Risk perceptions, sexual attitudes, and sexual behavior after HPV vaccination in 11-12 year-old girls.

Vaccine

Division of Adolescent and Transition Medicine, Cincinnati Children's Hospital Medical Center, MLC 4000, Cincinnati, OH 45229, USA; University of Cincinnati College of Medicine, 3235 Eden Avenue, P.O. Box 670555, Cincinnati, OH 45267, USA.

Published: July 2015

AI Article Synopsis

  • The study focused on 11-12 year-old girls who received the HPV vaccine, examining their understanding of HPV and related risks over 30 months, and how this knowledge influenced sexual attitudes and behaviors.
  • Initially, girls had limited knowledge about HPV, but many improved over time, with most recognizing the importance of safer sex regardless of their knowledge or sexual experiences.
  • The research highlighted that mothers' knowledge and communication about the HPV vaccine significantly impacted the girls' ability to perceive risks accurately, while influences from clinicians and media were less significant.

Article Abstract

Objectives: Among 11-12 year-old girls who received the human papillomavirus (HPV) vaccine, we explored, over the subsequent 30 months: (1) trajectories of knowledge about HPV/HPV vaccines and vaccine-related risk perceptions; (2) whether knowledge and risk perceptions impacted sexual attitudes and sexual experience; (3) whether mothers, clinicians, and media influenced girls' risk perceptions, attitudes, and behavior.

Methods: Girls and mothers (n=25dyads) completed separate, semi-structured interviews within 2 days of, and 6, 18, and 30 months after, their first HPV vaccine dose. Knowledge, risk perceptions related to HPV and other sexually transmitted infections (STIs), and attitudes about sexual behaviors were assessed. Sexual experience was assessed at girls' 30 month interviews. Clinicians completed interviews at baseline. Transcribed interviews were analyzed using framework analysis.

Results: Girls' baseline knowledge was poor but often improved with time. Most girls (n=18) developed accurate risk perceptions about HPV but only half (n=12) developed accurate risk perceptions about other STIs by 30 months. The vast majority of girls thought that safer sex was still important, regardless of knowledge, risk perceptions, or sexual experience. Girls whose HPV knowledge was high at baseline or increased over time tended to articulate accurate risk perceptions; those who were able to articulate accurate risk perceptions tended to report not having initiated sexual activity. Girls whose mothers demonstrated higher knowledge and/or communication about HPV vaccination tended to articulate accurate risk perceptions, whereas clinicians and media exposure did not appear to influence risk perceptions.

Conclusions: Higher knowledge about HPV vaccines among mothers and girls was linked with more accurate risk perceptions among girls. Clinicians may play an important role in providing education about HPV vaccines to mothers and girls.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4509825PMC
http://dx.doi.org/10.1016/j.vaccine.2015.06.060DOI Listing

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