Download or read book Human Papillomavirus HPV Knowledge Beliefs and Vaccine Uptake Among United States and International College Students written by Ishu Karki and published by . This book was released on 2020 with total page 92 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Development and Evaluation of a Theory informed Culturally Specific Educational Human Papillomavirus HPV Vaccine Comic Book for College Students in Northeast Ohio written by Obianuju Genevieve Aguolu and published by . This book was released on 2018 with total page 252 pages. Available in PDF, EPUB and Kindle. Book excerpt: Development and Evaluation of a Theory-Informed, Culturally Specific, Graphic Narrative Messaging about HPV and HPV Vaccination for College Students in Northeast Ohio: An Application of the Integrative Model of Behavioral PredictionDissertation AbstractBy Obianuju Genevieve Aguolu MBBS, MPHDepartment of Biostatistics, Environmental Health Sciences, and EpidemiologyCollege of Public HealthKent State UniversityABSTRACTDevelopment and Evaluation of a Theory-Informed, Culturally Specific, Graphic Narrative Messaging about HPV and HPV Vaccination for College Students in Northeast Ohio: An Application of the Integrative Model of Behavioral PredictionBackgroundHuman papillomaviruses (HPV) cause cancers and genital warts in both sexes. In the United States (US), young adults, especially college students, are mostly affected. HPV vaccine was approved in the US since 2006. They are safe and effective, but coverage remains lower than other vaccines for young adults, implying missed vaccination chances, and a need to improve HPV vaccination promotion strategies. Comics are potentially effective for health education of diverse groups, because they are easily accessible, low-cost, engaging, and unobtrusive. They may help to improve knowledge and beliefs regarding HPV vaccine, increase its uptake, and decrease HPV sequelae.MethodsWe conducted a mixed methods study to examine predictors of intention to complete HPV vaccination among college students in northeast Ohio. We developed an educational HPV/HPV vaccine comic book for college students informed by evidence from current target population-based studies on HPV vaccination, pilot testing, and the Integrated Behavior Model (IBM). We hypothesized that the intervention would improve their HPV vaccine knowledge, beliefs, attitude, perceived norm, personal agency, and intention to complete HPV vaccination within 12 months. Using a quasi-experimental pretest/posttest survey design, we evaluated the effect of the intervention on a diverse population of 18 to 26-year-old male and female students recruited from a college in northeast Ohio in 2017 to review the comic book. ResultsA majority of participants, n=314, males (28%), females (72%) were satisfied with the comic and reported it is an acceptable way to get HPV vaccine information, easy to read, culturally relevant, with good quality information and graphics. Only 29% reported they have completed the recommended three doses of HPV vaccine. Multiple linear regression (n=157) showed age (ß ^=-0.11*); race (ß ^=0.81*); instrumental attitudes (ß ^=0.43*); injunctive norms (ß ^=0.20*); and descriptive norm (ß ^=0.55**) were significant predictors of intention to complete HPV vaccination in the next 12 months [R2=0.47, F (8) =16.12, p

Download or read book Knowledge Beliefs and Attitudes about the Human Papillomavirus Vaccine Among Female College Students written by Sara J. Henneberger and published by . This book was released on 2009 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Examine a variety of determinants that contribute to HPV vaccination decisions, with a particular focus on the influence of the mass media. A hierarchical linear regression showed that three main factors accounted for 42.7% of the variance in individual intention to be vaccinated against HPV. They were: 1) belief that the vaccine is safe and that information about the vaccine provided by advertisements and the news media is trustworthy; 2) perceived family support regarding vaccination; and 3) use of interpersonal sources of information about the vaccine. Stronger beliefs in vaccine safety and information trustworthiness were also correlated with a positive overall impression of the HPV vaccine. The results suggest that college women may be significantly influenced by HPV information provided by advertisements, the news media, and interpersonal sources--despite the fact that respondents reported relatively low use of these sources. The survey also revealed that the women were highly informed about the HPV vaccine. Their knowledge, combined with the information they gained from the news media and interpersonal sources, may have helped develop and/or reinforce their beliefs regarding HPV vaccine safety, which contributed directly to the decision to be vaccinated. This study filled a gap in knowledge about how college women have responded to the availability of an HPV vaccine and what factors most impact their vaccination decisions. These findings can help guide health educators and public health professionals as they work to promote HPV vaccination and eradicate cervical cancer.

Download or read book Educating College Students About Human Papillomavirus written by Pamela Carter Bryant and published by . This book was released on 2021 with total page 71 pages. Available in PDF, EPUB and Kindle. Book excerpt: Educating College Students About Human Papillomavirus Background: Human Papillomavirus (HPV) infection is the most common sexually transmitted infection in the US affecting almost 60% of college women ages 20 to 24 years. At one west coast community college, two thirds of males and half of females were unaware of HPV vaccine recommendation through age 26 years. Objectives: This aim of this project is to determine if an evidence-based online educational video about HPV and HPV vaccine would increase knowledge of HPV and intent to receive the vaccine among community college students enrolled in urban and suburban community colleges in Southern California. Measured outcomes of interest included HPV knowledge and intent to receive HPV vaccine. Methods: A quasi-experimental, one-group pre-posttest design was used to determine the effect of the HPV educational video on a sample of 24 gender and ethnically diverse community college students ages 18 through 26 years. Knowledge changes were measured using an online Student HPV-Knowledge Assessment immediately before and after video education. Statistical analysis included descriptive statistics, paired t-test, and the McNemar chi-square test for paired dichotomous variables. Results: Study results revealed all participants were aware of HPV and a majority was aware of the vaccine. Findings confirmed increased knowledge of HPV, perception of risk, and increased intent to get HPV vaccine in participants who were previously aware of disease following the intervention. These results support the utility of an online educational intervention to increase knowledge of HPV and intent of HPV vaccine uptake. Conclusion: HPV infection is common. Awareness of vaccines as protection from disease is increased during the pandemic, providing opportunity for influence of increased HPV vaccine uptake. The impact of HPV vaccine education through an educational video may be an effective method to reach young college students to heighten awareness and increase knowledge of HPV leading to increased HPV vaccine uptake. Future studies may examine if widespread education on vaccination as disease prevention during pandemic conditions could have impact on other vaccine uptake, specifically HPV vaccine, or if perception of risk from HPV infection might be overshadowed by perception of risk for COVID-19 and thus affect vaccine interest.

Download or read book Exploring knowledge and beliefs of Human Papillomavirus HPV infection and HPV vaccination among U S Chinese international students written by Haijuan Gao and published by . This book was released on 2015 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Human Papillomavirus Knowledge and Human Papillomavirus Uptake Among U S Navy Personnel 18 to 26 Years of Age written by Jennifer J. Buechel and published by . This book was released on 2016 with total page 161 pages. Available in PDF, EPUB and Kindle. Book excerpt: High human papillomavirus (HPV) incidence rates occur in the military and are one of the leading medical events in the armed forces. Although there are high HPV rates in uniformed personnel, the U.S. military reports lower vaccination uptake rates than the national average. The HPV vaccine is recommended for males and females ages 9 to 26 years. The aims of this study were to (a) describe the general HPV knowledge, HPV testing knowledge, HPV vaccination knowledge, HPV vaccine uptake, and socio-demographics; (b) describe the relationship between HPV knowledge, HPV vaccine uptake, and socio-demographics; and (c) identify select variables that determine the odds of HPV vaccine uptake among U.S. Navy personnel ages 18 to 26 years. The cross-sectional, correlational research design used an Internet-delivered survey. Participants (N = 233) were U.S. Navy personnel stationed in the U.S. Pacific Fleet. The median age was 22 (IQR = 3), the majority were white (53.9%) and single (32.8%), and 96 (41.2%) had obtained the vaccine. Participants who completed the 16-item HPV knowledge scale, a 6-item HPV testing knowledge scale, and a 13-item HPV knowledge had scores of Mdn = 10 (Range = 16), Mdn = 2 (Range = 6), and Mdn = 6 (Range = 12), respectively. Older, White, females, with a higher paygrade, had received the vaccine, heard of HPV testing, served longer in the military, and U.S. born had a higher overall HPV knowledge (p

Download or read book College Students Attitudes Toward Human Papillomavirus Vaccination written by and published by . This book was released on 2016 with total page 83 pages. Available in PDF, EPUB and Kindle. Book excerpt: Human papillomavirus (HPV) is the most common sexually transmitted virus in the world. Although HPV vaccine is an adolescent vaccine, a ‘catch-up’ vaccine is also recommended for 13 to 26 years-old females who have not been vaccinated previously and 13 to 21 years-old males who have not been vaccinated previously. The majority of Americans, however, reach adulthood without receiving the recommended HPV vaccine doses. Increasing the HPV vaccination series uptake requires theory-driven empirical understanding of factors influencing HPV-related decisions among this population. Based on the Social Cognitive Theory, the current study assessed the interaction between personal and environmental determinants of vaccine uptake and its effect on the behavioral intention to obtain the HPV vaccine. The San Diego State University Psychology Department participant pool was utilized to collect the data from 209 participants between the ages of 18 to 26 years who have not yet obtained any dose of HPV vaccine. Data were collected anonymously and analyzed using a series of seven correlation analyses, two hierarchical linear regression analyses, and three mediation analyses. The findings demonstrated that: (1) female gender and social influence (parents’ and peer endorsement of HPV vaccine) significantly predicted behavioral intentions to obtain the HPV vaccine, p

Download or read book Knowledge and Attitudes Regarding the Human Papillomavirus and HPV Vaccine Among College Students written by Kristen L. O'Flarity and published by . This book was released on 2012 with total page 63 pages. Available in PDF, EPUB and Kindle. Book excerpt: Objective: Both young men and women should obtain the human papillomavirus (HPV) vaccine in order to reach its intended public health benefits. Because men are behind in this vaccination campaign, this study compared knowledge and attitudes regarding HPV and the vaccine among college-aged men and women in order to improve vaccination strategies among this at-risk population. Methods: A convenience sample of 95 university students, 40 men and 55 women, ages 18 to 26 (mean age of 20.2) completed self-administered pencil-and-paper questionnaires with approximately 40 questions that assessed the desired variables. Knowledge was measured through multiple choice and true/false questions. Attitudes were measured by Likert scale responses following theoretical framework. Data were analyzed and summarized through descriptive statistics using SPSS software. Results: Awareness of the HPV vaccine's availability for men was significantly low for both genders, particularly for men. Health practitioners' and parents' approval both play a pivotal role in considering the vaccine. For men, peers' approval was also important in this decision-making process. Overall, females showed higher rates of awareness in HPV and the vaccine and indicated more positive social norms associated with obtaining the vaccine. Conclusions: According to the results of this study, the HPV vaccine is still prevalently associated with female health and therefore detracting from the male consumer. In order to increase uptake of the HPV vaccine in both genders, a gender neutral vaccine campaign that does not focus on one specific health issue is suggested.--P. vii.

Download or read book Attitudes Toward the HPV Vaccine Among University Students Identifying Barriers to Vaccine Uptake written by Kristina L. Harbaugh and published by . This book was released on 2020 with total page 99 pages. Available in PDF, EPUB and Kindle. Book excerpt: Author's abstract: Background: In the United States, the Centers for Disease Control and Prevention (CDC) estimates that 32,000 cancers occur annually that can be directly attributable to the acquisition of the Human Papilloma Virus (HPV). Gender specificity data posits that 21,000 of the annual cancer cases are female and the remaining 11,000 cases occur among males. However, because the implementation and trajectory of HPV vaccination and prevention programs have been historically aimed toward women, vaccination rates for men remain significantly lower. The purpose of this study was to assess gender differences in knowledge attitude, subjective norms and perceived behavioral control about HPV and the intention to be vaccinated among a sample of university students. The Theory of Planned Behavior was employed as the theoretical framework for the study. Methods: a stratified proportional random sample of students attending one university with multiple campuses was utilized to collect data. Each campus site constituted a stratum, with two or more classes of an undergraduate level randomly selected from each campus. Results: A total of 383 usable surveys were obtained, which is consistent with obtaining a final sample size of 380 based on the power analysis of p≤0.05. A response rate of 84% was obtained which included face to face and on-line administrations. Overall results indicate a significant difference in male and female vaccination rates with females 1.945 times (1.450, 2.607) more likely to have been vaccinated against HPV than males (received all three doses); Males were less knowledgeable than females on specific facts about HPV and the vaccination; were less likely to be influenced by family or peers to receive the vaccination and less likely to perceive their ability (perceived behavioral control) to obtain the HPV vaccine as high. Best practices for health education emphasize skill acquisition however, the results of this study suggest university health education programs need to include a strong knowledge component along with self-efficacy skills and positive awareness messages on the benefits of receiving the HPV vaccine.

Download or read book A Manual of the History of Dogmas written by Bernard John Otten and published by . This book was released on 1917 with total page 554 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book What College Women Know Think and Do about Human Papillomavirus HPV and HPV Vaccine written by Nop Thodsama Ratanasiripong and published by . This book was released on 2012 with total page 144 pages. Available in PDF, EPUB and Kindle. Book excerpt: Background: The development of cervical cancer nearly always begins with a sexuallytransmitted Human Papillomavirus (HPV) infection. Approximately 20 million Americans between the ages of 15 and 49 are currently infected with HPV and another 6 million people become newly infected each year. Among these HPV infections, 74% occur in the 15 to 24 year old age group. In 2006, HPV vaccine (Gardasil®) was approved for girls and women aged 9 to 26. However, the national vaccine uptake rate among young women has been low. HPV vaccine mandatory proposals have also been met with controversy. Some advocacy groups have voiced concerns about whether receipt of HPV vaccine might encourage unsafe sexual behaviors. Little is known about how public controversies have influenced the uptake of HPV vaccine or whether HPV vaccinees indeed engage in more unsafe sexual behaviors, compared to their non-HPV vaccinee counterparts. Purposes: This cross-sectional study aimed to: (1) identify factors that influence HPV vaccine uptake among college women and (2) examine the post-vaccine sexual behaviors of college-aged women. Methods: Participants were a convenience sample of college women (n=384) ages 18 to 26 attending a large, public university in Southern California. An electronic self-administered survey was utilized to collect data. The theory of planned behavior provided a framework for understanding the factors associated with vaccine uptake and with post-vaccine sexual behaviors. Results: College women had good HPV/HPV vaccine knowledge. Over 90% of vaccinees and non-vaccinees knew that Pap test is still needed after the vaccination and an HPV vaccine does not protect against all STIs. Both groups also had positive attitudes toward mandatory vaccination. However, knowledge and attitudes toward the vaccine were not directly linked to the outcome predictor--intention to obtain the vaccine and vaccine uptake. While attitude toward getting vaccinated, subjective norms, and perceived behavioral control were correlated with the outcome predictors, subjective norms consistently predicted intention to obtain HPV vaccine and vaccine uptake. There were no significant differences in sexual behaviors (numbers of sexual partners in a life time, numbers of sexual partners in the past 12 months, condom use, condom use frequency) between non-vaccinees and vaccinees. The numbers of sexual partners before and after vaccination among vaccinees were also not significantly different. Conclusions: Strategies to ensure that those who are eligible for catch-up vaccination are vaccinated should include attention to college women's subjective norms. Vaccine mandatory proposal would not be unacceptable to this population and concerns that the HPV vaccine encourages unsafe sexual behaviors and practices among college aged women may be disregarded.

Download or read book Examining the Facilitators and Barriers of Human Papillomavirus Vaccine Uptake in College Males written by Desiree Rondeau and published by . This book was released on 2020 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: This was a study of college males aged 18 to 26 to determine the facilitators and barriers of human papillomavirus (HPV) vaccine uptake, the association between knowledge about the HPV vaccinate and intent to be vaccinated, and the association between various demographic characteristics and knowledge of HPV and the intent to receive the vaccine. Undergraduate males from a public university in the Northeastern United States were recruited via convenience and snowball sampling during the spring 2020 semester. A 28-item survey assessing male students' knowledge and vaccine intentions was used, and an interview to determine the facilitators and barriers of vaccine uptake. Quantitative data analysis took place on SPSS. Qualitative data were transcribed and coded for themes. Findings showed that a healthcare provider can influence vaccine intent. Friends, family, and knowledge, also played a role. Demographic characteristics were not associated with knowledge or intent to receive the vaccine. These findings can be used to guide policy and educational interventions that target both males and healthcare providers to encourage vaccine uptake in college-aged males.

Download or read book Knowledge Attitudes and Acceptability of Human Papillomavirus Vaccine Among Female Students and Parents in Macao written by Choi-Wan Chan and published by Open Dissertation Press. This book was released on 2017-01-26 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: This dissertation, "Knowledge, Attitudes and Acceptability of Human Papillomavirus Vaccine Among Female Students and Parents in Macao" by Choi-wan, Chan, 陳彩環, was obtained from The University of Hong Kong (Pokfulam, Hong Kong) and is being sold pursuant to Creative Commons: Attribution 3.0 Hong Kong License. The content of this dissertation has not been altered in any way. We have altered the formatting in order to facilitate the ease of printing and reading of the dissertation. All rights not granted by the above license are retained by the author. Abstract: Human papillomavirus (HPV), a family of viruses with more than 40 genotypes is known to infect genital tract of males and females. High-risk HPV including genotypes 16, 18 can cause cervical cancer while low-risk HPV including genotypes 6, 11 can cause benign or low grade cervical lesions and genital warts. Considering HPV infection is the most common sexually transmitted infection worldwide, as well as in Macao, with prevalence up to 8.1%, and given that cervical cancer is the top ten most frequent female cancer which causes high burden in our health care system, it is important to have a comprehensive intervention for control HPV and cervical cancer. Since the HPV vaccine for preventing cervical cancer has been available in Macao, it is worth to know the willingness to be vaccinated among target population. Base on findings from previous studies, the parental attitudes and acceptance is the key factor of vaccination for young girls. Other potential factors, such as the HPV knowledge, vaccine safety and efficacy, cost, the age of daughter and the physician's attitudes, may also affect parental acceptance. Given that no previous study on this topic has been conducted, this study is aimed to understand the knowledge, attitudes and acceptability of HPV vaccination, and to explore and identify the affecting factors for acceptance among school girls and their parents. A school-based simple cluster random sampling method was used. Data was collected by anonymous self-administrated questionnaires among 574 school girls aged at 12-22 and 702 parents aged at 30-65. About 47% of the school girls had heard of HPV and 88.3% had heard of HPV vaccine, while 57.1% of parents had heard of HPV and 83.2% had heard of HPV vaccine. Although the HPV-related knowledge was poor among young girls and their parents, 92% of girls indicated a positive intention to be vaccinated for herself and 88% parents would willing to consent daughter to be vaccinated if the HPV vaccine became in routine immunization. However, the parental vaccination acceptability for daughters decreased to 40% and only 30% of mothers would willing to accept for themselves, if they had to pay a full course for three doses of HPV vaccine. About 97% of school girls and 95% of parents supported that HPV vaccine should be included in government immunization programme. We also found that young girls and parents are more favor in later HPV vaccination rather than vaccination at recommended age. Cost is the dominant affecting factor in determining parental acceptability of HPV vaccination. In addition, daughter's age, vaccine safety concern, Pap smear attendance and HPV knowledge are significantly associated with HPV vaccine acceptance. It may be worthwhile to further investigate the reasons for the delay vaccination among the young adolescent girls and among their parents, to examine if any underlying factors were unexpressed. DOI: 10.5353/th_b5022251 Subjects: Papillomavirus vaccines - China - Macau(Special Administrative Region)

Download or read book Catching Up with HPV Immunization written by Behrooz R. Soleimani and published by . This book was released on 2021 with total page 118 pages. Available in PDF, EPUB and Kindle. Book excerpt: "HPV is the most common sexually transmitted infection in the US, and it can lead to minor health problems such as genital warts and serious problems like cancer in men and women. HPV vaccination can effectively prevent HPV-related cancers and is recommended by ACIP to individuals aged 9-26. HPV vaccine uptake is low among adolescents and young adults in the US. College students have a window of opportunity to catch up with their HPV immunizations, and are often uninformed about HPV, the HPV vaccine, their eligibility to receive the HPV vaccine, and where they can obtain the HPV vaccine. An online educational video about HPV was produced for Seattle University (SU) students with the purpose of informing them about HPV and prompting unvaccinated students to get vaccinated. The video was placed in an online survey containing pre-and post-video questionnaires testing viewers’ HPV knowledge and self-reported likelihood to get vaccinated. Viewers’ self-reported likelihood to vaccinate and correct answers to HPV knowledge questions increased in the post-video questionnaire. Educational interventions such as the one evaluated in this project can improve young adults’ HPV knowledge and may have a positive influence on their intention to vaccinate against HPV"--Abstract.

Download or read book Cancer Prevention and the Human Papillomavirus Vaccine written by Andrea Krawczyk and published by . This book was released on 2012 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: The purpose of the present thesis was to examine psychosocial and behavioural factors associated with the decision-making process involved in uptake of the human papillomavirus (HPV) vaccine. In Canada, the HPV vaccine has been approved for women and men aged 9 to 26. Using the health belief model as a primary theoretical framework, the present dissertation examined knowledge, attitudes, and beliefs of young adults making a vaccination decision for themselves and of parents making a vaccination decision for their daughters.Study 1 consisted of a cross-sectional survey exploring correlates of HPV vaccination among female university students who did not intend to receive, intended to receive, or had received the vaccine. The study results showed that social influences were important and unique factors related to young women's vaccination uptake. Study 2 examined male university students' knowledge and future vaccination intentions. The study differentiated between...

Download or read book Using the Theory of Planned Behavior to Assess Factors that Influence the Intent to Use Human Papillomavirus HPV Vaccine Among Young Adult College Students written by Chinelo Constance Orji and published by . This book was released on 2022 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: The aim of this study was i.) to determine the salient beliefs college students have regarding HPV vaccination and ii.) to determine college students’ intentions to be fully vaccinated against HPV within 12 months and factors that influence their intention. The theory of planned behavior (TPB) served as the theoretical framework to guide the study. The study assessed the significance of each of the TPB constructs – attitude, subjective norms, and perceived behavioral control – as well as additional constructs – knowledge and religiosity – in predicting behavioral intention. The relationships between demographic/personal factors and the study constructs were also assessed. A mixed-methods study design including qualitative and quantitative components, was applied. The study sample was comprised of a convenience sample of college students aged between 18 to 45 years attending a large public university in central Texas. For the qualitative portion, three focus group sessions were carried out to elicit the beliefs regarding HPV vaccination. Two investigators conducted a content analysis of the qualitative data and reached consensus on coding discrepancies. Twenty-four students participated in the focus groups, and a total of 45 beliefs were identified. Of these, 18 were salient, including 6 behavioral beliefs, 6 normative beliefs, and 6 control beliefs. For the quantitative portion, a web-based survey was developed using the TPB and information identified from the focus groups. The survey was administered via Qualtrics. Data analyses comprised descriptive, bivariate, and multivariate methods. Covariate adjusted linear regression models were used to assess association between intention and study constructs. Of 438 students who participated in the survey, there were 213 usable surveys. The initial model with attitude, subjective norms and perceived behavioral control as predictors accounted for about 40 percent of the variance in intention (R2= 0.4046, p

Download or read book Three Shots at Prevention written by Keith Wailoo and published by JHU Press. This book was released on 2010-10-01 with total page 352 pages. Available in PDF, EPUB and Kindle. Book excerpt: In 2007, Texas governor Rick Perry issued an executive order requiring that all females entering sixth grade be vaccinated against the human papillomavirus (HPV), igniting national debate that echoed arguments heard across the globe over public policy, sexual health, and the politics of vaccination. Three Shots at Prevention explores the contentious disputes surrounding the controversial vaccine intended to protect against HPV, the most common sexually transmitted infection. When the HPV vaccine first came to the market in 2006, religious conservatives decried the government's approval of the vaccine as implicitly sanctioning teen sex and encouraging promiscuity while advocates applauded its potential to prevent 4,000 cervical cancer deaths in the United States each year. Families worried that laws requiring vaccination reached too far into their private lives. Public health officials wrestled with concerns over whether the drug was too new to be required and whether opposition to it could endanger support for other, widely accepted vaccinations. Many people questioned the aggressive marketing campaigns of the vaccine's creator, Merck & Co. And, since HPV causes cancers of the cervix, vulva, vagina, penis, and anus, why was the vaccine recommended only for females? What did this reveal about gender and sexual politics in the United States? With hundreds of thousands of HPV-related cancer deaths worldwide, how did similar national debates in Europe and the developing world shape the global possibilities of cancer prevention? This volume provides insight into the deep moral, ethical, and scientific questions that must be addressed when sexual and social politics confront public health initiatives in the United States and around the world.