[Java]

Her er link til artikkelen i The New England Journal of Medicine som det refereres til i forbindelse med vaksinasjon av gutter.

Opprinnelig lagt inn av artikkelen

Sexually transmitted human papillomavirus (HPV) infections contribute to approximately 20,000 cases of invasive cancer in the United States each year; about 50% are cervical cancers, and the rest involve the vagina, vulva, penis, anus, or oral cavity or oropharynx.1 Less than 25% of HPV-related cancers occur in men. However, some subgroups, such as men who have sex with men, have markedly higher rates of HPV-related diseases such as anal cancer. Oncogenic types of HPV cause nearly all cases of cervical cancer, 90% of cases of anal cancer, and a smaller proportion of the remaining cancers. The majority of these cancers are attributable to two types, HPV-16 and 18. Nononcogenic types, HPV-6 and 11, cause approximately 340,000 cases of genital warts in the United States each year.2

Sitat:

Arguments for such routine vaccination understandably revolve around the additional health benefits that can be achieved by moving from a sex-specific to a sex-neutral vaccination policy. Not only can vaccination of boys and men bolster and expedite health benefits in girls and women (i.e., by contributing to reduced HPV prevalence among men and therefore reduced transmission to their sexual partners), but there is now clear evidence that boys and men themselves can benefit directly. Other points in favor of routine vaccination of young men include the desirability, from a sex-equity perspective, of distributing the burden of obtaining protection to people of both sexes, since both are responsible for HPV transmission; the concern that a high-risk subgroup, men who have sex with men, could not be targeted at a young age (when the vaccine's potential is expected to be greatest) and therefore would best be protected by a policy of vaccinating all male adolescents; and the possibility that vaccination of boys and men could actually increase vaccine uptake among girls and women — a desirable outcome given that uptake among adolescent girls in the United States has been low despite guidance from the ACIP and professional organizations such as the American Cancer Society recommending routine vaccination.