title: Impact of HPV vaccination on young women's quality of life - a five year follow-up study.
abstract: OBJECTIVE
  Human papillomavirus (HPV) vaccines protect against infections/conditions which potentially adversely affect quality of life (QoL). We investigated the impact of HPV infection on QoL five years post vaccination in 22-23 year-old women and a group of controls.
  
  
  METHODS
  Participants were 22-23 year-old women who had either previously been enrolled in the FUTURE II trial of the quadrivalent HPV vaccine in Finland at age 16-17 (n = 1749), or were unvaccinated females in the birth cohort above those eligible for participation in FUTURE II in Finland (n = 6534). Participants were sent a questionnaire consisting of two generic QoL instruments (RAND36 and EQ VAS).
  
  
  RESULTS
  We received and analysed 4438 valid responses. Unadjusted mean outcomes of the different QoL measures (RAND36 domains and EQ VAS) were similar. Multiple regression analysis showed that reporting current or previous genital warts, or cytological abnormalities, was significantly associated with reduced QoL. There were no significant differences between the HPV-vaccinated group and the placebo or unvaccinated groups.
  
  
  CONCLUSIONS
  Diagnoses of genital warts or of cervical anomalies have a significant impact on QoL. The QoL of women who received the placebo or no vaccine was no lower, five years later, than that of those who received the active HPV vaccine.
authors.affiliation: University of York, UK.
authors.forename: Sarah
authors.initials: S
authors.lastname: Woodhall
authors.forename: Tiina
authors.initials: T
authors.lastname: Eriksson
authors.forename: Anna-Mari
authors.initials: AM
authors.lastname: Nykänen
authors.forename: Heini
authors.initials: H
authors.lastname: Huhtala
authors.forename: Pekka
authors.initials: P
authors.lastname: Rissanen
authors.forename: Dan
authors.initials: D
authors.lastname: Apter
authors.forename: Jorma
authors.initials: J
authors.lastname: Paavonen
authors.forename: Matti
authors.initials: M
authors.lastname: Lehtinen
mesh_terms: D000293:Adolescent; D003218:Condylomata Acuminata / Q000453:epidemiology; D005260:Female; D005387:Finland; D005500:Follow-Up Studies; D006305:Health Status Indicators; D006801:Humans; D016014:Linear Models; D030361:Papillomavirus Infections / Q000517:prevention & control*; D053918:Papillomavirus Vaccines; D010342:Patient Acceptance of Health Care; D011594:Psychometrics / Q000295:instrumentation; D011788:Quality of Life; D012044:Regression Analysis; D011795:Surveys and Questionnaires; D002583:Uterine Cervical Neoplasms / Q000453:epidemiology; D055815:Young Adult
chemical_list: D053918:Papillomavirus Vaccines