Thompson Erika L, Vamos Cheryl A, Straub Diane M, Sappenfield William M, Daley Ellen M
Department of Community and Family Health, College of Public Health, University of South Florida, Tampa, Florida.
Department of Community and Family Health, College of Public Health, University of South Florida, Tampa, Florida.
Womens Health Issues. 2017 Mar-Apr;27(2):228-236. doi: 10.1016/j.whi.2016.09.011. Epub 2016 Oct 27.
Vaccination against the human papillomavirus (HPV) has the potential to significantly reduce morbidity and mortality associated with genital warts and HPV-related cancers. However, HPV vaccination rates continue to be suboptimal among the "catch-up" population of 18- to 26-year-old women. One consistent risk factor for nonvaccination is being in a relationship. This study aimed to understand how relationship status and vaccination status impact risk perceptions and perceived need for the HPV vaccine among young adult women.
In-depth interviews were conducted with a sample (n = 50) of recently HPV vaccinated and unvaccinated college women, and stratified by four relationship categories. Comparative thematic analysis was used to assess relationship status and HPV risk perceptions.
Women in relationships perceived their risk of HPV to be low, which they attributed to monogamy and few sexual partners. Women in dating relationships reported higher HPV risk, which was linked to unprotected sex and sexual activity. In contrast, single women stated that their low risk for HPV was due to sexual inactivity.
This study builds on the epidemiological literature, by understanding how relationship status impacts HPV vaccination among young adult women. Relationship status contributed to HPV risk perceptions and vaccination decisions among these women. Perceptions were framed based on sexual behavior, such as monogamy or number of sexual partners. Future efforts should tailor health messages to young adult women's specific risk misperceptions about HPV.
接种人乳头瘤病毒（HPV）疫苗有潜力显著降低与尖锐湿疣和HPV相关癌症相关的发病率和死亡率。然而，在18至26岁女性这一“补种”人群中，HPV疫苗接种率仍未达到最佳水平。未接种疫苗的一个持续风险因素是处于恋爱关系中。本研究旨在了解恋爱状况和疫苗接种状况如何影响年轻成年女性对HPV疫苗的风险认知和感知需求。
对一组（n = 50）近期接种和未接种HPV疫苗的大学女性进行了深入访谈，并按四种恋爱关系类别进行分层。采用比较主题分析来评估恋爱状况和HPV风险认知。
处于恋爱关系中的女性认为自己感染HPV的风险较低，她们将其归因于一夫一妻制和性伴侣较少。处于约会关系中的女性报告的HPV风险较高，这与无保护性行为和性活动有关。相比之下，单身女性表示自己感染HPV的风险较低是由于没有性活动。
本研究通过了解恋爱状况如何影响年轻成年女性的HPV疫苗接种，在流行病学文献的基础上进行了拓展。恋爱状况影响了这些女性对HPV的风险认知和疫苗接种决定。认知是基于性行为构建的，如一夫一妻制或性伴侣数量。未来的努力应针对年轻成年女性对HPV的特定风险误解调整健康信息。
