Human papilloma virus vaccination and attitudes towards contraception: a cross-sectional study

Abstract

Objective: Human papilloma virus (HPV) vaccination may result in misconceptions that encourage young women to adopt risky contraceptive practices. The purpose of this article was to investigate whether HPV vaccination status was associated with choice of contraceptive method and adoption of risky sexual behaviour.

Methods: Vaccinated and non-vaccinated visitors to a university department paediatric and adolescent gynaecology clinic were asked to anonymously fill in a survey comprising questions on sociodemographic characteristics, sexual history, opinions on contraception and attitudes towards contraception.

Results: A total of 191 women were studied, 75 (39.3%) of whom had received the HPV vaccination and 116 (60.7%) of whom had not. The main contraceptive methods used in both groups were male condom (46%), emergency contraception (14%) and coitus interruptus (12%). The vaccinated group was less religious and had better educated mothers compared with the non-vaccinated group (relative risk [RR] 0.64; 95% confidence interval [CI] 0.45, 0.93; p = .016 vs RR 1.91; 95% CI 1.01, 3.63; p = .027, respectively). They also had an earlier sexual debut (RR 1.94; 95% CI 1.06, 3.55; p = .015), agreed that vaccination increased the safety of sex (RR 1.45; 95% CI 1.02, 2.05; p = .039) and considered the HPV vaccine a prerequisite to initiation of a sexual relationship (RR 1.87; 95% CI 1.34, 2.63; p < .001).

Conclusion: HPV vaccination did not affect sexual behaviour, attitudes to condom use or choice of contraceptive method.

摘要

目的：人乳头瘤病毒 (HPV) 疫苗的接种可能造成年轻人对避孕的错误认识, 从而导致她们选择危险的避孕措施。本文的目的是调查HPV疫苗接种状况是否与避孕方法的选择和采取危险的性行为有关。

方法：选择大学儿科系和青少年妇科诊所接种疫苗和未接种疫苗的来访者, 采取匿名填写调查问卷的方式, 内容包括社会人口特征、性生活史、选择避孕措施的观点和避孕的态度。

结果：一共有191名女性参加了研究, 75人（39.3%）接受了HPV疫苗接种, 116（60.7%）人未接种HPV疫苗。在这两组中主要的避孕措施为使用男性避孕套（46%）、紧急口服避孕药（14%）和性交中断（12%）。接种疫苗组与未接种疫苗组比较, 她们的宗教信仰少并且母亲受教育程度更高（相对危险度分别为 [RR] 0.64；95%置信区间[CI] 0.45, 0.93；p=.016 比RR 1.91；95% CI 1.01, 3.63；p=.027)。她们的初次性生活也更早（RR 1.94；95% CI 1.06, 3.55；p=.015）, 同意疫苗可以增加性生活的安全性（RR 1.45；95% CI 1.02, 2.05；p=.039）并且认为HPV疫苗是开始性关系的先决条件（RR 1.87；95% CI 1.34, 2.63；p<.001）。

结果：HPV疫苗接种不影响性行为、对避孕套使用的态度或避孕方法的选择。

Keywords:

• Contraception
• HPV vaccination
• sexual behaviour

Disclosure statement

No potential conflict of interest was reported by the authors.