Tag Archives: hpv

The HPV Vaccine Prevents Cancer. So Why Aren’t Most Teens Getting It?

Mother Jones

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According to latest National Immunization Survey, released by the Centers for Disease Control and Prevention Thursday, around 60 percent of teenage girls and 78 percent of teenage boys haven’t received all three of the recommended doses of the human papillomavirus (HPV) vaccine, which helps prevent reproductive cancers and genital warts caused by the virus.

Administered through three shots over a six month period, the vaccine protects against the most common types of the highly contagious virus, which is spread through sexual contact. Health officials recommend that adolescents receive the shots between the ages of 11 and 12 to boost the chances for immunity prior to any sexual activity, but the survey showed that 40 percent of girls and 60 percent of boys ages 13 to 17 hadn’t received even the first dose.

HPV is the most common sexually transmitted disease—most people will contract one of the 40 strains at some point in their lives. Seventy-nine million people in the United States have HPV, and an additional 14 million people are infected annually. Many people don’t even know they have the virus, and it often goes away on its own.

But not everyone is so lucky: One in every 100 will develop genital warts and 23,000 are diagnosed with HPV-caused cancers each year. According to the CDC, the vaccine prevents almost all pre-cancers and warts caused by the virus in both males and females. Since the first HPV vaccine was developed in 2006, the vaccine has helped reduce HPV infections among teenage girls by 56 percent—even with vaccination rates as low as they are.

Still, many parents are deciding to pass. A study published in Pediatrics in 2013 showed that the reasons most cited included unwarranted fears about vaccine safety and disbelief that their kids would be sexually active. Despite it’s proven safety and effectiveness, the vaccine has become a politically divisive issue. In 2011, Texas Governor Rick Perry was the first in the country to order a mandate, sparking outrage from the religious right. During a 2011 debate, Michele Bachmann claimed that the vaccine was “very dangerous” and caused “mental retardation,” and Rick Santorum called vaccine mandates, “just wrong.”

HPV vaccine uptake has not kept pace with that of other adolescent vaccines and has stalled in the past few years. In 2012, only about one-third of 13- to 17-year-old girls received all three recommended doses. These levels fall considerably short of the U.S. Department of Health and Human Services Healthy People 2020 goal of having 80 percent of 13- to 15-year-old girls fully vaccinated against HPV. Immunization rates for U.S. boys are even lower than for girls. Less than 7 percent of boys ages 13 to 17 completed the series in 2012. This low rate is in large part because the ACIP recommendation for routine vaccination of boys was not made until 2011. However, it is even lower than what was observed for girls in 2007—the first year following the recommendation for females—suggesting that concerted efforts are needed to promote HPV vaccination of males. – See more at: http://deainfo.nci.nih.gov/advisory/pcp/annualReports/HPV/ExecutiveSummary.htm#sthash.R6gsTr6L.dpuf

The National Cancer Institute has called for an “urgency of action” in closing vaccination gaps , citing that current vaccine rates are falling short of the US Department of Health and Human Services Goal for 80 percent coverage among 13 to 15 year old girls by 2020.

Though the focus is more often on girls, men are at also risk for HPV-caused cancers, including throat cancer, which may soon replace cervical cancer as the most common caused by the virus.

The survey did show there had been big gains in some parts of the country—Illinois, Montana, North Carolina and Utah all averaged increases of roughly 20 percent—which health officials say is an encouraging sign.

“The large increases in these diverse parts of the country show us it is possible to do much better at protecting our nation’s youth from cancers caused by HPV infections,” Dr. Anne Schuchat, assistant surgeon general and director of CDC’s National Center for Immunization and Respiratory Diseases, said in a statement released with the report. “We are missing crucial opportunities to protect the next generation from cancers caused by HPV.”

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The HPV Vaccine Prevents Cancer. So Why Aren’t Most Teens Getting It?

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No, Smartphones Aren’t Responsible for the Drop in Teen Sex

Mother Jones

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Over at Wonkblog, we learn that American teenagers are having less sex than they used to. But why?

Crotchety adults may joke: Maybe they’re too busy messing with their iPhones.

That’s actually a decent theory, said Dr. Brooke Bokor, an Adolescent Medicine Specialist at the Children’s National Health System. More teenagers than ever have smartphones….Many are more comfortable searching in private for credible information about sexual health….They could be better educated about the risks.”

….Another possible driver of the sexual slowdown is the growing popularity of the HPV vaccine, which is now widely offered to boys and girls as young as 11. The shots, of course, come with an educational conversation. Kids learn earlier about the prevalence of STIs and how they’re spread.

Alert readers will understand immediately not only why these aren’t decent theories, but why they’re ridiculous ones. In case you need a hint, it’s in the chart on the right.

As you can see, the percentage of teens who report ever having intercourse has been dropping since the late 80s, and dropped especially sharply during the 90s. There were no smartphones in the 90s. There was no HPV vaccine in the 90s. No matter how appealing these theories might be at first glance, neither is even remotely credible as an explanation for the decline in teen sexual activity.

So what’s the answer? How about video games? Or hip hop? Or energy drinks? I have no evidence for any of these, and clean-living adults might be scandalized at the idea that any of them could have tangible benefits, but they’re all better theories than smartphones or the HPV vaccine. At least the timing fits decently.

These provocations aside, I suppose you’re now expecting me to get serious and suggest that the decline in childhood lead exposure is responsible for the drop in teen sex. Maybe! There is, after all, some evidence that reduced lead exposure is associated with the drop in teen pregnancy over the past few decades, and it’s reasonable to suspect that less teen pregnancy might be the result of less teen sex. But there are at least two problems with this. First, pregnancy rates can go down even if sex doesn’t, simply due to more widespread use of birth control. Second, the data on teen sex comes from the CDC, and their cohort breakdown doesn’t seem to fit the lead theory. In particular, the percentage of ninth graders reporting sexual experience didn’t start dropping until 2001, and if lead is responsible you’d expect the youngest cohort to drop earlier than older cohorts. At first glance, then, I’m not sure lead explains what’s going on. But it might. I’d just need to see more and better data to be sure.

In other words: we don’t really know for sure why teen sex is down. What we do know is that on a whole range of measures—crime rates, pregnancy, drug and alcohol use, cigarette smoking, math and reading proficiency, high school completion—teenagers have become better behaved over the past couple of decades. They just aren’t as scary as they used to be. That’s a little hard to take if you’re a social conservative who’s convinced that liberal values are destroying America, but it’s true nonetheless. And good news too.

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No, Smartphones Aren’t Responsible for the Drop in Teen Sex

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