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, T., Smith, H., Richardson, D., Bremner, S. and 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), pp. 5065-5070. doi:10.1016/j.vaccine.2018.06.075

TitleMen 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
TypeJournal article
AuthorsNadarzynski, T., Smith, H., Richardson, D., Bremner, S. and Llewellyn, C.
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% had good knowledge of 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.

JournalVaccine
Journal citation36 (33), pp. 5065-5070
ISSN0264-410X
Year2018
PublisherElsevier
Accepted author manuscriptHPV vaccination for MSM - SRO.pdf
Supplementary data or filesTable 1.doc
Table 2.doc
Table A supp.doc
Digital Object Identifier (DOI)doi:10.1016/j.vaccine.2018.06.075
Publication dates
Published online04 Jul 2018
Published in print09 Aug 2018
LicenseCC BY-NC-ND 4.0

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