College of Nursing, Seoul National University, Seoul 03080, Korea.
Department of Healthcare Administration, Seoul National University Hospital, Seoul 03080, Korea.
Int J Environ Res Public Health. 2020 Nov 30;17(23):8924. doi: 10.3390/ijerph17238924.
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.
韩国性少数女性（SMW）的宫颈癌预防行为仍未得到充分探索。我们旨在通过性伴侣的性别来评估韩国 SMW 中宫颈癌筛查接受程度和人乳头瘤病毒（HPV）疫苗接种完成情况的差异。这项横断面研究使用了 2017 年韩国性少数女性健康研究的数据；我们纳入了年龄≥20 岁的韩国女同性恋和双性恋女性。她们被分为三组：有多个男性性伴侣的 SMW（仅男性/两者兼有）、仅有女性性伴侣的 SMW（仅女性）或无性伴侣的 SMW（无伴侣）。在 671 名参与者中，分别有 266 名（39.6%）、294 名（43.8%）和 111 名（16.5%）属于仅男性/两者兼有、仅女性和无伴侣组。与仅男性/两者兼有组相比，仅女性组进行宫颈癌筛查的可能性显著较低（调整后的优势比（AOR）=0.24，95%置信区间（CI）=0.15-0.37），且完成 HPV 疫苗接种的可能性也较低（AOR=0.58，95%CI=0.37-0.91）。总之，仅有女性性伴侣的韩国 SMW 进行宫颈癌筛查和 HPV 疫苗接种的完成率低于有男性性伴侣的 SMW。需要做出更多努力来改善韩国 SMW 的宫颈癌预防行为。
