Contraceptive Need, Counseling, and Provision at the Time of Human Papillomavirus Vaccination on a Catch-Up Schedule

• Published in: Journal of pediatric & adolescent gynecology Vol. 27; no. 3; pp. 183 - 186
• Main Authors: Perry, Rachel, MD, Yu, Miao Crystal, MD, Harwood, Bryna, MD, MS
• Format: Journal Article
• Language: English
• Published: United States Elsevier Inc 01.06.2014
• Subjects: Adolescent; Adolescents; Adult; Catch-up vaccination; Contraception; Cross-Sectional Studies; Directive Counseling; Female; Health Services Needs and Demand; HPV vaccination; Humans; Immunization Schedule; Obstetrics and Gynecology; Papillomavirus Infections - prevention & control; Papillomavirus Vaccines; Pediatrics; Sexual Behavior; Vaccination; Young Adult; Contraception; Catch-up vaccination; HPV vaccination; Adolescents
• ISSN: 1083-3188; 1873-4332
• DOI: 10.1016/j.jpag.2013.12.006

Abstract Study Objective Human papillomavirus vaccination may be given on a catch-up schedule to individuals between 13-26 years of age. Young women receiving human papillomavirus (HPV) vaccination during this time of adolescence and young adulthood may be at risk for pregnancy. We aimed to describe contraceptive need and contraceptive care for females at the time of HPV vaccination on a catch-up schedule. Design We performed a cross-sectional study of adolescents and young women who received HPV vaccination between June 2006 and May 2010. Setting University of Illinois Health Sciences Center. Participants Females aged 13-26 years. Main Outcome Measures Proportion of females receiving contraception counseling and provision at time of catch-up HPV vaccination. We used descriptive and chi-square statistics for analysis. Results 507 females, mean age 22 years, received HPV vaccination in the study period. Initiation of heterosexual activity was documented for 472 (94%). Of those who were currently sexually active, 316 (80%) were using contraception. The majority of all subjects (76%) were counseled on contraception at vaccination. Sexually active females were more likely to be counseled than those who had not initiated sexual activity (77% vs 54%, P = .002). Those vaccinated in primary care clinics were more likely to be counseled than in colposcopy clinics (87% vs 36%, P < .001). Conclusion Young women presenting for HPV vaccination are often at risk of pregnancy. Onset of sexual activity and clinical site were associated with contraceptive care. HPV vaccination represents an opportunity to improve access to contraceptive care.