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首页> 外文期刊>Pediatrics: Official Publication of the American Academy of Pediatrics >Risk perceptions and subsequent sexual behaviors after HPV vaccination in adolescents
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Risk perceptions and subsequent sexual behaviors after HPV vaccination in adolescents

机译：年轻人接受HPV疫苗接种后的风险感知和随后的性行为

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OBJECTIVES: Concerns have been raised that human papillomavirus (HPV) vaccination could lead to altered risk perceptions and an increase in risky sexual behaviors among adolescents. The aim of this study was to assess whether adolescent risk perceptions after the first vaccine dose predicted subsequent sexual behaviors. METHODS: Young women 13 to 21 years of age (N = 339) completed questionnaires immediately after HPV vaccination, and 2 and 6 months later, assessing demographic characteristics, knowledge/attitudes about HPV vaccination, risk perceptions, and sexual behaviors. Risk perceptions were measured by using 2 5-item scales assessing: (1) perceived risk of sexually transmitted infections (STI) other than HPV, and (2) perceived need for safer sexual behaviors after HPV vaccination. We assessed associations between risk perceptions at baseline and sexual behaviors over the next 6 months by using logistic regression, stratifying participants by sexual experience at baseline and age (13-15 vs 16-21 years). RESULTS: Among all sexually inexperienced participants (42.5%), baseline risk perceptions were not associated with subsequent sexual initiation; in age-stratified analyses, girls 16 to 21 years of age who reported lower perceived risk for other STI (an inappropriate perception) were less likely to initiate sex (odds ratio [OR] 0.13, 95% confidence interval [CI] 0.03-0.69). Among all sexually experienced participants (57.5%) and in age-stratified analyses, baseline risk perceptions were not associated with subsequent number of sexual partners or condom use. CONCLUSIONS: Risk perceptions after HPV vaccination were not associated with riskier sexual behaviors over the subsequent 6 months in this study sample.
机译：目的：已经有人担心，人乳头瘤病毒（HPV）疫苗接种可能导致青少年的风险观念改变和危险的性行为增加。这项研究的目的是评估在接种第一剂疫苗后青少年的风险感知是否可以预测随后的性行为。方法：13至21岁的年轻女性（N = 339）在HPV疫苗接种后以及2和6个月后立即完成了问卷调查，评估了人口统计学特征，对HPV疫苗接种的知识/态度，风险感知和性行为。通过使用2个5个项目的量表来评估风险认知：（1）感知到的除HPV以外的性传播感染（STI）的风险，以及（2）感知到HPV疫苗接种后需要更安全的性行为。我们使用logistic回归评估了基线时的风险感知与未来6个月内性行为之间的关联，并根据基线和年龄（13-15岁对16-21岁）的性经历对参与者进行了分层。结果：在所有没有性行为经验的参与者中（42.5％），基线风险感知与随后的性行为启动无关。在按年龄分层的分析中，报告称其他性传播感染的感知风险较低（感知不当）的16至21岁女孩发起性行为的可能性较小（优势比[OR] 0.13，95％置信区间[CI] 0.03-0.69 ）。在所有有性经验的参与者中（57.5％），并且在按年龄分层的分析中，基线风险感知与随后的性伴侣数量或使用安全套无关。结论：在此研究样本中，在随后的6个月中，HPV疫苗接种后的风险感知与较高风险的性行为无关。

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