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Cervical cancer risk perceptions, sexual risk behaviors and sexually transmitted infections among Bivalent Human Papillomavirus vaccinated and non-vaccinated young women in Uganda-5 year follow up study
Örebro universitet, Institutionen för hälsovetenskaper. School of Biomedical Sciences, College of Health Sciences, Makerere University, Kampala, Uganda.ORCID-id: 0000-0003-0830-1249
Örebro universitet, Institutionen för medicinska vetenskaper. Department of Laboratory Medicine, Faculty of Health and Medical Sciences, Örebro University, Örebro, Sweden.ORCID-id: 0000-0002-4522-3078
Department of Pathology, Kampala Cancer Registry, Makerere University, Kampala, Uganda.
Department of Medical Microbiology, Immunology Laboratory, Makerere University, Kampala, Uganda.
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2017 (Engelska)Ingår i: BMC Women's Health, ISSN 1472-6874, E-ISSN 1472-6874, Vol. 17, artikel-id 40Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

Background: Previous studies were conflicting regarding the associations between HPV vaccination, cervical cancer risk perceptions, high-risk sexual behaviors and STIs. This study compared the HPV-vaccinated and non-vaccinated young women in Uganda regarding cervical cancer risk perceptions, high-risk sexual behaviors, syphilis and HIV infections 5 years after vaccine implementation.

Methods: This was a population-based comparative cross-sectional survey conducted in Uganda. The 438 participants were sexually active young women aged 15-24 years and mean age was 18.6 (SD 1.4). The majority (53.0%) were HPV-vaccinated in 2008 without assessment of sexual activity prior to HPV vaccination. Upon verbal assessment of sexual activity at the time of follow-up, data were collected using a questionnaire and laboratory testing of blood samples for syphilis and HIV infections.

Results: There were no significant differences between the HPV-vaccinated and non-vaccinated groups regarding the prevalence of high-risk sexual behaviors, syphilis and HIV infections. Cervical cancer risk perceptions and age at sexual debut were nonetheless significantly lower among the vaccinated group compared to their non-vaccinated counterparts. However, HPV vaccination was not significantly associated to cervical cancer risk perceptions and early age at sexual debut in multivariate logistic regression analysis.

Conclusions: We found no associations between HPV vaccination, cervical cancer risk perceptions, high-risk sexual behaviors, syphilis and HIV infections among young women in Uganda 5 years after vaccine implementation. Young girls in the study population were found to be sexually active at a young age, affirming the importance of targeting girls of younger age for HPV vaccination.

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BioMed Central, 2017. Vol. 17, artikel-id 40
Nyckelord [en]
Bivalent Human Papillomavirus (HPV) vaccination, cervical cancer risk perceptions, sexual risk behaviors, Sexually transmitted infections, Young women, Uganda
Nationell ämneskategori
Reproduktionsmedicin och gynekologi
Forskningsämne
Obstetrik och gynekologi
Identifikatorer
URN: urn:nbn:se:oru:diva-58100DOI: 10.1186/s12905-017-0394-yISI: 000402564800002PubMedID: 28576143Scopus ID: 2-s2.0-85020029260OAI: oai:DiVA.org:oru-58100DiVA, id: diva2:1111557
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Sida - Styrelsen för internationellt utvecklingssamarbeteTillgänglig från: 2017-06-19 Skapad: 2017-06-19 Senast uppdaterad: 2018-07-31Bibliografiskt granskad

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Kumakech, EdwardAndersson, Sören

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