Factors that Predict HPV Vaccination Behavior Among Young Men-Who-Have-Sex-with-Men in the Greater Philadelphia Region.
Factors that Predict HPV Vaccination Behavior Among Young Men-Who-Have-Sex-with-Men in the Greater Philadelphia Region.
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DOI：
10.1007/s40615-022-01396-2
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发表时间：
2023-10
影响因子：
3.9
通讯作者：
Ma, Grace X
中科院分区：
文献类型：
--
作者：
Mann-Barnes, Tyrell;Bhimla, Aisha;Coronado, Michael;Lin, Timmy;Duro-Aina, Adebola;Park, Hemi;Ma, Grace X
人乳头瘤病毒（HPV）是美国最常见的性传播感染之一。HPV被认为是肛门癌的主要原因之一，与年龄匹配的异性恋男性相比，男性与男性发生性关系（MSM）的风险增加。这项研究强调了影响和阻碍HPV疫苗接种的各种因素，其中包括多种族的YMSM（YMSM）。大费城地区共有444名18至27岁的参与者完成了在线调查。大约75.79%（n = 335）的参与者没有接受至少一剂HPV疫苗。有医疗保健提供者的建议（OR = 25.54，95%CI：25.54-85.42，p < 0.001）和一个单位的耻辱和同性恋恐惧症的不良影响的经验增加（OR = 1.06，95%CI：1.01-1.11，p = 0.044）与接受HPV疫苗摄取的可能性更大。有较多的性伴侣（OR = 0.85，95%CI：0.75-0.97，p = 0.014）和在过去6个月内有过无安全套肛交（OR = 0.31，95%CI：0.15-0.58，p < 0.001）与较低的HPV疫苗接种几率相关。总之，需要以医疗保健提供者为重点的干预措施和教育计划，以提高对HPV疫苗的认识和吸收，以减轻这一人群中与性行为相关的风险。
Human papillomavirus (HPV) is one of the most common sexually transmitted infections in the USA. HPV is acknowledged as one of the leading causes of anal cancer, with an increased risk in men who have sex with men (MSM), when compared to age-matched heterosexual men. This study highlights the various factors that influence and impede HPV vaccination uptake among a multiracial cohort of young-MSM (YMSM). A total of 444 participants aged 18 to 27 in the Greater Philadelphia region completed an online survey. Approximately 75.79% (n = 335) of participants did not receive at least one dose of the HPV vaccine. Having a healthcare provider recommendation (OR = 25.54, 95% CI: 25.54–85.42, p < 0.001) and a one unit increase in experiences of adverse effects of stigma and homophobia (OR = 1.06, 95% CI: 1.01–1.11, p = 0.044) were associated with a greater likelihood of receiving the HPV vaccine uptake. Having a greater number of sexual partners (OR = 0.85, 95% CI: 0.75–0.97, p = 0.014) and having had condomless anal sex in the past 6 months (OR = 0.31, 95% CI: 0.15–0.58, p < 0.001) were associated with a lower odds of HPV vaccine uptake. In conclusion, healthcare provider-focused interventions and educational programs are needed to increase awareness and uptake of the HPV vaccine to mitigate the risks associated with sexual behaviors among this population.