CARE
The HPV vaccine: Boys need it too
Amy McNally, MD
There is a lot of buzz about the importance of the human
papilloma virus (HPV) vaccine for preteens, especially for girls. What often
gets missed is that boys need the vaccine, too.
First, it's important to know that HPV is unfortunately
very common. Almost 80 million Americans have been infected, and almost 15
million new infections happen every year. HPV is linked with certain types of
cancer and the development of genital warts. The good news is that clinical
trials have shown that the HPV vaccine can significantly reduce the likelihood
of developing cancer and warts. The bad news is that the number of people
receiving the vaccine in the United States is improving but remains too low. The
percentage of adolescents who have started the vaccine series has increased by
about 5 percent every year since 2013. As of 2017, 49 percent of all boys and girls ages 13-17 have had their first vaccination. Barriers to
receiving the vaccine are:
- Only 51 percent of adolescents
who get their first shot go on to complete the recommended series of shots
- Adolescents in rural areas are 11 percent less likely to get vaccinated
compared to their peers who live in urban areas
- Boys are still less likely
to get vaccinated when compared to girls.
The Centers for Disease Control and Prevention (CDC) notes
that every year more than 9,000 males are affected by cancers caused by HPV
infections. In addition to helping prevent cancers,
vaccinating boys is also likely to benefit girls by reducing the spread of HPV.
It’s recommended that boys and girls be vaccinated when
they are 11-12 years old, but the vaccine can be given as early as the age of 9
and can benefit people up to age 26, even if a person has already been exposed
to HPV. The most common version of the vaccine provides protection against the
strains of HPV that cause 90 percent of all genital warts and 80 percent of all
cervical cancers.
The vaccine is very safe and effective. For adolescents
starting the vaccination series before they turn 15, the guidelines recommend only two doses to complete the vaccine series. The second dose, should be given six
to 12 months after the initial dose. For adolescents starting the series after age
15, guidelines recommend three doses to complete the series. The second dose,
in this case, is given one to two months after the first, and the third dose is
administered six months from the first dose. The vaccine is most effective when
the series is completed as recommended. Talk to your doctor about the shots
needed by preteens and teens, and remember, when it comes to HPV, the
conversation is just as important for boys.
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