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Predictors of Human Papillomavirus Vaccination Among Young Men Who Have Sex With Men.
Sex Transm Dis. 2016 Mar; 43(3):185-91.ST

Abstract

BACKGROUND

Human papillomavirus (HPV) is a common sexually transmitted infection that causes anal, penile, and oropharyngeal cancers in men. Men who have sex with men (MSM) are at particularly high risk for HPV infection and HPV-related disease. Human papillomavirus vaccination is currently recommended for all MSM in the United States through age 26 years, yet little is known about HPV vaccine uptake in this population. The purpose of this study was to identify predictors of HPV vaccine uptake and barriers and facilitators to HPV vaccination that may be unique to young MSM.

METHODS

Men aged 18 to 26 years (n = 336) were recruited via advertisements placed on a geospatial smartphone dating application designed for MSM. Participants completed an online survey. Correlates of vaccine uptake and provider recommendation for HPV vaccine were identified using logistic regression.

RESULTS

In total, 21% of participants had received at least 1 dose of HPV vaccine. Provider recommendation was the strongest predictor of uptake such that MSM with a recommendation were more than 40 times more likely to have been vaccinated. Additional predictors of uptake included age and HPV vaccine attitudes. Predictors of provider recommendation included sexual identity, race/ethnicity, condomless anal sex, and HIV status. Psychosocial correlates and barriers and facilitators to HPV vaccination among unvaccinated men were also identified.

CONCLUSIONS

Findings highlight potential disparities in HPV vaccine uptake, as well as disparities in provider recommendation practices for HPV vaccination. Future interventions should aim to clarify misconceptions, modify psychosocial beliefs, and address barriers and facilitators to HPV vaccine uptake specific to young MSM.

Authors+Show Affiliations

From the *Department of Medical Social Sciences, Feinberg School of Medicine, Northwestern University, Chicago, IL; and †Department of Psychology, Weinberg College of Arts and Sciences, Northwestern University, Evanston, IL.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, N.I.H., Extramural

Language

eng

PubMed ID

26859806

Citation

Gerend, Mary A., et al. "Predictors of Human Papillomavirus Vaccination Among Young Men Who Have Sex With Men." Sexually Transmitted Diseases, vol. 43, no. 3, 2016, pp. 185-91.
Gerend MA, Madkins K, Phillips G, et al. Predictors of Human Papillomavirus Vaccination Among Young Men Who Have Sex With Men. Sex Transm Dis. 2016;43(3):185-91.
Gerend, M. A., Madkins, K., Phillips, G., & Mustanski, B. (2016). Predictors of Human Papillomavirus Vaccination Among Young Men Who Have Sex With Men. Sexually Transmitted Diseases, 43(3), 185-91. https://doi.org/10.1097/OLQ.0000000000000408
Gerend MA, et al. Predictors of Human Papillomavirus Vaccination Among Young Men Who Have Sex With Men. Sex Transm Dis. 2016;43(3):185-91. PubMed PMID: 26859806.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Predictors of Human Papillomavirus Vaccination Among Young Men Who Have Sex With Men. AU - Gerend,Mary A, AU - Madkins,Krystal, AU - Phillips,Gregory,2nd AU - Mustanski,Brian, PY - 2017/03/01/pmc-release PY - 2016/2/10/entrez PY - 2016/2/10/pubmed PY - 2016/11/1/medline SP - 185 EP - 91 JF - Sexually transmitted diseases JO - Sex Transm Dis VL - 43 IS - 3 N2 - BACKGROUND: Human papillomavirus (HPV) is a common sexually transmitted infection that causes anal, penile, and oropharyngeal cancers in men. Men who have sex with men (MSM) are at particularly high risk for HPV infection and HPV-related disease. Human papillomavirus vaccination is currently recommended for all MSM in the United States through age 26 years, yet little is known about HPV vaccine uptake in this population. The purpose of this study was to identify predictors of HPV vaccine uptake and barriers and facilitators to HPV vaccination that may be unique to young MSM. METHODS: Men aged 18 to 26 years (n = 336) were recruited via advertisements placed on a geospatial smartphone dating application designed for MSM. Participants completed an online survey. Correlates of vaccine uptake and provider recommendation for HPV vaccine were identified using logistic regression. RESULTS: In total, 21% of participants had received at least 1 dose of HPV vaccine. Provider recommendation was the strongest predictor of uptake such that MSM with a recommendation were more than 40 times more likely to have been vaccinated. Additional predictors of uptake included age and HPV vaccine attitudes. Predictors of provider recommendation included sexual identity, race/ethnicity, condomless anal sex, and HIV status. Psychosocial correlates and barriers and facilitators to HPV vaccination among unvaccinated men were also identified. CONCLUSIONS: Findings highlight potential disparities in HPV vaccine uptake, as well as disparities in provider recommendation practices for HPV vaccination. Future interventions should aim to clarify misconceptions, modify psychosocial beliefs, and address barriers and facilitators to HPV vaccine uptake specific to young MSM. SN - 1537-4521 UR - https://www.unboundmedicine.com/medline/citation/26859806/Predictors_of_Human_Papillomavirus_Vaccination_Among_Young_Men_Who_Have_Sex_With_Men_ L2 - https://doi.org/10.1097/OLQ.0000000000000408 DB - PRIME DP - Unbound Medicine ER -