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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 University, School of Health Sciences. School of Biomedical Sciences, College of Health Sciences, Makerere University, Kampala, Uganda.ORCID iD: 0000-0003-0830-1249
Örebro University, School of Medical Sciences. Örebro University Hospital, Department of Laboratory Medicine, Örebro, Sweden.ORCID iD: 0000-0002-4522-3078
Makerere University, Department of Pathology, Kampala Cancer Registry, Kampala, Uganda.
Makerere University, Department of Medical Microbiology, Immunology Laboratory, Kampala, Uganda.
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2017 (English)In: BMC Women's Health, ISSN 1472-6874, E-ISSN 1472-6874, Vol. 17, 40Article in journal (Refereed) 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.

Place, publisher, year, edition, pages
BioMed Central, 2017. Vol. 17, 40
Keyword [en]
Bivalent Human Papillomavirus (HPV) vaccination, cervical cancer risk perceptions, sexual risk behaviors, Sexually transmitted infections, Young women, Uganda
National Category
Obstetrics, Gynecology and Reproductive Medicine
Research subject
Obstetrics and Gynaecology
Identifiers
URN: urn:nbn:se:oru:diva-58100DOI: 10.1186/s12905-017-0394-yISI: 000402564800002PubMedID: 28576143ScopusID: 2-s2.0-85020029260OAI: oai:DiVA.org:oru-58100DiVA: diva2:1111557
Funder
Sida - Swedish International Development Cooperation Agency
Available from: 2017-06-19 Created: 2017-06-19 Last updated: 2017-06-19Bibliographically approved

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CiteExportLink to record
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Citation style
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