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Men who have sex with men who do not access sexual health clinics nor disclose sexual orientation are unlikely to receive the HPV vaccine in the UK.
Vaccine. 2018 08 09; 36(33):5065-5070.V

Abstract

BACKGROUND

Men who have sex with men (MSM) are recommended the Human Papillomavirus (HPV) vaccination due to their higher risk of genital warts and anal cancer.

PURPOSE

To examine HPV vaccine acceptability amongst MSM in the UK.

METHODS

Using advertisements via Facebook, MSM were recruited to an online survey measuring motivations for HPV vaccination. Logistic regression was performed to identify predictors of HPV vaccine acceptability.

RESULTS

Out of 1508 MSM (median age = 22, range: 14-63 years) only 19% knew about HPV. Overall, 55% of MSM were willing to ask for the HPV vaccine and 89% would accept it if offered by a healthcare professional (HCP). Access to sexual health clinics (SHCs) [OR = 1.82, 95% CI 1.29-2.89], the disclosure of sexual orientation to a HCP [OR = 2.02, CI 1.39-3.14] and HIV-positive status [OR = 1.96, CI 1.09-3.53] positively predicted HPV vaccine acceptability. After receiving information about HPV, perceptions of HPV risk [OR = 1.31, CI 1.05-1.63], HPV infection severity [OR = 1.89, CI 1.16-3.01), HPV vaccination benefits [OR = 1.61, CI 1.14-3.01], HPV vaccine effectiveness [OR = 1.54, CI 1.14-2.08], and the lack of perceived barriers to HPV vaccination [OR = 4.46, CI 2.95-6.73] were also associated with acceptability.

CONCLUSIONS

Although nearly half of MSM would not actively pursue HPV vaccination, the vast majority would accept the vaccine if recommended by HCPs. In order to achieve optimal uptake, vaccine promotion campaigns should focus on MSM who do not access SHCs and those unwilling to disclose their sexual orientation.

Authors+Show Affiliations

University of Westminster, London, UK. Electronic address: T.Nadarzynski@westminster.ac.uk.Brighton and Sussex Medical School, Brighton, UK; Family Medicine and Primary Care, Lee Kong Chian School of Medicine, Nanyang Technological University Singapore, Singapore.Brighton and Sussex Medical School, Brighton, UK; Brighton and Sussex University NHS Trust, Brighton, UK.Brighton and Sussex Medical School, Brighton, UK.Brighton and Sussex Medical School, Brighton, UK.

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

30037419

Citation

Nadarzynski, Tom, et al. "Men Who Have Sex With Men Who Do Not Access Sexual Health Clinics nor Disclose Sexual Orientation Are Unlikely to Receive the HPV Vaccine in the UK." Vaccine, vol. 36, no. 33, 2018, pp. 5065-5070.
Nadarzynski T, Smith H, Richardson D, et al. Men who have sex with men who do not access sexual health clinics nor disclose sexual orientation are unlikely to receive the HPV vaccine in the UK. Vaccine. 2018;36(33):5065-5070.
Nadarzynski, T., Smith, H., Richardson, D., Bremner, S., & Llewellyn, C. (2018). Men who have sex with men who do not access sexual health clinics nor disclose sexual orientation are unlikely to receive the HPV vaccine in the UK. Vaccine, 36(33), 5065-5070. https://doi.org/10.1016/j.vaccine.2018.06.075
Nadarzynski T, et al. Men Who Have Sex With Men Who Do Not Access Sexual Health Clinics nor Disclose Sexual Orientation Are Unlikely to Receive the HPV Vaccine in the UK. Vaccine. 2018 08 9;36(33):5065-5070. PubMed PMID: 30037419.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Men who have sex with men who do not access sexual health clinics nor disclose sexual orientation are unlikely to receive the HPV vaccine in the UK. AU - Nadarzynski,Tom, AU - Smith,Helen, AU - Richardson,Daniel, AU - Bremner,Stephen, AU - Llewellyn,Carrie, Y1 - 2018/07/04/ PY - 2018/05/03/received PY - 2018/06/12/revised PY - 2018/06/29/accepted PY - 2018/7/25/entrez PY - 2018/7/25/pubmed PY - 2018/10/3/medline KW - Acceptability KW - Barriers KW - Gay KW - HPV KW - MSM KW - Vaccine SP - 5065 EP - 5070 JF - Vaccine JO - Vaccine VL - 36 IS - 33 N2 - BACKGROUND: Men who have sex with men (MSM) are recommended the Human Papillomavirus (HPV) vaccination due to their higher risk of genital warts and anal cancer. PURPOSE: To examine HPV vaccine acceptability amongst MSM in the UK. METHODS: Using advertisements via Facebook, MSM were recruited to an online survey measuring motivations for HPV vaccination. Logistic regression was performed to identify predictors of HPV vaccine acceptability. RESULTS: Out of 1508 MSM (median age = 22, range: 14-63 years) only 19% knew about HPV. Overall, 55% of MSM were willing to ask for the HPV vaccine and 89% would accept it if offered by a healthcare professional (HCP). Access to sexual health clinics (SHCs) [OR = 1.82, 95% CI 1.29-2.89], the disclosure of sexual orientation to a HCP [OR = 2.02, CI 1.39-3.14] and HIV-positive status [OR = 1.96, CI 1.09-3.53] positively predicted HPV vaccine acceptability. After receiving information about HPV, perceptions of HPV risk [OR = 1.31, CI 1.05-1.63], HPV infection severity [OR = 1.89, CI 1.16-3.01), HPV vaccination benefits [OR = 1.61, CI 1.14-3.01], HPV vaccine effectiveness [OR = 1.54, CI 1.14-2.08], and the lack of perceived barriers to HPV vaccination [OR = 4.46, CI 2.95-6.73] were also associated with acceptability. CONCLUSIONS: Although nearly half of MSM would not actively pursue HPV vaccination, the vast majority would accept the vaccine if recommended by HCPs. In order to achieve optimal uptake, vaccine promotion campaigns should focus on MSM who do not access SHCs and those unwilling to disclose their sexual orientation. SN - 1873-2518 UR - https://www.unboundmedicine.com/medline/citation/30037419/Men_who_have_sex_with_men_who_do_not_access_sexual_health_clinics_nor_disclose_sexual_orientation_are_unlikely_to_receive_the_HPV_vaccine_in_the_UK_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0264-410X(18)30926-5 DB - PRIME DP - Unbound Medicine ER -