with sexual partner (OR = 1.01, 95% CI [0.95–1.08]), condom use (OR = 0.97, 95% CI [0.60–1.56]), nor with other factors like smoking (OR = 0.73, 95% CI [0.47–1.15]) and nationality. HPV vaccination was only associated with younger age (OR = 0.84, 95% CI [0.75–0.94]). Relationship duration, age of sexual debut, age difference with sexual partner, smoking, age and non-Portuguese foreign nationality were predictors of number of lifetime sexual partners. Assortativity analysis revealed that young women chose sexual partners who were 2.3 years older on average. Conclusions Our study found no association between unsafe sexual behaviour and HPV vaccination.

Sexual behaviour and social class in Australian women

2003 ◽  
Vol 14 (5) ◽  
pp. 344-349 ◽  
Author(s):  
A Mindel ◽  
C Marks ◽  
R Tideman ◽  
J Taylor ◽  
C Seifert ◽  
...  
Keyword(s):  
Logistic Regression ◽  
Sexual Behaviour ◽  
Sexual Debut ◽  
Sexual Partners ◽  
Bivariate Analysis ◽  
Personal Factors ◽  
Public And Private ◽  
First Sex ◽  
The Public ◽  
Simplex Virus

Sexual behaviour is determined by social, cultural and personal factors. Sexual behaviour studies have been conducted in many countries. However, information from Australia is limited. This study was conducted in Obstetrics Department, Westmead Hospital, Sydney. Questionnaire-derived demographic and behavioural characteristics for public and private patients were compared using bivariate and logistic regression analyses. Of the patients, 3036 were public, and 595 private. On bivariate analysis some significant differences were private patients more likely to be born in Australia and have a higher education level whereas public patients were more likely to have had a greater number of lifetime sexual partners and younger age at first sex. Public patients were more likely to be herpes simplex virus type 2 (HSV-2) antibody positive (12%) than private patients (6%). On logistic regression significant variables included country of birth, being HSV-2 antibody positive, and age at first sex. A number of sexual and social variables were significantly different, comparing patients in the public and private sectors. Evaluation of interventions to reduce the sexual risk to women in the public sector should be considered, including encouraging young women to delay their sexual debut, and reducing the number of sexual partners.

Quadrivalent human papillomavirus vaccination successfully reduces the prevalence of vaccine-targeted genotypes in a young, vaccine-eligible-age sample of Australian females

Sexual Health ◽  
2020 ◽  
Vol 17 (6) ◽  
pp. 510
Author(s):  
Asvini K. Subasinghe ◽  
John D. Wark ◽  
Samuel Phillips ◽  
Alyssa Cornall ◽  
Julia M. L. Brotherton ◽  
...  
Keyword(s):  
Human Papillomavirus ◽  
Sexual Debut ◽  
Hpv Vaccination ◽  
Sexual Partners ◽  
Vaccination Status ◽  
Vaccine Uptake ◽  
Early Sexual Debut ◽  
Multiple Sexual Partners ◽  
Hpv Dna ◽  
Factors Associated

Background The prevalence of genital tract vaccine-type human papillomavirus (HPV) is on the decline due to high vaccine uptake through the national HPV immunisation program in Australia. The aim of this study was to investigate HPV vaccine coverage and factors associated with HPV in a vaccine-eligible sample of young Australian females. Methods: Females aged 16–25 years were recruited into the Young Female Health Initiative study, a young women’s health study, via Facebook advertising from 2012 to 2017. Sexually active participants were asked to provide a self-collected vaginal swab for the detection of HPV DNA; positive samples were genotyped. Self-reported HPV vaccination status was confirmed by the National HPV Vaccination Program Register. Outcomes of the study were HPV acquisition and genotype, HPV vaccination status and factors associated with HPV. Results: Overall, 22.8% of samples (95% confidence interval (CI) 17.8–27.8%; n = 62/272) were positive for any HPV DNA, of which 19.1% (95% CI 14.4–23.8%; n = 52/272) were oncogenic types. HPV 16 was detected in three samples (1.1%; 95% CI –0.1%, 2.3%; two not HPV vaccinated and one vaccinated after sexual debut). Early sexual debut (&lt;16 years) and multiple sexual partners were independently associated with an increased risk of any HPV. Conclusions: In a community sample of vaccine-eligible-age females with a high vaccine uptake, the prevalence of vaccine-related HPV genotypes is extremely low. Early sexual debut and multiple sexual partners are positively associated with HPV, underscoring the importance of vaccination at the routinely recommended age of 12–13 years for best vaccine impact.

AGE AT MENARCHE AND SEXUAL DEBUT AMONG YOUNG FILIPINO WOMEN

2018 ◽  
Vol 51 (1) ◽  
pp. 77-94 ◽  
Author(s):  
Nai-Peng Tey ◽  
Siow-Li Lai ◽  
Sor-Tho Ng
Keyword(s):  
Reproductive Health ◽  
Birth Cohort ◽  
Young Women ◽  
Sexual Debut ◽  
The Philippines ◽  
Age At Menarche ◽  
Demographic And Health Surveys ◽  
Early Sexual Debut ◽  
Filipino Women ◽  
Younger Age

SummaryThere has been a secular decline in age at menarche since the 19th century. Early-maturing women are more likely to have their sexual debut at a younger age, which in turn gives rise to a host of reproductive health and social problems. This study used data from five waves of National Demographic and Health Surveys conducted in the Philippines between 1993 and 2013 to examine the trends and socioeconomic differentials in age at menarche and sexual debut. The changing trend in age at menarche and sexual debut was examined across birth cohorts, and logistic regressions were used to identify the determinants of early sexual debut. In the Philippines, the mean and median ages at menarche declined from 13.2 years and 12.6 years, respectively, among young women born in 1973–1977, to 12.9 years and 12.3 years, respectively, among those born in 1993–1997. The proportion who had their sexual debut by age 20 increased from 41.2% for the 1968–1972 birth cohort to 53.4% for the 1988–1992 birth cohort. Filipino women with low education, from poor families and living in rural areas were more likely to have earlier sexual debut despite attaining menarche at a later age as compared with their higher educated counterparts, and those from wealthier families and urban areas. Logistic regression analysis showed that, besides marital status, women’s education and age at menarche were important determinants of early sexual debut. However, ethnicity, place of residence and family wealth had no significant effects on age at menarche. An increasing proportion of young women were found to be having unprotected sexual debut and at a younger age, with health and social ramifications. Hence, apart from increasing the enrolment of girls in schools and discouraging teenage marriage, there is a need for social and health agencies to implement appropriate adolescent sexual and reproductive health programmes such as counselling and educational campaigns, as well as support services, to address sexual problems among the youth.

scholarly journals Relative risk of HIV infection among young men and women in a South African township

2002 ◽  
Vol 13 (5) ◽  
pp. 331-342 ◽  
Author(s):  
C MacPhail ◽  
B G Williams ◽  
C Campbell
Keyword(s):  
Hiv Infection ◽  
Young Women ◽  
Social Factors ◽  
Sexual Debut ◽  
Young Men ◽  
Sexual Partners ◽  
Men And Women ◽  
Sexually Transmitted ◽  
Age Cohorts ◽  
Social Explanations

The prevalence of HIV infection in Africa is substantially higher among young women than it is among young men. Biological explanations of this difference have been presented but there has been little exploration of social factors. In this paper we use data from Carletonville, South Africa to explore various social explanations for greater female infection rates. This paper reports on data from a random sample of 507 people between 13 and 24 years old. Subjects were tested for HIV, as well as other sexually transmitted infections (STIs), and answered a behavioural questionnaire. The age-prevalence of HIV infection differs between men and women with considerably higher rates of increase with age among young women. The age of sexual debut did not differ significantly between men and women (15.9 and 16.3 years, respectively) and below the age of 20 years there was no difference in the number or distribution of the number of sexual partners reported by men or women. The risk of infection per partnership was substantially higher among women than among men. Women have sexual partners who are, on average, about five years older than they are with some variation with age. Scaling the age-prevalence curve for men by the age of their sexual partners gives a curve whose shape is indistinguishable from that for women but is about 30% lower for men than for women. In terms of social explanations for HIV rates among women, the data indicates that this difference can be explained by the relative age of sexual partners, but not by other factors explored. In addressing the epidemic among young women it will be essential to deal with the social factors that lead young women to select their partners from older-age cohorts and that shape their sexual networking patterns.

scholarly journals School and Parental Factors Associated with One-Night Stand, Condom Use at Sexual Debut and Multiple Sexual Partners

2020 ◽  
pp. 200-209
Author(s):  
Tunde Adeyemo Alabi ◽  
John Lekan Oyefara ◽  
Waziri Babatunde Adisa
Keyword(s):  
Condom Use ◽  
Sexual Behaviour ◽  
Sexual Debut ◽  
Sexual Partners ◽  
Institutional Type ◽  
Parental Factors ◽  
Multiple Sexual Partners ◽  
First Sex ◽  
Sexual Behaviours ◽  
Risky Sexual Behaviours

In many countries, risky sexual behaviour appears to have become more common among sexually active young adults due to increasing acceptance of pre-marital sexual behaviour. This poses threat to the sexual and reproductive health of those who engage in same. This study investigated the possible influence of school and parental factors such as time of sexual debut (before or after admission), institutional type, accommodation type (whether campus or off-campus), parental marriage type, parental counselling and family of socialisation on three risky sexual behaviours. These are one-night stand, condom use at first sex and multiple sexual partners. The study adopted cross-sectional survey method. A total of 433 respondents were selected from three stratified tertiary institutions in Lagos State, Nigeria. The study found that institutional type and parents' marriage significantly influenced involvement in one-night stand. The age at sexual debut and parents' marriage type are associated with the use of condom at first sex. Also, while students of polytechnic had more sexual partners than their counterparts in the university and college of education (F: 16.849; p: 0.001), those living inside campus were significantly more likely to have multiple sexual partners than those outside campus (T: -1.995; p: 0.047). The study recommends the need for the management of institutes of higher learning and accommodation providers to improve their physical environment to discourage risky sexual behaviours, and to sensitise young people. Also, parent-child discussion on sex-related matters from both parents especially in polygynous homes is encouraged.

Significant rates of risky sexual behaviours among HIV-infected patients failing first-line ART: A sub-study of the Europe–Africa Research Network for the Evaluation of Second-line Therapy trial

2017 ◽  
Vol 29 (3) ◽  
pp. 287-297 ◽  
Author(s):  
Jane N Wanyama ◽  
Maria S Nabaggala ◽  
Bonnie Wandera ◽  
Agnes N Kiragga ◽  
Barbara Castelnuovo ◽  
...  
Keyword(s):  
Sexual Behaviour ◽  
Sexual Partner ◽  
Sexual Partners ◽  
Research Network ◽  
Second Line ◽  
Hiv Status ◽  
First Line ◽  
Second Line Therapy ◽  
Sexual Behaviours ◽  
Risky Sexual Behaviours

There are limited data on the prevalence of risky sexual behaviours in individuals failing first-line antiretroviral therapy (ART) and changes in sexual behaviour after switch to second-line ART. We undertook a sexual behaviour sub-study of Ugandan adults enrolled in the Europe–Africa Research Network for the Evaluation of Second-line Therapy trial. A standardized questionnaire was used to collect sexual behaviour data and, in particular, risky sexual behaviours (defined as additional sexual partners to main sexual partner, inconsistent use of condoms, non-disclosure to sexual partners, and exchange of money for sex). Of the 79 participants enrolled in the sub-study, 62% were female, median age (IQR) was 37 (32–42) years, median CD4 cell count (IQR) was 79 (50–153) cells/µl, and median HIV viral load log was 4.9 copies/ml (IQR: 4.5–5.3) at enrolment. The majority were in long-term stable relationships; 69.6% had a main sexual partner and 87.3% of these had been sexually active in the preceding six months. At enrolment, around 20% reported other sexual partners, but this was higher among men than women (36% versus 6.7 %, p < 0.001). In 50% there was inconsistent condom use with their main sexual partner and a similar proportion with other sexual partners, both at baseline and follow-up. Forty-three per cent of participants had not disclosed their HIV status to their main sexual partner (73% with other sexual partners) at enrolment, which was similar in men and women. Overall, there was no significant change in these sexual behaviours over the 96 weeks following switch to second-line ART, but rate of non-disclosure of HIV status declined significantly (43.6% versus 19.6%, p <0.05). Among persons failing first-line ART, risky sexual behaviours were prevalent, which has implications for potential onward transmission of drug-resistant virus. There is need to intensify sexual risk reduction counselling and promotion of partner testing and disclosure, especially at diagnosis of treatment failure and following switch to second- or third-line ART.

Heterosexual gonorrhoea at St Thomas'- II: sexual behaviour and sources of infection

1997 ◽  
Vol 8 (2) ◽  
pp. 102-108 ◽  
Author(s):  
G Daker-White ◽  
D Barlow
Keyword(s):  
Sexual Behaviour ◽  
Sexual Partner ◽  
Questionnaire Survey ◽  
Sexual Partners ◽  
Control Group ◽  
Multiple Sexual Partners ◽  
Sexual Histories ◽  
Sources Of Infection ◽  
Genitourinary Medicine ◽  
Regular Sexual Partner

Summary: This paper examines sexual behaviour in heterosexuals presenting to an inner-London genitourinary medicine (GUM) clinic with gonorrhoea. When comparing patients' documented sexual histories, there were notable differences between cases and a control group, especially in men. Male cases were more likely to have had both multiple sexual partners ( =18.5, P< 0.001) and concurrent sexual 2 relationships ( =15.2, P< 0.001) in the 30 days preceding presentation. Unlike cases, male controls were more likely to have used a condom at last intercourse with a 2 'casual' partner ( =17.5, P< 0.001). In an examination of the sources of infection in cases, women were far more likely to have been recipients of gonorrhoea than they were to transmit the infection. The source of their infection was most usually a regular sexual partner. In men, 'casual' and 'regular' partners and 'one night stands' were all important sources of infection. Our hypothesis that case patients would have met the sources of their infection in particular venues was not supported by the results of an original questionnaire survey. 2

scholarly journals Importance of lifetime sexual history on the prevalence of genital human papillomavirus among unvaccinated adults in NHANES: implications for adult HPV vaccination

2020 ◽  
Author(s):  
Anne F Rositch ◽  
Eshan U Patel ◽  
Molly R Petersen ◽  
Thomas C Quinn ◽  
Patti E Gravitt ◽  
...  
Keyword(s):  
Decision Making ◽  
Sexual Partner ◽  
Hpv Vaccination ◽  
Hpv Infection ◽  
Sexual Partners ◽  
Sexual History ◽  
Age Group ◽  
The Past ◽  
Hpv Prevalence ◽  
Vaccine Type

Abstract Background Although the FDA recently approved the HPV vaccine for individuals aged 27-45 years old, the CDC did not change their guidelines for routine HPV vaccination. Since recommendations for adult vaccination emphasize shared clinical decision-making based on risk of new infections, we examined the relationship between HPV prevalence and sexual behavior. Methods This study was conducted among 5,093 HPV-unvaccinated, sexually experienced adults aged 18-59 years in the National Health and Nutrition Examination Survey (2013-2016). For each sex and age group, adjusted prevalences of 9-valent vaccine-specific, high-risk, and any-HPV infection were estimated by number of lifetime sexual partners (LTSP) using logistic regression. An analysis restricted to persons who did not have a new sexual partner in the past year (i.e., removing those at highest risk of newly acquired HPV) was also conducted. Results In each age group, genital HPV prevalence was higher among persons with &gt;5 LTSP compared with 1-5 LTSP in both males and females. There were only slight reductions in HPV prevalence after removing participants who reported a new sexual partner in the past year. For example, among females aged 27-45 years with &gt;5 LTSP, the adjusted prevalence of 9-valent vaccine-type HPV infection was 13.4% (95% CI 9.9-17.0) in the full group compared to 12.1% (95% CI 8.8-15.4) among those with no new sexual partners. Conclusions Prevalent HPV infection was primarily reflective of cumulative exposures over time (higher LTSP). New exposures had limited impact, emphasizing the need to consider sexual history in the decision-making process for adult HPV vaccination.

scholarly journals Cervical Cancer Screening and Human Papillomavirus Vaccination among Korean Sexual Minority Women by Sex of Their Sexual Partners

2020 ◽  
Vol 17 (23) ◽  
pp. 8924
Author(s):  
Ssirai Kim ◽  
Sun-Young Lee ◽  
Smi Choi-Kwon
Keyword(s):  
Cervical Cancer ◽  
Human Papillomavirus ◽  
Cancer Screening ◽  
Cervical Cancer Screening ◽  
Sexual Minority ◽  
Sexual Partner ◽  
Hpv Vaccination ◽  
Sexual Partners ◽  
Minority Women ◽  
Sexual Minority Women

Cervical cancer-preventive behaviors in Korean sexual minority women (SMW) are underexplored. We aimed to assess the differences in cervical cancer screening uptake and completion of human papillomavirus (HPV) vaccination among Korean SMW by sex of their sexual partners. This cross-sectional study used data from the 2017 Korean Sexual Minority Women’s Health Study; we included Korean lesbian and bisexual women aged ≥20 years. They were divided into three groups: SMW with more than one male sexual partner (male only/both), SMW with only female sexual partners (female-only), or no sexual partner (no partner). Among the 671 participants, 266 (39.6%), 294 (43.8%), and 111 (16.5%) belonged to the male-only/both, female-only, and no partner groups, respectively. Compared to the male-only/both group, the female-only group was significantly less likely to have undergone cervical cancer screening (Adjusted odds ratio (AOR) = 0.24, 95% confidence interval (CI) = 0.15–0.37) and to have completed HPV vaccinations (AOR = 0.58, 95% CI = 0.37–0.91). In conclusion, Korean SMW with only female sexual partners had lower cervical cancer screening and HPV vaccination completion rates than SMW who had male sexual partners. More extensive efforts are needed to improve cervical cancer-preventive behaviors among Korean SMW.

ADOLESCENT SEXUALITY AND THE HIV EPIDEMIC IN YAOUNDÉ, CAMEROON

2004 ◽  
Vol 36 (5) ◽  
pp. 597-616 ◽  
Author(s):  
N. LYDIÉ ◽  
N. J. ROBINSON ◽  
B. FERRY ◽  
E. AKAM ◽  
M. DE LOENZIEN ◽  
...  
Keyword(s):  
Young Women ◽  
Hiv Transmission ◽  
Sexual Partners ◽  
Hiv Prevalence ◽  
Large Male ◽  
Age Difference ◽  
Susceptibility To Infection ◽  
Risky Behaviours ◽  
Mixing Patterns ◽  
Using Data

Adolescents are the focus of many interventions that aim to prevent HIV transmission. In order for these interventions to be effective, it is essential to understand adolescents' sexual behaviour. Using data collected in Yaoundé, Cameroon, in 1997, the study analysed risk exposure and HIV prevalence among 426 men and 510 women aged 15–24. Although risky behaviours seem to be more prevalent among young men, their HIV prevalence remains under 1%. In contrast, HIV prevalence is high among young women (7·5%), even those who report having had few sexual partners. Mixing patterns among sexual partners, and especially the age difference between men and women, do not seem to be sufficient to explain the large male–female discrepancy in HIV prevalence that is evident in these data. The results are therefore probably due to a greater susceptibility to infection of young women than men. This study highlights the necessity of reinforcing prevention campaigns among youth and fighting the obstacles that continue to impede the use of condoms in this population.

Sign in / Sign up

Export Citation Format

Share Document