Does vaccination for HPV affect the choice of contraception method?
ESC Congress Library. Vatopoulou A. 05/10/18; 208199; ESC306 Disclosure(s): no disclosures
Dr. Anastasia Vatopoulou
Dr. Anastasia Vatopoulou
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ObjectiveTo investigate if HPV vaccination had any effect  on the use of condom or other ways of contraception among adolescents and young women. Design and methods : A  group of 300 women  aged 12-26 yrs that attended a Pediatric and Adolescent Gynecology clinic in a tertiary hospital filled an anonymous questionnaire with 80 questions related to demographic factors, to attitudes to sexual relationships, to contraceptive practices and to knowledge on STDs and HPV. The groups were separated and analyzed  according to the adoption of vaccination or not  in order to compare if the adoption of vaccination has affected their opinion on  the use of condom and choice of contraception.Independent-samples t-test  or Mann-Whitney test  was conducted to investigate differences between HPV vaccinated and non-vaccinated women on quantitative variables. Chi-square testor Fisher's exact test was conducted to explore any relationship between categorical variables and HPV vaccination. Results:Of the population studied,287 provided questionnaires valid for analysis . Of these 125 (43.6%) were vaccinated and 162 (56.4 %) were not.The vaccinated group was younger in age and initiated sex at an earlier age than the non vaccinated. Non vaccinated group was older and most commonly sexually active . Both groups had contraceptive choices typical of the Greek mediterranean  attitude  and these  are  mainly: condom, emergency contraception and coitus interruptus  . Contraceptive use and use of condom as well as attitudes towards it use appeared to be the same between vaccinated and non vaccinated populations . Knowledge of the importance of condom for the prevention of cervical cancer were poor and not statistically different between groups . The vaccinated group had statistically more often the opinion that HPV vaccination is an absolute prerequisite to start sex .  Conclusions: There was no difference in attitudes to condom use and contraception between vaccinated and non vaccinated adolescent and young women suggesting that vaccination does not promote risky behavior.Contraception methods chosen were the same in both groups and typical of the Greek reality.
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