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

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 a...

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Main Authors: Nadarzynski, Tom, Smith, Helen, Richardson, Daniel, Bremner, Stephen, Llewellyn, Carrie
Other Authors: Lee Kong Chian School of Medicine (LKCMedicine)
Format: Article
Language:English
Published: 2019
Subjects:
Gay
Online Access:https://hdl.handle.net/10356/81540
http://hdl.handle.net/10220/50393
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Institution: Nanyang Technological University
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spelling sg-ntu-dr.10356-815402020-11-01T05:25:33Z 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 Nadarzynski, Tom Smith, Helen Richardson, Daniel Bremner, Stephen Llewellyn, Carrie Lee Kong Chian School of Medicine (LKCMedicine) Science::Medicine Vaccine Gay 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. Accepted version 2019-11-12T09:02:36Z 2019-12-06T14:33:17Z 2019-11-12T09:02:36Z 2019-12-06T14:33:17Z 2018 Journal Article 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. doi:10.1016/j.vaccine.2018.06.075 0264-410X https://hdl.handle.net/10356/81540 http://hdl.handle.net/10220/50393 10.1016/j.vaccine.2018.06.075 en Vaccine © 2018 Elsevier. All rights reserved. This paper was published in Vaccine and is made available with permission of Elsevier. 14 p. application/pdf
institution Nanyang Technological University
building NTU Library
continent Asia
country Singapore
Singapore
content_provider NTU Library
collection DR-NTU
language English
topic Science::Medicine
Vaccine
Gay
spellingShingle Science::Medicine
Vaccine
Gay
Nadarzynski, Tom
Smith, Helen
Richardson, Daniel
Bremner, Stephen
Llewellyn, Carrie
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
description 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.
author2 Lee Kong Chian School of Medicine (LKCMedicine)
author_facet Lee Kong Chian School of Medicine (LKCMedicine)
Nadarzynski, Tom
Smith, Helen
Richardson, Daniel
Bremner, Stephen
Llewellyn, Carrie
format Article
author Nadarzynski, Tom
Smith, Helen
Richardson, Daniel
Bremner, Stephen
Llewellyn, Carrie
author_sort Nadarzynski, Tom
title 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
title_short 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
title_full 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
title_fullStr 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
title_full_unstemmed 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
title_sort 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
publishDate 2019
url https://hdl.handle.net/10356/81540
http://hdl.handle.net/10220/50393
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