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Item Effects of relationship context and social factors on women's solo masturbaton and vibrator use(2015-08) Sherrow, Ashley Reneé; Hensel, Devon J.; Foote, Carrie E.; Latham, Kenzie E.Little existing research has examined women’s solo masturbation and vibrator usage in a way that highlights the importance of both sexual agency and the sexual/romantic relationship context. This research evaluates if and how social factors, partnership status and the relationship context, and sexual self-concept impact a woman’s behaviors and attitudes toward masturbation and vibrator use. Using cross-sectional survey data from adult women (N=112), descriptive and bivariate analyses were used to explore a variety of factors. Single and partnered women did not differ significantly on a majority of measures, suggesting that partnership status may play an insignificant role in predicting women’s solo sex attitudes and behaviors. Regarding the relationship context, partner communication and positivity toward masturbation and vibrator use significantly varied together. Finally, greater sexual openness and sexual entitlement were associated with higher masturbation frequency. Results from this study suggest that masturbation and vibrator use are common among adult women, and women are capable of sexual agency in relation to masturbation and vibrator use, whether they are in established partnerships or not.Item Prevalence, incidence, and natural history of HPV infection in adult women ages 24 to 45 participating in a vaccine trial(Elsevier, 2020-05-25) Ferris, Daron G.; Brown, Darron R.; Giuliano, Anna R.; Myers, Evan; Joura, Elmar A.; Garland, Suzanne M.; Kjaer, Susanne K.; Perez, Gonzalo; Saah, Alfred; Luxembourg, Alain; Velicer, Christine; Medicine, School of MedicineObjectives The natural history of human papillomavirus (HPV) infection has been studied extensively in young women; this study investigated HPV infection in adult women. Methods Data from 3817 women aged 24–45 years in a global trial of the 4-valent HPV (6/11/16/18) vaccine were used to calculate prevalence of anogenital infections containing 9-valent (9v) HPV vaccine types (6/11/16/18/31/33/45/52/58) and five non-vaccine types (35/39/51/56/59). Incidence of infections and persistent infections was estimated for 989 placebo recipients naive to all 14 HPV types at baseline. Age-adjusted hazard ratios were calculated for various sociodemographic factors. Results Prevalence of anogenital infection was highest in France at 29.2% (9vHPV types) and 21.7% (non-vaccine types) and lowest in the Philippines at 7.6% (9vHPV types) and 5.1% (non-vaccine types). Overall, HPV incidence (per 100 person-years) was 5.2 (9vHPV types) and 4.7 (non-vaccine types), and incidence of persistent infection was 2.7 (9vHPV types) and 2.1 (non-vaccine types). Factors associated with new HPV infections included younger age, younger age at first intercourse, being single, current use of tobacco, and higher number of past and recent sex partners. Conclusions Because mid-adult women acquire new HPV infections, administration of the 9vHPV vaccine could reduce HPV-related morbidity and mortality in this population.Item The influence of men on HPV vaccination of their spouse/partner in China(Taylor & Francis, 2022) Lin, Yulan; Cai, Carla Zi; Hu, Zhijian; Zimet, Gregory D.; Alias, Haridah; Wong, Li Ping; Pediatrics, School of MedicineMen involvement in HPV vaccine advocacy is important in a patriarchal society. This study aimed to investigate the influence of men on HPV vaccination of adult women. An online cross-sectional survey was undertaken between June and August 2019. Participants were fathers of children enrolled in schools in Fujian Province. A total of 1953 participants responded to our survey. Just over 60% reported they would definitely or likely support their spouse/partner to receive HPV vaccine. Physician recommendation (adjusted odds ratio [aOR] = 5.68, 95%CI = 3.89-6.86) and spouse/partner communication about HPV vaccination (aOR = 5.30, 95%CI = 3.72-7.55) were significant covariates associated with higher willingness to support women's HPV vaccination. Perceiving HPV vaccination as only for women who have had multiple sex partners and HPV vaccination as a sensitive topic were significantly associated with lower willingness to support HPV vaccination. Over two-thirds (67.3%) reported joint HPV vaccination decision-making and 2.8% reported that it was entirely the man's decision. The role of men in HPV vaccine acceptance and hesitancy among adult women is evident in China and warrants educational interventions to target men to enhance women's HPV vaccination uptake.