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Human Papillomavirus Vaccination and Sexual Disinhibition in Females: A Systematic Review

Sunday, 15th of May 2016

 “This review did not find sufficient evidence to support compensatory sexual risk behaviors following HPV vaccination among adolescent girls or women.”

Human Papillomavirus Vaccination and Sexual Disinhibition in Females: A Systematic Review

American Journal of Preventive Medicine

Abstract below; full text is available to journal subscribers.

Purnima Madhivanan                

x

Affiliations

Department of Epidemiology, Robert Stempel College of Public Health and Social Work, Florida International University, Miami, Florida

Public Health Research Institute of India, Mysore, Karnataka, India

Correspondence

Address correspondence to: Purnima Madhivanan, MBBS, MPH, PhD, Department of Epidemiology, Robert Stempel College of Public Health and Social Work, Florida International University, 11200 SW 8th Street, AHC 5-477, Miami FL 33199, MBBS, MPH, PhD

Affiliations

Department of Epidemiology, Robert Stempel College of Public Health and Social Work, Florida International University, Miami, Florida

Public Health Research Institute of India, Mysore, Karnataka, India

Correspondence

Address correspondence to: Purnima Madhivanan, MBBS, MPH, PhD, Department of Epidemiology, Robert Stempel College of Public Health and Social Work, Florida International University, 11200 SW 8th Street, AHC 5-477, Miami FL 33199

,

Dudith Pierre-Victor

x

Affiliations

Department of Epidemiology, Robert Stempel College of Public Health and Social Work, Florida International University, Miami, Florida, MPH

,

Soumyadeep Mukherjee

x

Affiliations

Department of Epidemiology, Robert Stempel College of Public Health and Social Work, Florida International University, Miami, Florida, MBBS

,

Prasad Bhoite

x

Affiliations

Department of Epidemiology, Robert Stempel College of Public Health and Social Work, Florida International University, Miami, Florida, BHMS,

Brionna Powell

x

Affiliations

Department of Epidemiology, Robert Stempel College of Public Health and Social Work, Florida International University, Miami, Florida, BS

,

Naomie Jean-Baptiste

x

Affiliations

School of Podiatric Medicine, Barry University, Miami, Florida, MPH

,

Rachel Clarke

x

Affiliations

Department of Health Promotion and Disease Prevention, Robert Stempel College of Public Health and Social Work, Florida International University, Miami, Florida, MPH

,

Tenesha Avent

x

Affiliations

Department of Epidemiology, Robert Stempel College of Public Health and Social Work, Florida International University, Miami, Florida, MPH

,

Karl Krupp

x

Affiliations

Public Health Research Institute of India, Mysore, Karnataka, India

Department of Health Promotion and Disease Prevention, Robert Stempel College of Public Health and Social Work, Florida International University, Miami, Florida, MSc

DOI: http://dx.doi.org/10.1016/j.amepre.2016.03.015

Context

Some parents believe human papillomavirus (HPV) vaccination increases the chance of risky sexual behaviors among adolescents. This review summarizes the evidence available on adolescent girls and women engaging in risky sexual activity following HPV vaccination.

Evidence acquisition

Systematic review using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines was conducted in 2014 and updated in 2015. Literature was searched for articles published between 2004 and 2015 in MEDLINE, PsycInfo, CINAHL, Cochrane Database, Web of Science, and EMBASE without language limits. Studies were screened according to predefined inclusion and exclusion criteria. Methodologic quality of the included articles was assessed.

Evidence synthesis

The search resulted in 21 articles to be included in the review, with 527,475 participants. Included studies were conducted in 12 different countries using experimental and observational study designs. The review included data on girls aged as young as 11 years to women aged 40 years. Studies measured changes in sexual behaviors using a variety of outcomes, including age at sexual debut; risky sexual behaviors; use of condoms and contraception; and clinical indicators such as rates of sexually transmitted infections, HIV, and pregnancy terminations. Available data showed either no association between vaccination status and the outcomes of interest or a positive association between safer sexual behaviors, such as condom use and receipt of HPV vaccination. Methodologic quality of all but one study was moderate or weak.

Conclusions

This review did not find sufficient evidence to support compensatory sexual risk behaviors following HPV vaccination among adolescent girls or women.

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