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admin 21.10.2014

A new study has great implications for women around the world, especially those in developing countries.
Those few, albeit loud voices that seem to think every medical advancement in women's health will also serve as a dangerous aphrodisiac, if not a public health crisis, can lament a new study proving them wrong this week.
While the Center for Disease Control recommends the vaccine for all girls between ages 11 and 26, only about half of American women actually receive the shot. In this sense, the HPV vaccine discussion resembles the decades-long debate over birth control: If a medication mitigates the consequences of unprotected sex, it must also encourage it. Research released this week from the Cincinnati Children's Hospital suggests that young women who receive the HPV vaccine are no more likely to have unprotected sex than they were before they received it.
While a study late last year indicated that the HPV vaccine was not correlated with increased incidence of other STIs or pregnancy among young women who received it, the Cincinnati study focused more on participants' attitudes about safe sex.
Researchers surveyed young women between 13 and 21 years old before they received the vaccine, and then again two and six months later. Ultimately, those who were sexually active reported no decline in their condom use after receiving the vaccination, and that they understood the shots did not protect against other STIs or pregnancy. The study is heartening for those hoping to increase vaccination of young women in the interest of preventing cervical cancer. The findings offer a welcomed reprieve from the near-constant task women have in defending their sexual health choices. One of the most buzzed about parts of the Affordable Care Act is the so-called contraceptive mandate, which requires that most private health insurance plans cover birth control without a co-pay or deductible.
It’s the start of the school year which means that the Human Papillomavirus (HPV) vaccine will soon be offered free to girls, and some boys, across Canada through school vaccination programs. To discover how do parents reason or justify their decision to accept or reject the HPV vaccine for their grade 8 daughters? To identify the motivations to accept or reject the vaccine from the perspective of the parent, specifically looking at how parents explain their decision. To understand how the HPV vaccination fits into their life, their child’s life, and their child’s future health and wellbeing. No specialized or technical knowledge on the HPV vaccine is needed to participate in an interview. Interviews are conversational and designed to understand what parents are thinking about during the decision, and how they are thinking about the vaccine itself. Although the findings of this study may not directly benefit you, by participating in this study you will be making a valuable contribution to the development of a new understanding about how parents come to accept or reject the HPV vaccination for their daughters. If you would like to participate, Katelin would be happy to arrange an interview at a location that is convenient for you.
This research has received ethics approval from the University of Toronto and is supported by the Social Science and Humanities Research Council (SSHRC) of Canada.
WEDNESDAY, June 10, 2015 (HealthDay News) -- One dose of the human papillomavirus (HPV) vaccine Cervarix could prevent as many cases of cervical cancer as the current two- and three-dose schedules, a new study contends. Reproducing content presented on this site in any form is prohibited without written permission. By increasing three-dose coverage to 80 percent, 53,000 more cases of cervical cancer could be prevented, according to the CDC. HPV, or human papillomavirus, is recommended for three doses for boys and girls in the age group of 11 to 12. CDC further adds in its study that even though the success rate is high, only 57 percent of girls were given at least one dose and just 38 percent of boys were given all the three doses in 2013.

Jena is also an assistant professor of Health Care Policy and Medicine at the Harvard Medical School. Jena and his colleagues tried to find from the database of an insurance whether people having the vaccine had higher rates of sexually transmitted infections compared to those who didn’t had.
It was also found from the study that the rates of vaccination in the US was pale compared to similar other countries such as Australia where the rate was up to 90 percent.
Bednarczyk is an assistant professor in the Hubert Department of Global health at Rollins School of Public Health at Emory University in Atlanta. He said that the vaccine is to be given before an adolescent as the immune response is strong then compared to the older teens.
Just one dose of the HPV vaccine Cervarix could be enough to protect women from two strains of human papillomavirus and cervical cancer. And since the follow-up only lasted four years, long-term protection is still uncertain.HPV vaccines are recommended for 11 or 12-year-old boys and girls, according to the CDC.?Got any questions about HPV or the study? According to research published in the journal of Pediatrics, the HPV vaccine does not lead to riskier sexual behavior in young women and teens.
The vaccine's relative unpopularity is partly due to fears that receiving a vaccine that only protects against one type of virus will give young people a false sense of security about their risk factors vis-a-vis other STIs and pregnancy. In other words, getting vaccinated neither promotes nor discourages risky behavior, and a young person predisposed to safe sex is not likely to abandon healthy habits after receiving the vaccination. At each stage, they were asked about their rate of their sexual activity, whether they were using condoms, and if they thought the vaccine had diminished the necessity for condoms during sex. Though about 20 percent of women who had no sexual experience at the start of the study had become sexually active six months after (as one could probably expect from any population in this age group), these participants said their understanding of risks associated with sex were not influenced by the vaccine. The vaccine protects against the two types of the HPV virus that cause 70 percent of cervical cancer cases. While many women for whom the HPV vaccine is beneficial still defer to their parents when considering health care, we're confident this study and others like it will remind families and health care providers that women can trust themselves when it comes to having safe sex. Certain plans have been grandfathered in, or given more time before they have to adhere to the change.
This also means that parents will be asked to sign a form to either consent or not consent the vaccine for their children. Katelin Albert, a PhD candidate from the Department of Sociology at the University of Toronto is conducting a study on the HPV vaccination available to grade 8 girls in Ontario. Involvement would include a one-hour interview, at a time and place of convenience for the parent. Flanders is the owner and executive director of Kindercare Pediatrics and also co-owner and co-director of kidEcare. Flanders completed his undergraduate and medical education at McGill University and pediatrics training at the University of Toronto’s Hospital for Sick Children. Most HPV infections go away on their own, but sometimes infections linger and can cause cervical cancer. The vaccine protects against HPV types 16 and 18, which are believed to cause about 70 percent of cervical cancers. Federal Centers of Disease Control and Prevention says it is in the market since 2006, but has been used less widely compared to other recommended vaccines available. A 2010 CDC study suggests one dose is enough to cut down risk of contracting HPV by 82 percent.
Anupam Jena, said the reason for low use of MPV vaccine is the perception of physicians and parents that it could lead to increase in unsafe sex.

He added further that this is the real concern and cannot be dismissed automatically, but they need to show some scientific evidence to prove they are on the right path. For this the medical history of 21,000 teens between the age group of 12 to 18 were looked from batch between 2005 and 2010. However, Jena said their new study would encourage physicians and parents to get their teens vaccinated. A comment by Robert Bednarczyk says that physicians have not recommended this vaccine much compared to other recommended vaccines. She is seeking Ontario parents for interviews to understand what experiences, beliefs, and opinions help guide parents in their decision on the HPV vaccine. The vaccine was originally approved to be given in three doses over six months, but many countries are switching to a two-dose schedule in teenagers.
It is the leading cause of cancer deaths among women in low-income countries, according to the World Health Organization.In the recent study sponsored by the National Institutes of Health, researchers gave women in Costa Rica one, two or the standard three doses of the HPV vaccine. And while the mandate requires that the full range of FDA-approved prescription contraceptives be covered, it does not require that all brands be covered, so you might have to switch to a generic drug in order to get your contraception for free.
These interviews are meant for both consenting and non-consenting parents with daughters in grade 6-12 in Ontario. Flanders is on staff at the North York General Hospital and is an adjunct lecturer at the University of Toronto’s Department of Pediatrics, Faculty of Medicine. The subjects were then compared with women who were not vaccinated because they had contracted HPV in the past.All women, regardless of what dose they received, produced antibodies against the virus. Planned Parenthood recommends calling the member services number on the back of your insurance card to talk about what is covered by your plan. Centers for Disease Control and Prevention still recommends three doses for young Americans.
Researchers conducted two large phase 3 clinical trials that included more than 26,000 women between the ages of 15 and 25. Since the vaccine is about $130 a dose, she explains, it’s not a reality for women in poorer countries. The researchers found that one dose of Cervarix offered similar levels of protection over four years when compared to two and three doses.
This is especially important in less developed regions of the world where more than 80 percent of cervical cancer cases occur," she explained. However, further research is needed before vaccination guidelines can be changed, according to co-lead study author Cosette Wheeler, of the University of New Mexico Health Sciences Center in Albuquerque.
She said researchers need to conduct trials lasting longer than four years to see how long the protection from one dose lasts. Julia Brotherton, of the Victorian Cytology Service Registries in Melbourne, Australia, said in the news release.
Cervical cancer is the fourth most common cancer in women worldwide, according to the researchers.

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