Well duh, getting an HPV shot doesn’t make kids have sex

16 Oct

Here’s today’s COMMENT FROM AN OLD FART: Well, duh, some folks think that giving kids an HPV shot is the equivalent to snatching their minds and giving them a copy of the Kama Sutra. Let’s chew gum and walk. Charles Poladin is reporting in the Medical Daily article, The fear that the Human papillomavirus (HPV) vaccination would lead to more promiscuous behavior in girls has been debunked in a new study.

The fear that human papillomavirus (HPV) vaccination would lead to more promiscuous behavior in girls has been debunked in a new study. For the study, researchers compared medical outcomes of teen girls who received the HPV shot and teen girls who were not vaccinated. Both groups had similar outcomes in regards to the number of girls that were tested for a sexually transmitted disease, sought birth control, underwent a pregnancy test or became pregnant. The study was led by Robert Bednarczyk, from Emory University and a researcher at Kaiser Permanente. For the study, researchers from Kaiser examined up to three years of health plan data from 1,398 girls in Atlanta. Of the participants, 493 girls had the HPV shot while 905 girls did not.

The study did not focus on asking girls about their sexual activity instead, the researchers examined medical data after the girls had the HPV shot. Researchers looked for medical outcomes that signaled sexual activity. These outcomes would include seeking birth control, getting a pregnancy test, being tested for sexually transmitted diseases or becoming pregnant.

According to the researchers, based on medical outcomes, few girls engaged in sexual activity after getting a HPV shot. Nearly 90 percent of vaccinated and unvaccinated girls did not obtain birth control during the three years of the study nor did they get a pregnancy test or were tested for sexually transmitted diseases. Two girls in the vaccinated group and two girls in the unvaccinated group became pregnant during the time of the study. http://www.medicaldaily.com/articles/12694/20121015/hpv-vaccine-lead-increased-sexual-activity.htm#GmaZZQwQmtKjPm1U.99

There are some good reasons that even those who are not sexually active may want to get an HPV shot. The fact is you not only sleep with a person, you are really sleeping with them and all their partners. According to the Children’s Hospital of Philadelphia article, Questions and Answers About HPV and the Vaccine:

I heard something about my son needing a particular HPV vaccine. Why does it matter?

Two HPV vaccines are available. One, Gardasil®, protects against four types of HPV – two types that commonly cause cervical cancer and two types that cause genital warts. It was tested for safety in both girls and boys. The other, Cervarix®, protects against the two types of HPV that commonly cause cervical cancer, but does not protect against the types that cause genital warts. Therefore, boys are recommended to receive Gardasil.

My daughter is not sexually active. Why should I even consider getting her vaccinated against HPV now?

The HPV vaccine is recommended before the start of sexual activity for two reasons:

  1. Young people tend to get infected more frequently; in fact, about half of all new infections are diagnosed in girls and young women between 15 and 24 years of age.
  2. It takes six months to complete the series of three vaccines, so even though your daughter may not be active now, or even in six months, it is better to have the series completed sooner rather than later.

I am already sexually active; should I still get the HPV vaccine?

Yes. The reason to still get the HPV vaccine even if you are already sexually active is that you may not have been exposed to all of the types of HPV that are contained in the vaccine.

Why does my son need an HPV vaccine since I heard it prevents cervical cancer?

Although HPV is a known cause of cervical cancer, the virus can also cause other cancers of the reproductive tract, anal cancer, penile cancer, genital warts, and on occasion, cancers of the head and neck. In fact, about 1 of every 3 cases of HPV-related cancers are in boys or men. Because vaccinating boys will also decrease the spread of the virus, they will not only protect themselves, but also their sexual partners. http://www.chop.edu/service/vaccine-education-center/prevent-hpv/hpv-questions-answers.html

So, if the HPV vaccine doesn’t make kids “do it,” then what does.

Moi has often mentioned that I am a “bus chick.” On a recent adventure, I had just finished grocery shopping and had a bunch of bags. I was waiting at the corner for the light to change and the walk sign to come on. A disheveled man slowly staggered across the street and the stench, which enveloped him, preceded him.  The light was green and he was crossing the street. Cars stopped and honked their horns, but he was oblivious. He got across the street to my corner. The walk sign came on and I crossed the street to catch my bus. The bus was there and the driver had all the doors and windows open. It was raining, but the driver said I could board early. He explained that one prior passenger had some “issues.” I told him that I had encountered that passenger. We began a conversation while waiting for the bus to depart.  

I told him I had seen the man crossing the street and I wondered what his story was. All children start life with so much promise, I said. At some point in the conservation, we started talking about families and he said let me tell you about my family and he did. I listened.

He has been living with a woman for several years and there is no thought of ever marrying.  He has four sons, the youngest is 19 years old. The older ones are sort of doing OK. The younger one had lived with him and his girlfriend for a while, but he didn’t take to school and didn’t want to study. His girlfriend didn’t want to be a “hall monitor” and there were personality differences between the girlfriend and the son. So, the son moved out and is living elsewhere, but his life is troubled. The girlfriend was married to a very abusive guy and she left him. She has four children, the oldest is 33 and has been depressed her whole life. She had a bout with meth and is currently taking a buffet of antidepressants. She has two children, a ten year old and a two year old. The ten year old’s father said he never wanted children and this woman had him to keep the father in the relationship. Of course he bolted and is a sporadic interference in the life of this child. The 10 year old has problems and for a time the girlfriend had sole custody because mom was such a druggie.  The two year old is a girl and mom is still breastfeeding her. Since she takes a buffet of antidepressants, the child is getting the drug cocktail through the breast milk.  This little girl is slow and does not have the speech that one would expect of a two year old.

The girlfriend’s other three children are not fairing much better. The 33 year old was kinda conceived to hold the girlfriend’s first marriage together. That obviously didn’t work. The girlfriend’s first husband had an affair and a baby outside that marriage. So, to patch things up, the first husband agreed to let her have the second daughter. She isn’t doing so well, either. The other two children were in his words, “mistakes.” The girlfriend’s youngest child is a 16 year old with extreme anger issues. The driver mentioned he slapped the kid when he tried to hit the girlfriend. They got into an argument about the kid slapping her. According to the driver, the kid routinely calls his mother slut and whore. He says he will let that pass, but if he tries to hit his girlfriend, he will intervene again.

Thankfully, it was time for the bus to leave and some other passengers came aboard. When I got to my stop, I thanked the driver for the ride and sent Blessings to his family.

I know that many want to define a family in many different ways, but a true family offers children a sense of continuity, stability, and security. Many modern couplings are transitory and the number of partners cycling through children’s lives in these serial relationships can sometimes be staggering. Many who rail against the children in the education system and their perceived deficiencies ought to ask themselves if you promoted the cultural and societal values which produced them.



Sexual Activity–Related Outcomes After Human Papillomavirus Vaccination of 11- to 12-Year-Olds

  1. Robert A. Bednarczyk, PhDa,b,
  2. Robert Davis, MD, MPHa,
  3. Kevin Ault, MDc,
  4. Walter Orenstein, MDc,d, and
  5. Saad B. Omer, MBBS, PhD, MPHa,b,c,d

+ Author Affiliations

  1. aCenter for Health Research-Southeast, Kaiser Permanente, Atlanta, Georgia; and
  2. bRollins School of Public Health,
  3. cSchool of Medicine, and
  4. dEmory Vaccine Center, Emory University, Atlanta, Georgia

OBJECTIVE: Previous surveys on hypothesized sexual activity changes after human papillomavirus (HPV) vaccination may be subject to self-response biases. To date, no studies measured clinical markers of sexual activity after HPV vaccination. This study evaluated sexual activity–related clinical outcomes after adolescent vaccination.

METHODS: We conducted a retrospective cohort study utilizing longitudinal electronic data from a large managed care organization. Girls enrolled in the managed care organization, aged 11 through 12 years between July 2006 and December 2007, were classified by adolescent vaccine (HPV; tetanus toxoid, reduced diphtheria toxoid, and acellular pertussis, adsorbed; quadrivalent meningococcal conjugate) receipt. Outcomes (pregnancy/sexually transmitted infection testing or diagnosis; contraceptive counseling) were assessed through December 31, 2010, providing up to 3 years of follow-up. Incidence rate ratios comparing vaccination categories were estimated with multivariate Poisson regression, adjusting for health care–seeking behavior and demographic characteristics.

RESULTS: The cohort included 1398 girls (493 HPV vaccine–exposed; 905 HPV vaccine–unexposed). Risk of the composite outcome (any pregnancy/sexually transmitted infection testing or diagnosis or contraceptive counseling) was not significantly elevated in HPV vaccine–exposed girls relative to HPV vaccine–unexposed girls (adjusted incidence rate ratio: 1.29, 95% confidence interval [CI]: 0.92 to1.80; incidence rate difference: 1.6/100 person-years; 95% CI: −0.03 to 3.24). Incidence rate difference for Chlamydia infection (0.06/100 person-years [95% CI: −0.30 to 0.18]) and pregnancy diagnoses (0.07/100 person-years [95% CI: −0.20 to 0.35]), indicating little clinically meaningful absolute risk differences.

CONCLUSIONS: HPV vaccination in the recommended ages was not associated with increased sexual activity–related outcome rates.

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