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    Tempest in a teapot: A systematic review of HPV vaccination and risk compensation research.

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    39
    Author
    Kasting, ML; Shapiro, GK; Rosberger, Z; Kahn, JA; Zimet, GD
    Date
    2016-06-02
    Source Title
    Human Vaccines and Immunotherapeutics
    Publisher
    Informa UK Limited
    University of Melbourne Author/s
    SHAPIRO, GILLA
    Affiliation
    Melbourne School of Population and Global Health
    Metadata
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    Document Type
    Journal Article
    Citations
    Kasting, M. L., Shapiro, G. K., Rosberger, Z., Kahn, J. A. & Zimet, G. D. (2016). Tempest in a teapot: A systematic review of HPV vaccination and risk compensation research.. Hum Vaccin Immunother, 12 (6), pp.1435-1450. https://doi.org/10.1080/21645515.2016.1141158.
    Access Status
    Open Access
    URI
    http://hdl.handle.net/11343/260166
    DOI
    10.1080/21645515.2016.1141158
    Open Access at PMC
    http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4964724
    Abstract
    There has been some concern among parents and in the media that vaccinating children against human papillomavirus could be seen as giving children permission to engage in risky sexual behaviors (also known as sexual disinhibition). Several studies have found this concern to be unfounded but there have been no attempts to synthesize the relevant studies in order to assess if there is evidence of sexual disinhibition. The aim of this study was to synthesize recent literature examining sexual behaviors and biological outcomes (e.g., sexually transmitted infections) post-HPV vaccination. We reviewed literature from January 1, 2008-June 30, 2015 using PubMed, CINAHL, and Embase with the following search terms: [(sex behavior OR sex behavior OR sexual) AND (human papillomavirus OR HPV) AND (vaccines OR vaccine OR vaccination)] followed by a cited reference search. We included studies that examined biological outcomes and reported behaviors post-vaccination in both males and females. Studies were reviewed by title and abstract and relevant studies were examined as full-text articles. We identified 2,503 articles and 20 were eventually included in the review. None of the studies of sexual behaviors and/or biological outcomes found evidence of riskier behaviors or higher rates of STIs after HPV vaccination. Instead, the studies found that vaccinated compared to unvaccinated individuals were less likely to report vaginal intercourse without a condom (OR = 0.5; 95%CI = 0.4-0.6) and non-use of contraception (OR = 0.27; 95%CI = 0.15-0.48) and unvaccinated participants had higher rates of Chlamydia (OR = 2.3; 95%CI = 1.06-5.00). These results should be reassuring to parents and health care providers.

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