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Perceptions of HPV and attitudes towards HPV vaccination amongst men who have sex with men: A qualitative analysis.
Br J Health Psychol. 2017 05; 22(2):345-361.BJ

Abstract

OBJECTIVES

Men who have sex with men (MSM) are at risk of genital warts and anal cancer due to human papillomavirus (HPV) infection. This study explores MSMs' perceptions of HPV and HPV vaccination prior to the introduction of this programme.

DESIGN

Focus groups and one-to-one interviews with self-identified MSM were conducted between November 2014 and March 2015 in Brighton, UK.

METHODS

Participants were recruited from community-based lesbian-gay-bisexual-transgender (LGBT) venues and organizations. Discussions were recorded, transcribed verbatim, and analysed using framework analysis.

RESULTS

Thirty-three men took part (median age 25 years, IQR: 21-27), most of whom (n = 25) did not know about HPV, anal cancer (31), or HPV vaccination (26). While genital warts and anal cancer were perceived as severe, men did not perceive themselves at risk of HPV. All MSM would accept the HPV vaccine if offered by a health care professional. The challenges of accessing sexual health services or openly discussing same-sex experiences with health care professionals were perceived as barriers to accessing HPV vaccination. Two participants were concerned that selective HPV vaccination could increase stigma and prejudice against MSM, comparable to the AIDS epidemic. Ten MSM were unsure about the effectiveness of HPV vaccination for sexually active men and were in favour of vaccinating all adolescent boys at school.

CONCLUSIONS

Most MSM have poor knowledge about HPV and associated anal cancer. Despite the lack of concern about HPV, most MSM expressed willingness to receive HPV vaccination. There is a need for health education about the risks of HPV and HPV-related diseases so that MSM can appraise the benefits of being vaccinated. Concerns about HPV vaccine effectiveness in sexually active men and possible stigmatization need to be addressed to optimize HPV vaccine acceptability. Statement of contribution What is already known on this subject? Men who have sex with men (MSM) have poor knowledge about HPV and HPV-related diseases. Perceived risk of HPV and attitudes towards HPV vaccination are associated with HPV vaccine acceptability amongst MSM in the United States. There is a gap between acceptability and uptake of HPV vaccination amongst MSM. What does this study add? Due to concerns about compromised effectiveness of the HPV vaccine in sexually active men, most MSM would recommend vaccination of all adolescent boys. Restricted access to sexual health services and the inability to discuss same-sex experiences were perceived as barriers to HPV vaccination. While the HPV vaccine is acceptable amongst MSM, the motivation to be vaccinated and complete the three-dose series might be low.

Authors+Show Affiliations

The University of Southampton, UK.Brighton and Sussex Medical School, UK.Brighton and Sussex Medical School, UK. Brighton & Sussex University NHS Trust, UK.Brighton and Sussex Medical School, UK.Brighton and Sussex Medical School, UK.

Pub Type(s)

Evaluation Study
Journal Article

Language

eng

PubMed ID

28191723

Citation

Nadarzynski, Tom, et al. "Perceptions of HPV and Attitudes Towards HPV Vaccination Amongst Men Who Have Sex With Men: a Qualitative Analysis." British Journal of Health Psychology, vol. 22, no. 2, 2017, pp. 345-361.
Nadarzynski T, Smith H, Richardson D, et al. Perceptions of HPV and attitudes towards HPV vaccination amongst men who have sex with men: A qualitative analysis. Br J Health Psychol. 2017;22(2):345-361.
Nadarzynski, T., Smith, H., Richardson, D., Pollard, A., & Llewellyn, C. (2017). Perceptions of HPV and attitudes towards HPV vaccination amongst men who have sex with men: A qualitative analysis. British Journal of Health Psychology, 22(2), 345-361. https://doi.org/10.1111/bjhp.12233
Nadarzynski T, et al. Perceptions of HPV and Attitudes Towards HPV Vaccination Amongst Men Who Have Sex With Men: a Qualitative Analysis. Br J Health Psychol. 2017;22(2):345-361. PubMed PMID: 28191723.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Perceptions of HPV and attitudes towards HPV vaccination amongst men who have sex with men: A qualitative analysis. AU - Nadarzynski,Tom, AU - Smith,Helen, AU - Richardson,Daniel, AU - Pollard,Alex, AU - Llewellyn,Carrie, Y1 - 2017/02/13/ PY - 2016/10/20/received PY - 2017/01/06/revised PY - 2017/2/14/pubmed PY - 2017/7/20/medline PY - 2017/2/14/entrez KW - human papillomavirus KW - men who have sex with men KW - risk perceptions KW - vaccination behaviour KW - vaccine acceptability SP - 345 EP - 361 JF - British journal of health psychology JO - Br J Health Psychol VL - 22 IS - 2 N2 - OBJECTIVES: Men who have sex with men (MSM) are at risk of genital warts and anal cancer due to human papillomavirus (HPV) infection. This study explores MSMs' perceptions of HPV and HPV vaccination prior to the introduction of this programme. DESIGN: Focus groups and one-to-one interviews with self-identified MSM were conducted between November 2014 and March 2015 in Brighton, UK. METHODS: Participants were recruited from community-based lesbian-gay-bisexual-transgender (LGBT) venues and organizations. Discussions were recorded, transcribed verbatim, and analysed using framework analysis. RESULTS: Thirty-three men took part (median age 25 years, IQR: 21-27), most of whom (n = 25) did not know about HPV, anal cancer (31), or HPV vaccination (26). While genital warts and anal cancer were perceived as severe, men did not perceive themselves at risk of HPV. All MSM would accept the HPV vaccine if offered by a health care professional. The challenges of accessing sexual health services or openly discussing same-sex experiences with health care professionals were perceived as barriers to accessing HPV vaccination. Two participants were concerned that selective HPV vaccination could increase stigma and prejudice against MSM, comparable to the AIDS epidemic. Ten MSM were unsure about the effectiveness of HPV vaccination for sexually active men and were in favour of vaccinating all adolescent boys at school. CONCLUSIONS: Most MSM have poor knowledge about HPV and associated anal cancer. Despite the lack of concern about HPV, most MSM expressed willingness to receive HPV vaccination. There is a need for health education about the risks of HPV and HPV-related diseases so that MSM can appraise the benefits of being vaccinated. Concerns about HPV vaccine effectiveness in sexually active men and possible stigmatization need to be addressed to optimize HPV vaccine acceptability. Statement of contribution What is already known on this subject? Men who have sex with men (MSM) have poor knowledge about HPV and HPV-related diseases. Perceived risk of HPV and attitudes towards HPV vaccination are associated with HPV vaccine acceptability amongst MSM in the United States. There is a gap between acceptability and uptake of HPV vaccination amongst MSM. What does this study add? Due to concerns about compromised effectiveness of the HPV vaccine in sexually active men, most MSM would recommend vaccination of all adolescent boys. Restricted access to sexual health services and the inability to discuss same-sex experiences were perceived as barriers to HPV vaccination. While the HPV vaccine is acceptable amongst MSM, the motivation to be vaccinated and complete the three-dose series might be low. SN - 2044-8287 UR - https://www.unboundmedicine.com/medline/citation/28191723/Perceptions_of_HPV_and_attitudes_towards_HPV_vaccination_amongst_men_who_have_sex_with_men:_A_qualitative_analysis_ L2 - https://doi.org/10.1111/bjhp.12233 DB - PRIME DP - Unbound Medicine ER -