Moving beyond sex: Assessing the impact of gender identity on human papillomavirus vaccine recommendations and uptake among a national sample of rural-residing LGBT young adults.
Moving beyond sex: Assessing the impact of gender identity on human papillomavirus vaccine recommendations and uptake among a national sample of rural-residing LGBT young adults.
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DOI：
10.1016/j.pvr.2017.04.002
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发表时间：
2017-06
期刊：
影响因子：
--
通讯作者：
Stephenson R
中科院分区：
文献类型：
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作者：
Bednarczyk RA;Whitehead JL;Stephenson R
虽然存在按性别划分的国家人乳头瘤病毒（HPV）疫苗接种率估计，但对按性别认同划分的HPV疫苗接种率知之甚少。我们对美国农村地区的女同性恋、男同性恋、双性恋和变性人进行了一项自我管理的匿名在线横断面调查，并通过Facebook广告招募。我们比较了出生时自我报告的性别分配和目前的性别认同对HPV疫苗的推荐和吸收。660名答复者符合接种HPV疫苗的年龄条件：84%报告的性别认同与出生时的性别分配一致，而10%报告的性别认同与出生时的性别分配不同；另有6%的人报告了非二元性别认同。只有14%的出生时性别分配的男性和44%的出生时性别分配的女性接种了HPV疫苗，与目前性别认同的估计相似。跨性别应答者的HPV疫苗接种经历反映了顺性别应答者在出生时的性别分配。提供者可能会根据个人出生时的性别来推荐HPV疫苗，这可能会影响跨性别者的疫苗覆盖率。未来的HPV疫苗接种研究应考虑性别认同。根据针对性别的HPV疫苗接种建议，需要解决性别认同对提供者推荐和报销的作用。
While national human papillomavirus (HPV) vaccination estimates exist by sex, little is known about HPV vaccination rates by gender identity. We conducted a self-administered, anonymous online cross-sectional survey, with recruitment through Facebook ads, of lesbian, gay, bisexual, and transgender individuals in rural areas of the US. We compared HPV vaccine recommendation and uptake by self-reported sex assigned at birth and current gender identity. Six hundred sixty respondents were age eligible for HPV vaccination: 84% reported gender identity aligned with their sex assigned at birth, while 10% reported gender identity the differed from their sex assigned at birth; an additional 6% reported non-binary gender identity. Only 14% of male sex assigned at birth and 44% of female sex assigned at birth received HPV vaccine, similar to estimates by current gender identity. Transgender respondents’ HPV vaccination experience mirrored that of cisgender respondents with regard to sex assigned at birth. Providers may base HPV vaccine recommendations on individuals’ sex assigned at birth, which may impact transgender individuals' vaccine coverage. Future HPV vaccine uptake studies should account for gender identity. With sex-specific catch-up HPV vaccination recommendations, the role of gender identity on provider recommendation and reimbursement needs to be addressed.