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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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 |
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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 |
_version_ |
1683494103504912384 |