Vanderpool Robin C, Williams Corrine M, Klawitter Amy R, Eddens Katherine
Department of Health Behavior, University of Kentucky College of Public Health, Lexington, Kentucky.
Department of Obstetrics and Gynecology, University of Kentucky College of Medicine, UK Chandler Hospital, Lexington, Kentucky.
Womens Health Issues. 2014 Sep-Oct;24(5):543-50. doi: 10.1016/j.whi.2014.05.003.
Problem Behavior Theory posits that risky behaviors cluster in individuals, implying that protective behaviors may follow a similar pattern. The purpose of this study was to determine whether the protective behavior of effective dual method contraception use at first and most recent sexual intercourse is associated with HPV vaccination among adolescent and young adult females.
National Survey of Family Growth (2006-2010) data were used to examine the association between women's contraception use during first and most recent sexual intercourse and HPV vaccination. Women aged 15 to 24 years (n = 1,820) served as the study sample.
At first and last sexual intercourse, effective dual method contraception use was reported by 15.3% and 16.8% women, respectively; 27.8% reported receiving at least one dose of the human papillomavirus (HPV) vaccine. Higher HPV vaccination rates were observed among dual method users at first and last sexual intercourse (36.4% and 48.2%, respectively). This trend was also observed across age groups (15-19 year olds vs. 20-24 year olds). In adjusted models, among all respondents, dual users at last sexual intercourse were significantly more likely to be vaccinated, whereas at first sexual intercourse only younger dual users were more likely to report HPV vaccination.
Findings suggest that the protective behavior of dual method contraceptive use at first and most recent sexual intercourse may serve as a predictor of another complementary health behavior, HPV vaccination, particularly among adolescent females. More research is needed to understand behavioral clustering to design related multi-focused women's health interventions.
问题行为理论认为，危险行为在个体中呈聚集状态，这意味着保护行为可能也遵循类似模式。本研究的目的是确定在首次和最近一次性交时有效使用双重避孕方法的保护行为与青少年及年轻成年女性的人乳头瘤病毒（HPV）疫苗接种之间是否存在关联。
使用全国家庭成长调查（2006 - 2010年）数据来检验女性在首次和最近一次性交时的避孕措施使用情况与HPV疫苗接种之间的关联。15至24岁的女性（n = 1820）作为研究样本。
在首次和最后一次性交时，分别有15.3%和16.8%的女性报告有效使用双重避孕方法；27.8%的女性报告至少接种过一剂人乳头瘤病毒（HPV）疫苗。在首次和最后一次性交时，双重避孕方法使用者的HPV疫苗接种率更高（分别为36.4%和48.2%）。在各年龄组（15 - 19岁与20 - 24岁）中也观察到了这一趋势。在调整模型中，在所有受访者中，最后一次性交时的双重避孕方法使用者接种疫苗的可能性显著更高，而在首次性交时，只有较年轻的双重避孕方法使用者更有可能报告接种了HPV疫苗。
研究结果表明，在首次和最近一次性交时使用双重避孕方法的保护行为可能是另一种补充性健康行为——HPV疫苗接种的预测指标，尤其是在青少年女性中。需要更多研究来了解行为聚集情况，以设计相关的多重点女性健康干预措施。
