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Willingness to receive the COVID-19 vaccine among HIV positive men who have sex with men in China: a cross-sectional study.
BMC Public Health. 2023 01 10; 23(1):64.BP

Abstract

BACKGROUND

People living with HIV(PLWH) are deemed more vulnerable to the SARS-CoV-2 infection than the uninfected population. Vaccination is an effective measure for COVID-19 control, yet, little knowledge exists about the willingness of men who have sex with men (MSM) living with HIV in China to be vaccinated.

METHODS

This cross-sectional study evaluated the willingness of MSM living with HIV to receive COVID-19 vaccination in six cities of Guangdong, China, from July to September 2020. Factors associated with willingness to receive COVID-19 vaccination using multivariable logistic regression.

RESULTS

In total, we recruited 944 HIV-positive MSM with a mean age of 29.2 ± 7.7 years. Of all participants, 92.4% of them were willing to receive the COVID-19 vaccine. Participants who were separated, divorced, or widowed (adjusted OR: 5.29, 95%CI: 1.02-27.48), had an annual income higher than 9,000 USD (adjusted OR: 1.70, 95%CI: 1.01-2.86), had ever taken an HIV self-test (adjusted OR: 1.78, 95%CI: 1.07-2.95), had ever disclosed sexual orientation to a doctor/nurse (adjusted OR: 3.16, 95%CI: 1.33-7.50), had ever disclosed sexual orientation to others besides their male partners (adjusted OR: 2.18, 95%CI: 1.29-3.69) were more willing to receive the vaccine. Sex with a female partner in the past six months decreased the likelihood of willingness to receive the vaccine (adjusted OR: 0.40, 95%CI: 0.17-0.95). Economic burden, worry that my health condition could not bear the risk of receiving COVID-19 vaccines, and concern that the vaccination would affect the immune status and antiretroviral therapy were the main reasons for unwillingness to receive vaccination.

CONCLUSION

Our study showed that HIV-positive MSM had a high willingness to receive the COVID-19 vaccination. Targeted interventions such as health education should be conducted among MSM with HIV infection to enhance COVID-19 vaccine uptake.

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Authors+Show Affiliations

Wu S
Department of Nosocomial Infection, Zhongnan Hospital of Wuhan University, Wuhan, China. Wuhan Research Center for Infectious Diseases and Cancer, Chinese Academy of Medical Sciences, Wuhan, 430071, China.
Zhu S
Medical Department, Zhongnan Hospital of Wuhan University, Wuhan, China.
Yan X
University of North Carolina at Chapel Hill Project-China, Guangzhou, China.
Xu Y
University of North Carolina at Chapel Hill Project-China, Guangzhou, China.
Xu H
University of North Carolina at Chapel Hill Project-China, Guangzhou, China.
Yang F
Department of HIV/AIDS Control and Prevention, Guangdong Provincial Center for Disease Control and Prevention, Guangzhou, China.
Han Z
Department of HIV/AIDS Control and Prevention, Guangzhou Center for Disease Control and Prevention, Guangzhou, China.
Gu Y
Department of HIV/AIDS Control and Prevention, Guangzhou Center for Disease Control and Prevention, Guangzhou, China.
Zhou Y
Department of HIV/AIDS Control and Prevention, Zhuhai Center for Disease Control and Prevention, Zhuhai, China.
Yang Z
Department of HIV/AIDS Control and Prevention, Shenzhen Center for Disease Control and Prevention, Shenzhen, China.
Yang H
Department of HIV/AIDS Control and Prevention, Dongguan Center for Disease Control and Prevention, Dongguan, China.
Shu B
Department of HIV/AIDS Control and Prevention, Zhongshan Center for Disease Control and Prevention, Zhongshan, China.
Tang W
University of North Carolina at Chapel Hill Project-China, Guangzhou, China. Weiming_tang@med.unc.edu.
Liang K
Department of Nosocomial Infection, Zhongnan Hospital of Wuhan University, Wuhan, China. keliang@whu.edu.cn. Wuhan Research Center for Infectious Diseases and Cancer, Chinese Academy of Medical Sciences, Wuhan, 430071, China. keliang@whu.edu.cn. Department of Infectious Diseases, Zhongnan Hospital of Wuhan University, Wuhan University, Hubei, China. keliang@whu.edu.cn. Hubei Engineering Center for Infectious Disease Prevention, Control and Treatment, Wuhan, China. keliang@whu.edu.cn.

MeSH

MaleHumansFemaleYoung AdultAdultHomosexuality, MaleCOVID-19 VaccinesHIV InfectionsCross-Sectional StudiesSexual and Gender MinoritiesCOVID-19Patient Acceptance of Health CareSurveys and QuestionnairesSARS-CoV-2VaccinationChina

Pub Type(s)

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

Language

eng

PubMed ID

36627582

Citation

Wu, Songjie, et al. "Willingness to Receive the COVID-19 Vaccine Among HIV Positive Men Who Have Sex With Men in China: a Cross-sectional Study." BMC Public Health, vol. 23, no. 1, 2023, p. 64.
Wu S, Zhu S, Yan X, et al. Willingness to receive the COVID-19 vaccine among HIV positive men who have sex with men in China: a cross-sectional study. BMC Public Health. 2023;23(1):64.
Wu, S., Zhu, S., Yan, X., Xu, Y., Xu, H., Yang, F., Han, Z., Gu, Y., Zhou, Y., Yang, Z., Yang, H., Shu, B., Tang, W., & Liang, K. (2023). Willingness to receive the COVID-19 vaccine among HIV positive men who have sex with men in China: a cross-sectional study. BMC Public Health, 23(1), 64. https://doi.org/10.1186/s12889-022-14961-5
Wu S, et al. Willingness to Receive the COVID-19 Vaccine Among HIV Positive Men Who Have Sex With Men in China: a Cross-sectional Study. BMC Public Health. 2023 01 10;23(1):64. PubMed PMID: 36627582.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Willingness to receive the COVID-19 vaccine among HIV positive men who have sex with men in China: a cross-sectional study. AU - Wu,Songjie, AU - Zhu,Shanhui, AU - Yan,Xumeng, AU - Xu,Yongshi, AU - Xu,Huifang, AU - Yang,Fang, AU - Han,Zhigang, AU - Gu,Yuzhou, AU - Zhou,Yi, AU - Yang,Zhengrong, AU - Yang,Huake, AU - Shu,Bo, AU - Tang,Weiming, AU - Liang,Ke, Y1 - 2023/01/10/ PY - 2022/06/25/received PY - 2022/12/28/accepted PY - 2023/1/10/entrez PY - 2023/1/11/pubmed PY - 2023/1/13/medline KW - COVID-19 KW - HIV KW - MSM KW - Vaccine KW - Willingness SP - 64 EP - 64 JF - BMC public health JO - BMC Public Health VL - 23 IS - 1 N2 - BACKGROUND: People living with HIV(PLWH) are deemed more vulnerable to the SARS-CoV-2 infection than the uninfected population. Vaccination is an effective measure for COVID-19 control, yet, little knowledge exists about the willingness of men who have sex with men (MSM) living with HIV in China to be vaccinated. METHODS: This cross-sectional study evaluated the willingness of MSM living with HIV to receive COVID-19 vaccination in six cities of Guangdong, China, from July to September 2020. Factors associated with willingness to receive COVID-19 vaccination using multivariable logistic regression. RESULTS: In total, we recruited 944 HIV-positive MSM with a mean age of 29.2 ± 7.7 years. Of all participants, 92.4% of them were willing to receive the COVID-19 vaccine. Participants who were separated, divorced, or widowed (adjusted OR: 5.29, 95%CI: 1.02-27.48), had an annual income higher than 9,000 USD (adjusted OR: 1.70, 95%CI: 1.01-2.86), had ever taken an HIV self-test (adjusted OR: 1.78, 95%CI: 1.07-2.95), had ever disclosed sexual orientation to a doctor/nurse (adjusted OR: 3.16, 95%CI: 1.33-7.50), had ever disclosed sexual orientation to others besides their male partners (adjusted OR: 2.18, 95%CI: 1.29-3.69) were more willing to receive the vaccine. Sex with a female partner in the past six months decreased the likelihood of willingness to receive the vaccine (adjusted OR: 0.40, 95%CI: 0.17-0.95). Economic burden, worry that my health condition could not bear the risk of receiving COVID-19 vaccines, and concern that the vaccination would affect the immune status and antiretroviral therapy were the main reasons for unwillingness to receive vaccination. CONCLUSION: Our study showed that HIV-positive MSM had a high willingness to receive the COVID-19 vaccination. Targeted interventions such as health education should be conducted among MSM with HIV infection to enhance COVID-19 vaccine uptake. SN - 1471-2458 UR - https://www.unboundmedicine.com/medline/citation/36627582/Willingness_to_receive_the_COVID_19_vaccine_among_HIV_positive_men_who_have_sex_with_men_in_China:_a_cross_sectional_study_ DB - PRIME DP - Unbound Medicine ER -