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Cervical Cancer Screening and Human Papillomavirus Vaccination among Korean Sexual Minority Women by Sex of Their Sexual Partners

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  • Ssirai Kim

    (College of Nursing, Seoul National University, Seoul 03080, Korea
    Department of Healthcare Administration, Seoul National University Hospital, Seoul 03080, Korea)

  • Sun-Young Lee

    (Public Healthcare Center, Seoul National University Hospital, Seoul 03080, Korea)

  • Smi Choi-Kwon

    (College of Nursing, Seoul National University, Seoul 03080, Korea
    The Research Institute of Nursing Science, Seoul National University, Seoul 03080, Korea)

Abstract

Cervical cancer-preventive behaviors in Korean sexual minority women (SMW) are underexplored. We aimed to assess the differences in cervical cancer screening uptake and completion of human papillomavirus (HPV) vaccination among Korean SMW by sex of their sexual partners. This cross-sectional study used data from the 2017 Korean Sexual Minority Women’s Health Study; we included Korean lesbian and bisexual women aged ≥20 years. They were divided into three groups: SMW with more than one male sexual partner (male only/both), SMW with only female sexual partners (female-only), or no sexual partner (no partner). Among the 671 participants, 266 (39.6%), 294 (43.8%), and 111 (16.5%) belonged to the male-only/both, female-only, and no partner groups, respectively. Compared to the male-only/both group, the female-only group was significantly less likely to have undergone cervical cancer screening (Adjusted odds ratio (AOR) = 0.24, 95% confidence interval (CI) = 0.15–0.37) and to have completed HPV vaccinations (AOR = 0.58, 95% CI = 0.37–0.91). In conclusion, Korean SMW with only female sexual partners had lower cervical cancer screening and HPV vaccination completion rates than SMW who had male sexual partners. More extensive efforts are needed to improve cervical cancer-preventive behaviors among Korean SMW.

Suggested Citation

  • Ssirai Kim & Sun-Young Lee & Smi Choi-Kwon, 2020. "Cervical Cancer Screening and Human Papillomavirus Vaccination among Korean Sexual Minority Women by Sex of Their Sexual Partners," IJERPH, MDPI, vol. 17(23), pages 1-11, November.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:23:p:8924-:d:454132
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    References listed on IDEAS

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    2. Jarim Kim, 2018. "The Relationship of Health Beliefs with Information Sources and HPV Vaccine Acceptance among Young Adults in Korea," IJERPH, MDPI, vol. 15(4), pages 1-11, April.
    3. Jinhee Kim & Donghwan Lee & Kyung-Bok Son & SeungJin Bae, 2020. "The Burden of Cervical Cancer in Korea: A Population-Based Study," IJERPH, MDPI, vol. 17(17), pages 1-14, August.
    4. Agénor, M. & Krieger, N. & Austin, S.B. & Haneuse, S. & Gottlieb, B.R., 2014. "Sexual orientation disparitiesin papanicolaou test use among US women: The role of sexual and reproductive health services," American Journal of Public Health, American Public Health Association, vol. 104(2), pages 68-73.
    5. Alexa L. Solazzo & Bridget K. Gorman & Justin T. Denney, 2017. "Cancer Screening Utilization Among U.S. Women: How Mammogram and Pap Test Use Varies Among Heterosexual, Lesbian, and Bisexual Women," Population Research and Policy Review, Springer;Southern Demographic Association (SDA), vol. 36(3), pages 357-377, June.
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