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A Retrospective Cohort Study of Young Women Spontaneously Choosing to Be Vaccinated against HPV: Outcomes from Their First Cervical Cancer Screening Test
| Content Provider | MDPI |
|---|---|
| Author | Mistro, Annarosa Del Battagello, Jessica Weis, Luca Bressan, Vittoria Selle, Vittorio Ramigni, Mauro Zotto, Alessandra Dal Maggiolo, Antonio Gori, Silvia Frayle, Helena Zappa, Marco Zorzi, Manuel |
| Copyright Year | 2021 |
| Description | Background: Efficacy for cervical cancer prevention of opportunistic HPV vaccination in post-pubertal girls is lower than in 11-year-olds. Methods: Women born between 1986 and 1992 vaccinated at 15–25 years of age (at least one dose of 4-valent HPV vaccine) and screened at 24–27 years of age were included. Frequency of opportunistic vaccination, overall and by birth cohort, was calculated; screening outcomes were compared between vaccinated and unvaccinated women. Results: Overall, 4718 (4.9%) HPV-vaccinated, and 91,512 unvaccinated, women were studied. The frequency of vaccination increased by birth cohort, ranging between 1.8% and 9.8%; age at vaccination decreased progressively by birth cohort (p < 0.0001). Participation in screening was 60.8% among vaccinated, and 56.6% among unvaccinated, women (p < 0.0001). Detection rates (DR) for high-grade lesions were lower in vaccinated women (2.11‰ vs. 3.85‰ in unvaccinated, for CIN3+, p = 0.24; 0.0‰ vs. 0.22‰ for cancer). The DR of CIN3+ increased with age at vaccination, scoring respectively 0.0‰, 0.83‰, and 4.68‰ for women vaccinated when they were 15–16, 17–20, and 21–25 years old (p = 0.17). Conclusions: In comparison to unvaccinated women, higher compliance with cervical cancer screening invitation and lower CIN3+ DR among vaccinated women was observed. Age at vaccination was inversely correlated to vaccination efficacy. |
| Starting Page | 486 |
| e-ISSN | 19994915 |
| DOI | 10.3390/v13030486 |
| Journal | Viruses |
| Issue Number | 3 |
| Volume Number | 13 |
| Language | English |
| Publisher | MDPI |
| Publisher Date | 2021-03-16 |
| Access Restriction | Open |
| Subject Keyword | Viruses Womens Studies Hpv Prophylactic Vaccination Cervical Cancer Screening Cin2 Cin3 Cancer Prevention Age At Vaccination |
| Content Type | Text |
| Resource Type | Article |
