{"id":149,"date":"2024-04-16T11:06:22","date_gmt":"2024-04-16T11:06:22","guid":{"rendered":"https:\/\/www.merckvaccines.com\/gardasil9\/?page_id=149"},"modified":"2025-12-15T11:47:28","modified_gmt":"2025-12-15T11:47:28","slug":"patient-a","status":"publish","type":"page","link":"https:\/\/www.merckvaccines.com\/gardasil9\/resources\/patient-a\/","title":{"rendered":"HPV-related cancers"},"content":{"rendered":"<link rel='stylesheet' id='vivid360-hero-css-css' href='https:\/\/www.merckvaccines.com\/gardasil9\/wp-content\/themes\/cex-wpvip-mhh-merck-vivid360-theme-1-12\/blocks\/hero\/css\/style.min.css?ver=1766071753' media='all' \/>\n\n<div id=\"\" class=\"wp-block-vivid360-hero\"><div class=\"vivid360-hero-container align-left align-top ratio-50-50 horizontal mobile text-align-left has-white-color has-primary-background-color is-split-style split-image-right mobile-is-split-style mobile-split-image-top mobile-uses-custom-styles\" style=\"border-width:0;border-style:solid;border-top-left-radius:0;border-top-right-radius:0;border-bottom-right-radius:0;border-bottom-left-radius:0;--minHeight:267px;--mobileMinHeight:275px\"><div class=\"wide_screens hidden\" data-value=\"default\"><\/div><picture><source media=\"(max-width: 767px)\" srcset=\"https:\/\/www.merckvaccines.com\/gardasil9\/wp-content\/uploads\/sites\/159\/2024\/04\/CAT_G9_HumanImgHero_Mobile_aef21d.webp?w=767\"\/><source media=\"(min-width: 768px) and (max-width: 1024px)\" srcset=\"https:\/\/www.merckvaccines.com\/gardasil9\/wp-content\/uploads\/sites\/159\/2024\/04\/CAT_G9_HumanImgHero_Mobile_aef21d.webp?w=1440\"\/><img decoding=\"async\" data-src=\"https:\/\/www.merckvaccines.com\/gardasil9\/wp-content\/uploads\/sites\/159\/2024\/04\/CAT_G9_HumanImgHero_Desktop.webp\" src=\"https:\/\/www.merckvaccines.com\/gardasil9\/wp-content\/uploads\/sites\/159\/2024\/04\/CAT_G9_HumanImgHero_Desktop.webp\" alt=\"\" class=\"hero-image\" style=\"--desktop-focal-x:0%;--desktop-focal-y:100%;--mobile-focal-x:50%;--mobile-focal-y:50%;--tablet-focal-x:50%;--tablet-focal-y:50%\"\/><div class=\"capoverlay-container-mobile right-bottom show custom_margin   label\" style=\"--top-margin:;--bottom-margin:8px;--left-margin:;--right-margin:\"><div class=\"overlay-caption-schema\">Actor Portrayals<\/div><\/div><\/picture><div class=\"hero-wrapper\"><div class=\"hero-content\"><h1 style=\"--headlineFontSize:30px;--headlineFontSizeTablet:36px;--headlineFontSizeMobile:22px;--headlineLineHeight:45px;--headlineLineHeightTablet:45px;--headlineLineHeightMobile:33px\" class=\"hero-title fontWeightRegular\"><strong>Millions of men and women aged 45 and under may still benefit from vaccination<sup>5,6<\/sup><\/strong><\/h1><p class=\"hero-description\">Help protect against certain HPV-related cancers caused by HPV types to which they haven\u2019t yet been exposed.<\/p><div class=\"hero-btn-group\"><\/div><div class=\"hero-caption\"><\/div><\/div><\/div><\/div><div class=\"hero-caption-2mobile\"><\/div><\/div>\n\n\n<link rel='stylesheet' id='vivid360-spacer-css-css' href='https:\/\/www.merckvaccines.com\/gardasil9\/wp-content\/themes\/cex-wpvip-mhh-merck-vivid360-theme-1-12\/blocks\/spacer\/css\/style.min.css?ver=1766071753' media='all' \/>\n\n<div style=\"background-color:transparent;--desktop-spacer:28px;--tablet-spacer:28px;--mobile-spacer:28px\" class=\"wp-block-vivid360-spacer vivid360-spacer-desktop vivid360-spacer-tablet vivid360-spacer-mobile\"><\/div>\n\n\n\n<div style=\"background-color:transparent;--desktop-spacer:20px;--tablet-spacer:20px;--mobile-spacer:20px\" class=\"wp-block-vivid360-spacer vivid360-spacer-desktop vivid360-spacer-tablet vivid360-spacer-mobile\"><\/div>\n\n\n<link rel='stylesheet' id='vivid360-heading-css-css' href='https:\/\/www.merckvaccines.com\/gardasil9\/wp-content\/themes\/cex-wpvip-mhh-merck-vivid360-theme-1-12\/blocks\/heading\/css\/style.min.css?ver=1766071753' media='all' \/>\n\n<div class=\"vivid360-heading default-hcp-fontsize default-hcp-tablet-fontsize default-hcp-mobile-fontsize\" id=\"ac688b2c8-0737-4f76-b1ed-a82c9e264fce\"><h2 class=\"content-width fontWeightRegular\" style=\"--desktopFontSize:var(--h2FontSizeDesktop);--tabletFontSize:var(--h2FontSizeDesktop);--mobileFontSize:var(--h2FontSizeMobile);--desktopLineHeightSize:var(--h2LineHeightDesktop);--tabletLineHeightSize:var(--h2LineHeightDesktop);--mobileLineHeightSize:\" id=\"\"><strong><span class=\"no-wrap-text\">GARDASIL 9<\/span> helps protect against certain cancers caused by 7 HPV types<sup>a<\/sup><\/strong><\/h2><\/div>\n\n\n\n<div style=\"background-color:transparent;--desktop-spacer:0px;--tablet-spacer:0px;--mobile-spacer:8px\" class=\"wp-block-vivid360-spacer vivid360-spacer-desktop vivid360-spacer-tablet vivid360-spacer-mobile\"><\/div>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-9d6595d7 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column mb-0 is-layout-flow wp-block-column-is-layout-flow\"><link rel='stylesheet' id='vivid360-list-css-css' href='https:\/\/www.merckvaccines.com\/gardasil9\/wp-content\/themes\/cex-wpvip-mhh-merck-vivid360-theme-1-12\/blocks\/list\/css\/style.min.css?ver=1766071753' media='all' \/>\n\n<div class=\"vivid-block-list content-width  default-list block-412b004a-3b13-48a2-b948-665a7eee87bf\" data-image=\"\" data-image-mobile=\"\" data-image-all=\"\" data-image-all-mobile=\"\" data-icon-color=\"#333\" data-text-color=\"#333\" data-client-id=\"block-412b004a-3b13-48a2-b948-665a7eee87bf\"><ul class=\"first-level\"><li>Cervical<\/li><li>Vulvar<\/li><li>Oropharyngeal*<\/li><\/ul><\/div>\n\n\n\n<div class=\"paragraph-wrapper\"><div class=\"_bd9382cc-ff08-4f69-84c4-accbeee6b783 padding-left-right15 margin-left-right15 mt-0 mb-0\" id=\"\"><p class=\"has-small-font-size\">*Continued approval contingent upon confirmatory trial.<\/p><\/div><\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-column mt-0 is-layout-flow wp-block-column-is-layout-flow\">\n<div class=\"vivid-block-list content-width  default-list block-1842929e-4cd4-429d-afa7-47ab5b500cba mb-0\" data-image=\"\" data-image-mobile=\"\" data-image-all=\"\" data-image-all-mobile=\"\" data-icon-color=\"#333\" data-text-color=\"#333\" data-client-id=\"block-1842929e-4cd4-429d-afa7-47ab5b500cba\" id=\"block-b4f9ee2c-aa5c-4cd9-9b0d-214f40ead28e\"><ul id=\"block-b4f9ee2c-aa5c-4cd9-9b0d-214f40ead28e\" class=\"first-level\"><li>Vaginal<\/li><li>Anal<\/li><\/ul><\/div>\n<\/div>\n<\/div>\n\n\n\n<div style=\"background-color:transparent;height:8px\" class=\"wp-block-vivid360-spacer vivid360-spacer spacer-8\"><\/div>\n\n\n\n<p><sup>a<\/sup>HPV Types 16, 18, 31, 33, 45, 52, and 58. <\/p>\n\n\n\n<p>HPV is not the only cause of these cancers.<\/p>\n\n\n\n<div style=\"background-color:transparent;--desktop-spacer:28px;--tablet-spacer:28px;--mobile-spacer:36px\" class=\"wp-block-vivid360-spacer vivid360-spacer-desktop vivid360-spacer-tablet vivid360-spacer-mobile\"><\/div>\n\n\n<link rel='stylesheet' id='vivid360-row-module-css-css' href='https:\/\/www.merckvaccines.com\/gardasil9\/wp-content\/themes\/cex-wpvip-mhh-merck-vivid360-theme-1-12\/blocks\/row\/css\/style.min.css?ver=6.8.5' media='all' \/>\n\n<div style=\"border-width:0px;border-style:;border-radius:0;background-color:!important;background:linear-gradient(135deg,rgba(111,153,198,0.1) 0%,rgba(111,153,198,0.1) 100%)\" class=\"wp-block-vivid360-row vivid360-row hcp-wide-bg-width full-page-width mr-0,ml-0\"><div class=\"cropped-fade\" id=\"row03fbd2d0-953a-4852-aaf6-1308338ccd95\"><div style=\"padding-top:20px;padding-bottom:20px;padding-right:15px;padding-left:15px\" class=\"row-content wide-width hcp-wide-width\">\n<div class=\"vivid360-heading default-hcp-fontsize default-hcp-tablet-fontsize default-hcp-mobile-fontsize\" id=\"a6991ca33-f8ae-4195-929c-89ac2c196f23\"><h2 class=\"content-width fontWeightRegular\" style=\"--desktopFontSize:var(--h2FontSizeDesktop);--tabletFontSize:var(--h2FontSizeDesktop);--mobileFontSize:var(--h2FontSizeMobile);--desktopLineHeightSize:var(--h2LineHeightDesktop);--tabletLineHeightSize:var(--h2LineHeightDesktop);--mobileLineHeightSize:\" id=\"\"><strong>HPV-related oropharyngeal cancer has become the most common HPV-related cancer<code><sup>7<\/sup><\/code><\/strong><\/h2><\/div>\n\n\n\n<div style=\"background-color:transparent;--desktop-spacer:8px;--tablet-spacer:8px;--mobile-spacer:16px\" class=\"wp-block-vivid360-spacer vivid360-spacer-desktop vivid360-spacer-tablet vivid360-spacer-mobile\"><\/div>\n\n\n\n<p>CDC-estimated <strong>2012-2016<\/strong> US incidence model of cancer cases attributed to 7 HPV types (16, 18, 31, 33, 45, 52, and 58)<sup>7<\/sup><\/p>\n\n\n\n<div style=\"background-color:transparent;--desktop-spacer:16px;--tablet-spacer:16px;--mobile-spacer:16px\" class=\"wp-block-vivid360-spacer vivid360-spacer-desktop vivid360-spacer-tablet vivid360-spacer-mobile\"><\/div>\n\n\n\n<p class=\"has-small-font-size\"><strong>For most people, HPV clears on its own.<\/strong> But for those who don\u2019t clear the virus, it could cause certain cancers and diseases.<sup>6, 8, 9<\/sup><\/p>\n\n\n\n<div style=\"background-color:transparent;--desktop-spacer:36px;--tablet-spacer:36px;--mobile-spacer:36px\" class=\"wp-block-vivid360-spacer vivid360-spacer-desktop vivid360-spacer-tablet vivid360-spacer-mobile\"><\/div>\n\n\n\n<p><strong>~31,400 HPV-attributable cancer cases per year<sup>7<\/sup><\/strong><\/p>\n\n\n<link rel='stylesheet' id='vivid360-image-css-css' href='https:\/\/www.merckvaccines.com\/gardasil9\/wp-content\/themes\/cex-wpvip-mhh-merck-vivid360-theme-1-12\/blocks\/image\/css\/style.min.css?ver=1766071753' media='all' \/>\n\n<div class=\"wp-block-vivid360-image img-container mr-0 ml-0\"><figure class=\"wp-block-vivid360-image is-style-default has-mobile-image size-large is-resized\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.merckvaccines.com\/gardasil9\/wp-content\/uploads\/sites\/159\/2025\/04\/Anual_Cancer_Cases_Desktop_1.svg\" alt=\"Annual Statistics of Certain HPV-related Cancer Cases in Men and Women\" class=\"wp-image-2474  style-noshadow   \" width=\"775\" height=\"243\" style=\"height:243px;width:775px\" srcset=\"https:\/\/www.merckvaccines.com\/gardasil9\/wp-content\/uploads\/sites\/159\/\/2025\/04\/Anual_Cancer_Cases_Desktop_1.svg 1403w, https:\/\/www.merckvaccines.com\/gardasil9\/wp-content\/uploads\/sites\/159\/\/2025\/04\/Anual_Cancer_Cases_Desktop_1.svg?resize=300,94 300w, https:\/\/www.merckvaccines.com\/gardasil9\/wp-content\/uploads\/sites\/159\/\/2025\/04\/Anual_Cancer_Cases_Desktop_1.svg?resize=768,241 768w, https:\/\/www.merckvaccines.com\/gardasil9\/wp-content\/uploads\/sites\/159\/\/2025\/04\/Anual_Cancer_Cases_Desktop_1.svg?resize=1024,321 1024w\" sizes=\"auto, (max-width: 775px) 100vw, 775px\" \/><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.merckvaccines.com\/gardasil9\/wp-content\/uploads\/sites\/159\/2025\/04\/Anual_Cancer_Cases_Mobile_1.svg\" alt=\"\" class=\"wp-image-2475  style-noshadow mobile-image   \" width=\"272\" height=\"310\" title=\"\" style=\"height:310px;width:272px\" srcset=\"https:\/\/www.merckvaccines.com\/gardasil9\/wp-content\/uploads\/sites\/159\/\/2025\/04\/Anual_Cancer_Cases_Mobile_1.svg 285w, https:\/\/www.merckvaccines.com\/gardasil9\/wp-content\/uploads\/sites\/159\/\/2025\/04\/Anual_Cancer_Cases_Mobile_1.svg?resize=263,300 263w\" sizes=\"auto, (max-width: 272px) 100vw, 272px\" \/><\/figure><\/div>\n\n\n\n<p>The oropharyngeal and head and neck cancer indication is approved under accelerated approval based on effectiveness in preventing HPV-related anogenital disease. Continued approval for this indication may be contingent upon verification and description of clinical benefit in a confirmatory trial.<\/p>\n\n\n\n<div style=\"background-color:transparent;height:8px\" class=\"wp-block-vivid360-spacer vivid360-spacer spacer-8\"><\/div>\n\n\n\n<p>US Cancer Statistics assessed incidence of HPV-associated cancers to estimate the annual number of cancers caused by HPV, overall, and by state in 2012-2016.<sup>7<\/sup><\/p>\n\n\n\n<div style=\"background-color:transparent;height:8px\" class=\"wp-block-vivid360-spacer vivid360-spacer spacer-8\"><\/div>\n\n\n\n<p>The estimated number of cancers attributable to HPV was calculated by multiplying the average number of HPV-associated cancers by the percentage of cancers diagnosed from 1993-2005 (prevaccine) that were attributable to HPV.<sup>7,10<\/sup><\/p>\n\n\n\n<div style=\"background-color:transparent;height:8px\" class=\"wp-block-vivid360-spacer vivid360-spacer spacer-8\"><\/div>\n\n\n\n<p>Not all cervical, vulvar, vaginal, anal, and oropharyngeal cancers are caused by HPV.<sup>7<\/sup><\/p>\n\n\n\n<div style=\"background-color:transparent;height:8px\" class=\"wp-block-vivid360-spacer vivid360-spacer spacer-8\"><\/div>\n\n\n\n<p>Detection of HPV DNA in an HPV study is insufficient to indicate a causal relation with the tumor.<sup>10<\/sup><\/p>\n<\/div><\/div><\/div>\n\n\n\n<div style=\"background-color:transparent;--desktop-spacer:28px;--tablet-spacer:28px;--mobile-spacer:28px;height:28px\" class=\"wp-block-vivid360-spacer vivid360-spacer-desktop vivid360-spacer-tablet vivid360-spacer-mobile\"><\/div>\n\n\n\n<div class=\"vivid360-heading default-hcp-fontsize default-hcp-tablet-fontsize\" id=\"af947c21a-88a7-4040-a130-f06320d7e076\"><h2 class=\"has-primary-dark-color content-width fontWeightRegular\" style=\"--desktopFontSize:var(--h2FontSizeDesktop);--tabletFontSize:var(--h2FontSizeDesktop);--mobileFontSize:20px;--desktopLineHeightSize:var(--h2LineHeightDesktop);--tabletLineHeightSize:var(--h2LineHeightDesktop);--mobileLineHeightSize:\" id=\"\"><strong>Don\u2019t assume adults through age 45 have been vaccinated<\/strong><\/h2><\/div>\n\n\n\n<div style=\"background-color:transparent;--desktop-spacer:0px;--tablet-spacer:0px;--mobile-spacer:16px\" class=\"wp-block-vivid360-spacer vivid360-spacer-desktop vivid360-spacer-tablet vivid360-spacer-mobile\"><\/div>\n\n\n\n<div style=\"background-color:transparent;height:8px\" class=\"wp-block-vivid360-spacer vivid360-spacer spacer-8\"><\/div>\n\n\n\n<p>According to National Health Interview Survey (NHIS) data based on a 2019 analysis<sup>11,b<\/sup><\/p>\n\n\n\n<div style=\"background-color:transparent;--desktop-spacer:24px;--tablet-spacer:24px;--mobile-spacer:16px\" class=\"wp-block-vivid360-spacer vivid360-spacer-desktop vivid360-spacer-tablet vivid360-spacer-mobile\"><\/div>\n\n\n\n<div class=\"wp-block-vivid360-image img-container mt-0 mb-0 mr-0 ml-0\"><figure class=\"wp-block-vivid360-image is-style-default has-mobile-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"607\" height=\"100\" src=\"https:\/\/www.merckvaccines.com\/gardasil9\/wp-content\/uploads\/sites\/159\/2024\/06\/adult_women_info-stat_left_align_v3.svg\" alt=\"\" class=\"wp-image-1863  style-noshadow\" style=\"height:50px;width:300px\" srcset=\"https:\/\/www.merckvaccines.com\/gardasil9\/wp-content\/uploads\/sites\/159\/\/2024\/06\/adult_women_info-stat_left_align_v3.svg 607w, https:\/\/www.merckvaccines.com\/gardasil9\/wp-content\/uploads\/sites\/159\/\/2024\/06\/adult_women_info-stat_left_align_v3.svg?resize=300,49 300w\" sizes=\"auto, (max-width: 607px) 100vw, 607px\" \/><img decoding=\"async\" src=\"https:\/\/www.merckvaccines.com\/gardasil9\/wp-content\/uploads\/sites\/159\/2024\/05\/info-stat_center_align_2.svg\" alt=\"\" class=\"wp-image-1718  style-noshadow mobile-image\" width=\"auto\" height=\"130\" title=\"\" style=\"height:130px;width:auto\"\/><\/figure><\/div>\n\n\n\n<div style=\"background-color:transparent;--desktop-spacer:24px;--tablet-spacer:24px;--mobile-spacer:16px\" class=\"wp-block-vivid360-spacer vivid360-spacer-desktop vivid360-spacer-tablet vivid360-spacer-mobile\"><\/div>\n\n\n\n<p><sup>b<\/sup>Note that 718 respondents did not answer the question linked to the outcome of interest (&#8220;Have you ever received an HPV shot or vaccine?&#8221;) and were therefore excluded from the logistic regression analysis. We built crude and adjusted models, and using multivariable logistic regression, we estimated associations between sociodemographic factors and HPV vaccine uptake, obtaining odds ratios at a 95% confidence interval to determine statistical significance.<sup>11<\/sup><\/p>\n\n\n\n<div style=\"background-color:transparent;height:16px\" class=\"wp-block-vivid360-spacer vivid360-spacer spacer-16\"><\/div>\n\n\n\n<div class=\"wp-block-vivid360-button-parent btn-block-container content-width button-justify-left\"><link rel='stylesheet' id='vivid360-button-block-css-css' href='https:\/\/www.merckvaccines.com\/gardasil9\/wp-content\/themes\/cex-wpvip-mhh-merck-vivid360-theme-1-12\/blocks\/button\/css\/style.min.css?ver=1766071753' media='all' \/>\n<link rel='stylesheet' id='vivid360-button-parent-block-css-css' href='https:\/\/www.merckvaccines.com\/gardasil9\/wp-content\/themes\/cex-wpvip-mhh-merck-vivid360-theme-1-12\/blocks\/button-parent\/css\/style.min.css?ver=6.8.5' media='all' \/>\n\n<div class=\"vivid360-button-block fullWidth-mobile\"><a class=\"btn secondary secondary-regular has-icon icon-right has-primary-border-color has-white-background-color has-primary-color\" role=\"button\" aria-label=\"Study design\" style=\"font-size:14px;letter-spacing:0.86px;border-radius:4px;border-style:solid;justify-content:space-between;text-align:center;width:100%\" href=\"#studyDesignHPV\" title=\"Study design\" target=\"_self\" rel=\"noopener\" data-design-category=\"button\" data-design-label=\"Study design\" data-design-module=\"element\" data-event-name=\"element_click\">Study design<span role=\"img\" aria-label=\"icon-info-outline\" class=\"icon-info-outline\"><\/span><\/a><\/div>\n<\/div>\n\n\n\n<div style=\"background-color:transparent;--desktop-spacer:28px;--tablet-spacer:28px;--mobile-spacer:28px;height:28px\" class=\"wp-block-vivid360-spacer vivid360-spacer-desktop vivid360-spacer-tablet vivid360-spacer-mobile\"><\/div>\n\n\n\n<div class=\"vivid360-heading default-hcp-fontsize default-hcp-tablet-fontsize\" id=\"ac486eb0f-135a-4e2c-9465-3e87961835d2\"><h2 class=\"has-primary-dark-color content-width fontWeightRegular\" style=\"--desktopFontSize:var(--h2FontSizeDesktop);--tabletFontSize:var(--h2FontSizeDesktop);--mobileFontSize:20px;--desktopLineHeightSize:var(--h2LineHeightDesktop);--tabletLineHeightSize:var(--h2LineHeightDesktop);--mobileLineHeightSize:\" id=\"\"><strong>There is still an opportunity to vaccinate appropriate adults aged 18-26<\/strong><\/h2><\/div>\n\n\n\n<div style=\"background-color:transparent;--desktop-spacer:0px;--tablet-spacer:0px;--mobile-spacer:16px\" class=\"wp-block-vivid360-spacer vivid360-spacer-desktop vivid360-spacer-tablet vivid360-spacer-mobile\"><\/div>\n\n\n\n<div style=\"background-color:transparent;height:8px\" class=\"wp-block-vivid360-spacer vivid360-spacer spacer-8\"><\/div>\n\n\n\n<p>According to NHIS data based on a 2018, 2019, and 2022 analysis<sup>12,b<\/sup><\/p>\n\n\n\n<div style=\"background-color:transparent;--desktop-spacer:24px;--tablet-spacer:24px;--mobile-spacer:24px\" class=\"wp-block-vivid360-spacer vivid360-spacer-desktop vivid360-spacer-tablet vivid360-spacer-mobile\"><\/div>\n\n\n\n<div class=\"wp-block-columns mb-0 is-layout-flex wp-container-core-columns-is-layout-9d6595d7 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:33%\">\n<div class=\"wp-block-vivid360-image img-container mt-0 mb-0 mr-0 ml-0\"><figure class=\"wp-block-vivid360-image is-style-default has-mobile-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"610\" height=\"190\" src=\"https:\/\/www.merckvaccines.com\/gardasil9\/wp-content\/uploads\/sites\/159\/2024\/06\/women_info-stat_left_align.svg\" alt=\"\" class=\"wp-image-1898  style-noshadow\" style=\"height:94px;width:300px\" srcset=\"https:\/\/www.merckvaccines.com\/gardasil9\/wp-content\/uploads\/sites\/159\/\/2024\/06\/women_info-stat_left_align.svg 610w, https:\/\/www.merckvaccines.com\/gardasil9\/wp-content\/uploads\/sites\/159\/\/2024\/06\/women_info-stat_left_align.svg?resize=300,93 300w\" sizes=\"auto, (max-width: 610px) 100vw, 610px\" \/><img decoding=\"async\" src=\"https:\/\/www.merckvaccines.com\/gardasil9\/wp-content\/uploads\/sites\/159\/2024\/09\/women_info-stat_center_align_v3.svg\" alt=\"\" class=\"wp-image-2116  style-noshadow mobile-image\" width=\"auto\" height=\"155\" title=\"\" style=\"height:155px;width:auto\"\/><\/figure><\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:33%\">\n<div class=\"wp-block-vivid360-image img-container mt-0 mb-0 mr-0 ml-0\"><figure class=\"wp-block-vivid360-image is-style-default has-mobile-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"610\" height=\"189\" src=\"https:\/\/www.merckvaccines.com\/gardasil9\/wp-content\/uploads\/sites\/159\/2024\/06\/men_info-stat_left_align.svg\" alt=\"\" class=\"wp-image-1897  style-noshadow\" style=\"height:auto;width:300px\" srcset=\"https:\/\/www.merckvaccines.com\/gardasil9\/wp-content\/uploads\/sites\/159\/\/2024\/06\/men_info-stat_left_align.svg 610w, https:\/\/www.merckvaccines.com\/gardasil9\/wp-content\/uploads\/sites\/159\/\/2024\/06\/men_info-stat_left_align.svg?resize=300,93 300w\" sizes=\"auto, (max-width: 610px) 100vw, 610px\" \/><img decoding=\"async\" src=\"https:\/\/www.merckvaccines.com\/gardasil9\/wp-content\/uploads\/sites\/159\/2024\/09\/men_info-stat_center_align_v4.svg\" alt=\"\" class=\"wp-image-2123  style-noshadow mobile-image\" width=\"auto\" height=\"155\" title=\"\" style=\"height:155px;width:auto\"\/><\/figure><\/div>\n<\/div>\n<\/div>\n\n\n\n<div style=\"background-color:transparent;height:8px\" class=\"wp-block-vivid360-spacer vivid360-spacer spacer-8\"><\/div>\n\n\n\n<div class=\"wp-block-vivid360-button-parent btn-block-container content-width button-justify-left\">\n<div class=\"vivid360-button-block fullWidth-mobile\"><a class=\"btn secondary secondary-regular has-icon icon-right has-primary-border-color has-white-background-color has-primary-color hoveredTextColor\" role=\"button\" aria-label=\"Study design\" style=\"font-size:14px;letter-spacing:0.86px;border-radius:4px;border-style:solid;justify-content:space-between;--hoverTextColor:#123e45;text-align:center;width:100%\" href=\"#studyDesignHPV2\" title=\"Study design\" target=\"_self\" rel=\"noopener\" data-design-category=\"button\" data-design-label=\"Study design\" data-design-module=\"element\" data-event-name=\"element_click\">Study design<span role=\"img\" aria-label=\"icon-info-outline\" class=\"icon-info-outline\"><\/span><\/a><\/div>\n<\/div>\n\n\n\n<div style=\"background-color:transparent;--desktop-spacer:28px;--tablet-spacer:28px;--mobile-spacer:28px;height:28px\" class=\"wp-block-vivid360-spacer vivid360-spacer-desktop vivid360-spacer-tablet vivid360-spacer-mobile\"><\/div>\n\n\n\n<div class=\"vivid360-heading default-hcp-fontsize default-hcp-tablet-fontsize\" id=\"ad76ab97e-f9a8-4bba-80ff-da219fbfdec0\"><h2 class=\"has-primary-dark-color content-width fontWeightRegular\" style=\"--desktopFontSize:var(--h2FontSizeDesktop);--tabletFontSize:var(--h2FontSizeDesktop);--mobileFontSize:20px;--desktopLineHeightSize:var(--h2LineHeightDesktop);--tabletLineHeightSize:var(--h2LineHeightDesktop);--mobileLineHeightSize:\" id=\"\"><strong>Seize the opportunity to help protect your appropriate adult patients against certain <span class=\"no-wrap-text\">HPV-related<\/span> cancers.<\/strong><\/h2><\/div>\n\n\n\n<div style=\"background-color:transparent;--desktop-spacer:20px;--tablet-spacer:20px;--mobile-spacer:28px\" class=\"wp-block-vivid360-spacer vivid360-spacer-desktop vivid360-spacer-tablet vivid360-spacer-mobile\"><\/div>\n\n\n\n<div class=\"vivid360-heading\" id=\"aedb9f8e0-1b18-452e-82aa-f186d470ff4d\"><h3 class=\"content-width fontWeightRegular\" style=\"--desktopFontSize:18px;--tabletFontSize:18px;--mobileFontSize:16px;--desktopLineHeightSize:27px;--tabletLineHeightSize:27px;--mobileLineHeightSize:\" id=\"\"><strong>References:<\/strong><\/h3><\/div>\n\n\n\n<div style=\"background-color:transparent;--desktop-spacer:8px;--tablet-spacer:8px;--mobile-spacer:16px\" class=\"wp-block-vivid360-spacer vivid360-spacer-desktop vivid360-spacer-tablet vivid360-spacer-mobile\"><\/div>\n\n\n\n<div class=\"vivid-block-list content-width  block-dfb1988b-50b3-4987-9e85-ce09b469ab1e\" data-image=\"\" data-image-mobile=\"\" data-image-all=\"\" data-image-all-mobile=\"\" data-icon-color=\"#333\" data-text-color=\"#333\" data-client-id=\"block-dfb1988b-50b3-4987-9e85-ce09b469ab1e\"><ol start=\"5\" class=\"first-level default-order\"><li>2023 population estimates by age and sex. Table 1. Population by age and sex: 2023. United States Census Bureau. May 2024. Accessed May 20, 2025.<br><span class=\"word-break\">https:\/\/www.census.gov\/data\/tables\/2023\/demo\/age-and-sex\/2023-age-sex-composition.html<\/span><\/li><li>Meites E, Gee J, Unger E, Markowitz L. <em>Epidemiology and Prevention of Vaccine-Preventable Diseases <\/em>(Pink Book). Chapter 11: Human Papillomavirus. Centers for Disease Control and Prevention. April 23, 2024. Accessed July 9, 2025. <span class=\"word-break\">https:\/\/www.cdc.gov\/pinkbook\/hcp\/table-of-contents\/chapter-11-human-papillomavirus.html<\/span><\/li><li>Senkomago V, Henley SJ, Thomas CC, Mix JM, Markowitz LE, Saraiya M. Human papillomavirus\u2013attributable cancers \u2014 United States, 2012\u20132016. <em>MMWR Morb Mortal Wkly Rep<\/em>. 2019;68:724-728. <span class=\"word-break\">doi:http:\/\/dx.doi.org\/10.15585\/mmwr.mm6833a3<\/span><\/li><li>HPV and oropharyngeal cancer. Centers for Disease Control and Prevention. September 17, 2024. Accessed September 25, 2024. <br><span class=\"word-break\">https:\/\/www.cdc.gov\/cancer\/hpv\/oropharyngeal-cancer.html<\/span><\/li><li>Human papillomavirus (HPV) infection. Centers for Disease Control and Prevention. Last reviewed July 22, 2021. Accessed April 28, 2025. <span class=\"word-break\">https:\/\/www.cdc.gov\/std\/treatment-guidelines\/hpv.htm<\/span><\/li><li>Saraiya M, Unger ER, Thompson TD, et al. US assessment of HPV types in cancers: implications for current and 9-valent HPV vaccines. <em>J Natl Cancer Inst<\/em>. 2015;<span class=\"no-wrap-text\">107(6):1-12, s13-s26<\/span>. doi:<span class=\"word-break\">10.1093\/jnci\/djv086<\/span><\/li><li>Rincon NL, McDowell KR, Weatherspoon D, et al. Racial and ethnic disparities in human papillomavirus (HPV) vaccine uptake among United States adults, aged 27-45 years. <em>Hum Vaccin Immunother<\/em>. <span class=\"no-wrap-text\">2024<\/span>;20(1):<span class=\"no-wrap-text\">2313249<\/span>. <span class=\"word-break\">doi:10.1080\/21645515.2024.2313249<\/span><\/li><li>Sonawane K, Garg A, Meissner EG, et al. Human papillomavirus vaccination among young adults before and during the <span class=\"no-wrap-text\">COVID-19<\/span> pandemic. <em>JAMA Netw Open<\/em>. 2024;7(2):e2356875. <span class=\"word-break\">doi:10.1001\/jamanetworkopen.2023.56875<\/span><\/li><\/ol><\/div>\n\n\n\n<p><\/p>\n\n\n<link rel='stylesheet' id='vivid360-modal-css-css' href='https:\/\/www.merckvaccines.com\/gardasil9\/wp-content\/themes\/cex-wpvip-mhh-merck-vivid360-theme-1-12\/blocks\/modal\/css\/style.min.css?ver=1770643873' media='all' \/>\n\n<div class=\"wp-block-vivid360-modal\"><div><div class=\"vivid360-modal-block-container is-style-passive-modal\"><div class=\"vivid360-modal-trigger-container\"><span id=\"inlineTrigger\" role=\"link\" data-design-module=\"modal\" data-design-category=\"link\" class=\"vivid360-modal-trigger vivid360-modal-trigger-hide\">studyDesignHPV<\/span><\/div><div class=\"vivid360-modal-container null\"><div class=\"vivid360-modal\"><div class=\"vivid360-modal-content-area\"><a class=\"vivid360-modal-close-modal-span\" role=\"button\" aria-label=\"modal popup close\"><i class=\"icon-close\"><\/i><\/a><div class=\"modal-flex-container\"><div class=\"vivid360-modal-label-container  title-left\" style=\"--titleColor:#1a5a64\"><h3>Study design<\/h3><\/div><div class=\"vivid360-modal-content-container has-regular-font-size\">\n\n<p><strong>Objective<\/strong><\/p>\n\n\n<div class=\"vivid-block-list content-width  default-list block-0ec0e308-70f2-458a-a268-7a7274e62d6d\" data-image=\"\" data-image-mobile=\"\" data-image-all=\"\" data-image-all-mobile=\"\" data-icon-color=\"#333\" data-text-color=\"#333\" data-client-id=\"block-0ec0e308-70f2-458a-a268-7a7274e62d6d\"><ul class=\"first-level\"><li>Assess the self-reported HPV vaccination status in adults aged 27-45 years in 2019.<sup>11<\/sup><\/li><\/ul><\/div>\n\n\n<div style=\"background-color:transparent;height:8px\" class=\"wp-block-vivid360-spacer vivid360-spacer spacer-8\"><\/div>\n\n\n<p><strong>Population\/data source<\/strong><\/p>\n\n\n<div class=\"vivid-block-list content-width  default-list block-f7239605-c872-4341-b361-a5aa92ec600d\" data-image=\"\" data-image-mobile=\"\" data-image-all=\"\" data-image-all-mobile=\"\" data-icon-color=\"#333\" data-text-color=\"#333\" data-client-id=\"block-f7239605-c872-4341-b361-a5aa92ec600d\"><ul class=\"first-level\"><li>HPV vaccination data were from the NHIS, a cross-sectional survey conducted face-to-face through a household interview that is nationally representative of the US civilian, noninstitutionalized population.<sup>11,13<\/sup><\/li><li>A total of 9440 adults aged 27 to 45 years with HPV vaccination information were identified in 2019 (50.9% females, 49.1% males), and 68.9% were married\/partnered.<sup>11<\/sup><\/li><\/ul><\/div>\n\n\n<div style=\"background-color:transparent;height:8px\" class=\"wp-block-vivid360-spacer vivid360-spacer spacer-8\"><\/div>\n\n\n<p><strong>Methodology<\/strong><\/p>\n\n\n<div class=\"vivid-block-list content-width  default-list block-1ca8fcfa-5085-49b8-87f4-8586aac547fd\" data-image=\"\" data-image-mobile=\"\" data-image-all=\"\" data-image-all-mobile=\"\" data-icon-color=\"#333\" data-text-color=\"#333\" data-client-id=\"block-1ca8fcfa-5085-49b8-87f4-8586aac547fd\"><ul class=\"first-level\"><li>As a part of the survey, HPV vaccination status was determined on the basis of a person&#8217;s response to whether they had ever received the HPV shot or vaccine (data collection 2018-2019). Adults aged 27 to 45 years who received \u22651 dose HPV vaccine were assessed.<sup>11<\/sup><\/li><\/ul><\/div>\n\n\n<div style=\"background-color:transparent;height:8px\" class=\"wp-block-vivid360-spacer vivid360-spacer spacer-8\"><\/div>\n\n\n<p><strong>Limitations<\/strong><\/p>\n\n\n<div class=\"vivid-block-list content-width  default-list block-a2107a0a-24c1-4959-bd35-f1111cf9029e\" data-image=\"\" data-image-mobile=\"\" data-image-all=\"\" data-image-all-mobile=\"\" data-icon-color=\"#333\" data-text-color=\"#333\" data-client-id=\"block-a2107a0a-24c1-4959-bd35-f1111cf9029e\"><ul class=\"first-level\"><li>NHIS data were self-reported and are subject to reporting biases.<sup>11<\/sup><\/li><li>While individuals in the study were between 27 and 45 years, they may have received their HPV vaccine at an earlier age and the exact year of receiving the HPV vaccine was not established in this study.<sup>11<\/sup><\/li><li>In 2019, the total household response rate was 61.1%.<sup>13<\/sup><\/li><li>The NHIS sample excluded persons in the military, those with no fixed household address, and those residing in institutions.<sup>13<\/sup><\/li><\/ul><\/div>\n\n\n<div style=\"background-color:transparent;height:8px\" class=\"wp-block-vivid360-spacer vivid360-spacer spacer-8\"><\/div>\n\n\n<div class=\"vivid360-heading\" id=\"a50ea0295-9b43-4528-9154-ae51a675c40c\"><h2 class=\"content-width fontWeightRegular\" style=\"--desktopFontSize:18px;--tabletFontSize:18px;--mobileFontSize:16px;--desktopLineHeightSize:27px;--tabletLineHeightSize:27px;--mobileLineHeightSize:\" id=\"\"><strong>References<\/strong>:<\/h2><\/div>\n\n\n<div class=\"vivid-block-list content-width  block-c109d34f-8f11-4ec0-9078-40bac2720a17\" data-image=\"\" data-image-mobile=\"\" data-image-all=\"\" data-image-all-mobile=\"\" data-icon-color=\"#333\" data-text-color=\"#333\" data-client-id=\"block-c109d34f-8f11-4ec0-9078-40bac2720a17\"><ol start=\"11\" class=\"first-level default-order\"><li>Rincon NL, McDowell KR, Weatherspoon D, et al. Racial and ethnic disparities in human papillomavirus (HPV) vaccine uptake among United States adults, aged 27-45 years. <em>Hum Vaccin Immunother<\/em>. 2024;20(1):2313249. doi:10.1080\/21645515.2024.2313249<\/li><\/ol><\/div>\n\n\n<div class=\"vivid-block-list content-width  block-9e5b8cc3-195e-4520-a9f9-279a647e0e15\" data-image=\"\" data-image-mobile=\"\" data-image-all=\"\" data-image-all-mobile=\"\" data-icon-color=\"#333\" data-text-color=\"#333\" data-client-id=\"block-9e5b8cc3-195e-4520-a9f9-279a647e0e15\"><ol start=\"13\" class=\"first-level default-order\"><li>Centers for Disease Control and Prevention, U.S. Department of Health and Human Services. National health interview survey: 2019 survey description. Centers for Disease Control and Prevention. September 2020. Accessed April 14, 2025. <span class=\"word-break\">https:\/\/ftp.cdc.gov\/pub\/Health_Statistics\/NCHS\/Dataset_Documentation\/NHIS\/2019\/srvydesc-508.pdf<\/span><\/li><\/ol><\/div>\n\n<\/div><div class=\"vivid360-modal-button-container desktop-container\"><div class=\"vivid360-button-block\"><a class=\"btn primary primary-regular btn-confirm  vivid360-modal-dismiss-button\" role=\"button\" aria-label=\"Button 1\" style=\"font-size:14px\" href=\"#!\" title=\"Button 1\" target=\"_self\" rel=\"noopener\" data-design-category=\"button\" data-design-label=\"Button 1\" data-design-module=\"element\">Button 1<\/a><\/div><div class=\"vivid360-button-block\"><a class=\"btn primary primary-regular btn-dismissive  vivid360-modal-dismiss-button\" role=\"button\" aria-label=\"Button 2\" style=\"font-size:14px\" href=\"#!\" title=\"Button 2\" target=\"_self\" rel=\"noopener\" data-design-category=\"button\" data-design-label=\"Button 2\" data-design-module=\"element\">Button 2<\/a><\/div><\/div><\/div><\/div><div class=\"vivid360-modal-button-container mobile-container \"><div class=\"vivid360-button-block\"><a class=\"btn primary primary-regular btn-confirm  vivid360-modal-dismiss-button\" role=\"button\" aria-label=\"Button 1\" style=\"font-size:14px\" href=\"#!\" title=\"Button 1\" target=\"_self\" rel=\"noopener\" data-design-category=\"button\" data-design-label=\"Button 1\" data-design-module=\"element\">Button 1<\/a><\/div><div class=\"vivid360-button-block\"><a class=\"btn primary primary-regular btn-dismissive  vivid360-modal-dismiss-button\" role=\"button\" aria-label=\"Button 2\" style=\"font-size:14px\" href=\"#!\" title=\"Button 2\" target=\"_self\" rel=\"noopener\" data-design-category=\"button\" data-design-label=\"Button 2\" data-design-module=\"element\">Button 2<\/a><\/div><\/div><\/div><\/div><\/div><\/div><\/div>\n\n\n\n<div class=\"wp-block-vivid360-modal\"><div><div class=\"vivid360-modal-block-container is-style-passive-modal\"><div class=\"vivid360-modal-trigger-container\"><span id=\"inlineTrigger\" role=\"link\" data-design-module=\"modal\" data-design-category=\"link\" class=\"vivid360-modal-trigger vivid360-modal-trigger-hide\">studyDesignHPV2<\/span><\/div><div class=\"vivid360-modal-container null\"><div class=\"vivid360-modal\"><div class=\"vivid360-modal-content-area\"><a class=\"vivid360-modal-close-modal-span\" role=\"button\" aria-label=\"modal popup close\"><i class=\"icon-close\"><\/i><\/a><div class=\"modal-flex-container\"><div class=\"vivid360-modal-label-container  title-left\" style=\"--titleColor:#1a5a64\"><h3>Study design<\/h3><\/div><div class=\"vivid360-modal-content-container has-regular-font-size\">\n\n<p><strong>Objective<\/strong><\/p>\n\n\n<div class=\"vivid-block-list content-width  default-list block-61602856-5a99-4647-b26a-0d96d88efe84\" data-image=\"\" data-image-mobile=\"\" data-image-all=\"\" data-image-all-mobile=\"\" data-icon-color=\"#333\" data-text-color=\"#333\" data-client-id=\"block-61602856-5a99-4647-b26a-0d96d88efe84\"><ul class=\"first-level\"><li>Assess the self-reported HPV vaccination rate by sociodemographic characteristics in adults aged 18 to 26 years in 2018, 2019, and 2022.<sup>12<\/sup><\/li><\/ul><\/div>\n\n\n<div style=\"background-color:transparent;height:8px\" class=\"wp-block-vivid360-spacer vivid360-spacer spacer-8\"><\/div>\n\n\n<p><strong>Population\/data source<\/strong><\/p>\n\n\n<div class=\"vivid-block-list content-width  default-list block-5d36580e-39b9-42f8-a21b-24e555b26e9a\" data-image=\"\" data-image-mobile=\"\" data-image-all=\"\" data-image-all-mobile=\"\" data-icon-color=\"#333\" data-text-color=\"#333\" data-client-id=\"block-5d36580e-39b9-42f8-a21b-24e555b26e9a\"><ul class=\"first-level\"><li>HPV vaccination data were from the NHIS, a cross-sectional survey typically conducted in person through a household interview that is nationally representative of the US civilian, noninstitutionalized population.<sup>12,14<\/sup><\/li><li>A total of 2159 adults aged 18 to 26 years with HPV vaccination information were identified in 2022 (50.5% females, 49.5% males).<sup>12<\/sup><\/li><\/ul><\/div>\n\n\n<div style=\"background-color:transparent;height:8px\" class=\"wp-block-vivid360-spacer vivid360-spacer spacer-8\"><\/div>\n\n\n<p><strong>Methodology<\/strong><\/p>\n\n\n<div class=\"vivid-block-list content-width  default-list block-f8256bed-f128-4e2d-aec7-e2d660dca5c4\" data-image=\"\" data-image-mobile=\"\" data-image-all=\"\" data-image-all-mobile=\"\" data-icon-color=\"#333\" data-text-color=\"#333\" data-client-id=\"block-f8256bed-f128-4e2d-aec7-e2d660dca5c4\"><ul class=\"first-level\"><li>As part of the survey, HPV vaccination status was determined on the basis of a person\u2019s response to whether they had ever received the HPV shot. Adults aged 18-26 who received \u22651 dose of HPV vaccination were assessed.<sup>12<\/sup><\/li><\/ul><\/div>\n\n\n<div style=\"background-color:transparent;height:8px\" class=\"wp-block-vivid360-spacer vivid360-spacer spacer-8\"><\/div>\n\n\n<p><strong>Limitations<\/strong><\/p>\n\n\n<div class=\"vivid-block-list content-width  default-list block-ef0e6606-1902-47c6-b03d-31babb5810be\" data-image=\"\" data-image-mobile=\"\" data-image-all=\"\" data-image-all-mobile=\"\" data-icon-color=\"#333\" data-text-color=\"#333\" data-client-id=\"block-ef0e6606-1902-47c6-b03d-31babb5810be\"><ul class=\"first-level\"><li>NHIS data were self-reported and are subject to recall biases.<sup>12<\/sup><\/li><li>The response rate was 47.7%.<sup>14<\/sup><\/li><li>The NHIS sample excluded persons in the military, those with no fixed household address, and those residing in institutions.<sup>14<\/sup><\/li><li>Lack of data on transgender and nonbinary individuals, HIV or immunocompromised status, and total number of doses received, prohibiting presentation of up-to-date status.<sup>12<\/sup><\/li><\/ul><\/div>\n\n\n<div style=\"background-color:transparent;height:8px\" class=\"wp-block-vivid360-spacer vivid360-spacer spacer-8\"><\/div>\n\n\n<div class=\"vivid360-heading\" id=\"a13972c76-909a-4603-b116-54bbca4d7c63\"><h2 class=\"content-width fontWeightRegular\" style=\"--desktopFontSize:18px;--tabletFontSize:18px;--mobileFontSize:16px;--desktopLineHeightSize:27px;--tabletLineHeightSize:27px;--mobileLineHeightSize:\" id=\"\"><strong>References<\/strong>:<\/h2><\/div>\n\n\n<div class=\"vivid-block-list content-width  block-8b618875-75ca-4c70-b75c-593974d4216f\" data-image=\"\" data-image-mobile=\"\" data-image-all=\"\" data-image-all-mobile=\"\" data-icon-color=\"#333\" data-text-color=\"#333\" data-client-id=\"block-8b618875-75ca-4c70-b75c-593974d4216f\"><ol start=\"12\" class=\"first-level default-order\"><li>Sonawane K, Garg A, Meissner EG, et al. Human papillomavirus vaccination among young adults before and during the COVID-19 pandemic. <em>JAMA Netw Open<\/em>. 2024;7(2):e2356875. <span class=\"word-break\">doi:10.1001\/jamanetworkopen.2023.56875<\/span><\/li><\/ol><\/div>\n\n\n<div class=\"vivid-block-list content-width  block-dbb5ec60-f1da-4b13-9f71-3c6e92d60770\" data-image=\"\" data-image-mobile=\"\" data-image-all=\"\" data-image-all-mobile=\"\" data-icon-color=\"#333\" data-text-color=\"#333\" data-client-id=\"block-dbb5ec60-f1da-4b13-9f71-3c6e92d60770\"><ol start=\"14\" class=\"first-level default-order\"><li>National Health Interview Survey 2022 survey description. Centers for Disease Control and Prevention. U.S. Department of Health and Human Services. June 2023. Accessed February 12, 2025. <span class=\"word-break\">https:\/\/ftp.cdc.gov\/pub\/Health_Statistics\/NCHS\/Dataset_Documentation\/NHIS\/2022\/srvydesc-508.pdf<\/span><\/li><\/ol><\/div>\n\n<\/div><div class=\"vivid360-modal-button-container desktop-container\"><div class=\"vivid360-button-block\"><a class=\"btn primary primary-regular btn-confirm  vivid360-modal-dismiss-button\" role=\"button\" aria-label=\"Button 1\" style=\"font-size:14px\" href=\"#!\" title=\"Button 1\" target=\"_self\" rel=\"noopener\" data-design-category=\"button\" data-design-label=\"Button 1\" data-design-module=\"element\">Button 1<\/a><\/div><div class=\"vivid360-button-block\"><a class=\"btn primary primary-regular btn-dismissive  vivid360-modal-dismiss-button\" role=\"button\" aria-label=\"Button 2\" style=\"font-size:14px\" href=\"#!\" title=\"Button 2\" target=\"_self\" rel=\"noopener\" data-design-category=\"button\" data-design-label=\"Button 2\" data-design-module=\"element\">Button 2<\/a><\/div><\/div><\/div><\/div><div class=\"vivid360-modal-button-container mobile-container \"><div class=\"vivid360-button-block\"><a class=\"btn primary primary-regular btn-confirm  vivid360-modal-dismiss-button\" role=\"button\" aria-label=\"Button 1\" style=\"font-size:14px\" href=\"#!\" title=\"Button 1\" target=\"_self\" rel=\"noopener\" data-design-category=\"button\" data-design-label=\"Button 1\" data-design-module=\"element\">Button 1<\/a><\/div><div class=\"vivid360-button-block\"><a class=\"btn primary primary-regular btn-dismissive  vivid360-modal-dismiss-button\" role=\"button\" aria-label=\"Button 2\" style=\"font-size:14px\" href=\"#!\" title=\"Button 2\" target=\"_self\" rel=\"noopener\" data-design-category=\"button\" data-design-label=\"Button 2\" data-design-module=\"element\">Button 2<\/a><\/div><\/div><\/div><\/div><\/div><\/div><\/div>\n\n\n\n<div class=\"wp-block-vivid360-modal\"><div><div class=\"vivid360-modal-block-container is-style-passive-modal-two-btn\"><div class=\"vivid360-modal-trigger-container\"><span id=\"inlineTrigger\" role=\"link\" data-design-module=\"modal\" data-design-category=\"link\" class=\"vivid360-modal-trigger vivid360-modal-trigger-hide\">ExternalSitePopup<\/span><\/div><div class=\"vivid360-modal-container null\"><div class=\"vivid360-modal\"><div class=\"vivid360-modal-content-area\"><a class=\"vivid360-modal-close-modal-span\" role=\"button\" aria-label=\"modal popup close\"><i class=\"icon-close\"><\/i><\/a><div class=\"modal-flex-container\"><div class=\"vivid360-modal-label-container  title-left\" style=\"--titleColor:#00857c\"><h2>By clicking on this link, you will be leaving Merck Vaccines.<\/h2><\/div><div class=\"vivid360-modal-content-container has-regular-font-size\"><\/div><div class=\"vivid360-modal-button-container desktop-container\"><div class=\"vivid360-button-block\"><a class=\"btn secondary secondary-regular btn-confirm has-color-alternate-primary-border-color has-color-alternate-primary-color vivid360-modal-dismiss-button\" role=\"button\" aria-label=\"Cancel\" style=\"font-size:14px;border-style:solid\" href=\"#!\" title=\"Cancel\" target=\"_self\" rel=\"noopener\" data-design-category=\"button\" data-design-label=\"Cancel\" data-design-module=\"element\">Cancel<\/a><\/div><div class=\"vivid360-button-block\"><a class=\"btn primary primary-regular btn-dismissive has-color-alternate-primary-border-color has-color-alternate-primary-background-color vivid360-modal-action-button\" role=\"button\" aria-label=\"Proceed\" style=\"font-size:14px;border-style:solid\" href=\"https:\/\/gardasil9.com\/\" title=\"Proceed\" target=\"_blank\" rel=\"noopener\" data-design-category=\"button\" data-design-label=\"Proceed\" data-design-module=\"element\">Proceed<\/a><\/div><\/div><\/div><\/div><div class=\"vivid360-modal-button-container mobile-container \"><div class=\"vivid360-button-block\"><a class=\"btn secondary secondary-regular btn-confirm has-color-alternate-primary-border-color has-color-alternate-primary-color vivid360-modal-dismiss-button\" role=\"button\" aria-label=\"Cancel\" style=\"font-size:14px;border-style:solid\" href=\"#!\" title=\"Cancel\" target=\"_self\" rel=\"noopener\" data-design-category=\"button\" data-design-label=\"Cancel\" data-design-module=\"element\">Cancel<\/a><\/div><div class=\"vivid360-button-block\"><a class=\"btn primary primary-regular btn-dismissive has-color-alternate-primary-border-color has-color-alternate-primary-background-color vivid360-modal-action-button\" role=\"button\" aria-label=\"Proceed\" style=\"font-size:14px;border-style:solid\" href=\"https:\/\/gardasil9.com\/\" title=\"Proceed\" target=\"_blank\" rel=\"noopener\" data-design-category=\"button\" data-design-label=\"Proceed\" data-design-module=\"element\">Proceed<\/a><\/div><\/div><\/div><\/div><\/div><\/div><\/div>\n","protected":false},"excerpt":{"rendered":"<p>*Continued approval contingent upon confirmatory trial. aHPV Types 16, 18, 31, 33, 45, 52, and 58. HPV is not the only cause&#8230;<\/p>\n","protected":false},"author":708,"featured_media":0,"parent":145,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"_trash_the_other_posts":false,"editor_notices":[],"footnotes":""},"ga4_page_audience":[214],"ga4_page_birn_id":[],"ga4_page_branding":[231],"ga4_page_businessunit":[239],"ga4_page_campaign":[],"ga4_page_content_purpose":[260],"ga4_page_customer_journey_stage":[307],"ga4_page_customer_specialty":[326],"ga4_page_experience":[],"ga4_page_indication":[436],"ga4_page_material_intent":[512],"ga4_page_product":[548],"ga4_page_region":[739],"ga4_page_therapeuticarea":[784],"class_list":["post-149","page","type-page","status-publish"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v22.7 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>GARDASIL\u00ae9 (Human Papillomavirus 9-valent Vaccine, Recombinant) For Appropriate Patients<\/title>\n<meta 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