Factors associated with HPV-associated sexual risk behaviors among sexually active college students

被引:1
|
作者
Lee, Minjee [1 ,2 ]
Gerend, Mary A. [3 ]
Whittington, Kelli D. [4 ]
Collins, Sandra K. [5 ]
Mckinney, Stacey L. [6 ]
Franca, Maria C. [7 ]
Boyer, Valerie E. [7 ]
Mckinnies, Richard C. [8 ]
Chen, Cheng-Chia [9 ]
Villegas, Jorge [10 ]
Boakye, Eric Adjei [11 ]
机构
[1] Southern Illinois Univ, Sch Med, Dept Populat Sci & Policy, Springfield, IL USA
[2] Southern Illinois Univ, Sch Med, Simmons Canc Inst SIU, Springfield, IL USA
[3] Florida State Univ, Dept Behav Sci & Social Med, Coll Med, Tallahassee, FL USA
[4] Southern Illinois Univ Carbondale, Sch Hlth Sci, Carbondale, IL USA
[5] Southern Illinois Univ, Sch Hlth Sci, Dept Hlth Care Management, Carbondale, IL USA
[6] Southern Illinois Univ, Sch Hlth Sci, Dept Dent Hyg, Carbondale, IL USA
[7] Southern Illinois Univ, Sch Hlth Sci, Dept Commun Disorders & Sci, Carbondale, IL USA
[8] Southern Illinois Univ, Sch Hlth Sci, Dept Radiol Sci, Carbondale, IL USA
[9] Univ Illinois, Dept Publ Hlth, Springfield, IL USA
[10] Univ Illinois, Dept Management Mkt & Operat, Springfield, IL USA
[11] Henry Ford Hlth Syst, Dept Publ Hlth Sci, One Ford Pl, Detroit, MI 48202 USA
关键词
Human papillomavirus; College students; Sexual risks; Vaccination; Sexual debut; HUMAN-PAPILLOMAVIRUS VACCINATION; UNITED-STATES; CANCERS; INFECTION;
D O I
10.1007/s10865-023-00463-1
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
High-risk sexual behavior is the primary risk factor for the acquisition and persistence of human papillomavirus (HPV) infection and the development of HPV-associated diseases including cancer. Incidence of HPV infection is high among individuals in their late teens and early 20s. Thus, college students represent a historically high-risk group for HPV infection yet are also a group with the ability to independently access HPV vaccination for HPV prevention. To inform future interventions, we examined factors associated with HPV-associated risky sexual behaviors among sexually active college students. Data (N = 741) were from an anonymous online survey distributed to students at a public Midwestern university in 2021. The outcomes were HPV-associated sexual risk behaviors-number of oral or vaginal sexual partners [high (>= 5) or low (< 5)] and age of oral or vaginal sexual debut [early (< 18 years) or late (>= 18 years)]. Multivariable logistic regression models estimated the association between HPV-associated risky sexual behaviors and several predictors including age, gender, relationship status, academic level, country of birth, and rural-urban status. Among sexually active students, approximately 47% and 41% had a high number of lifetime vaginal and oral partners, respectively. Among the same group, 60% and 64% had early vaginal and oral sexual debut. Students who were single and dating (aOR = 1.93; 95% CI = 1.21, 3.08) or single and not dating (2.11; 1.28, 3.48) were more likely to have a high number of vaginal lifetime partners compared with married students. Single (vs. married) students were also about twice as likely to have a high number of oral lifetime partners. Relative to graduate students, freshmen/sophomores were more likely to have an early vaginal (2.44; 1.45, 4.11) and oral (2.14; 1.26, 3.63) sexual debut. Interventions tailored to college freshmen/sophomores and unmarried students should encourage students to receive the HPV vaccine for prevention of future HPV-associated diseases.
引用
收藏
页码:334 / 341
页数:8
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