Catching Up or Missing Out? Human Papillomavirus Vaccine Acceptability Among 18-to 26-Year-old Men Who Have Sex With Men in a US National Sample
Catching Up or Missing Out? Human Papillomavirus Vaccine Acceptability Among 18-to 26-Year-old Men Who Have Sex With Men in a US National Sample
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DOI：
10.1097/olq.0000000000000358
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发表时间：
2015-11-01
影响因子：
3.1
通讯作者：
Stupiansky, Nathan W.
中科院分区：
文献类型：
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作者：
Cummings, Teresa;Kasting, Monica L.;Stupiansky, Nathan W.
背景男男性行为者（MSM）受人乳头瘤病毒（HPV）相关结局的影响不成比例，并将从青春期HPV疫苗接种中获益。我们评估了HPV疫苗的态度，摄取和障碍，在这个高风险的年轻男男性接触者（YMSM）population.Methods的在线美国样本1457 YMSM年龄在18至26岁，在2011年12月被招募到检查HPV疫苗的可接受性和摄取。在线调查包括社会人口统计学，HPV疫苗的态度，可接受性，HPV疫苗接种状况，医疗保健使用，和HPV knowledge.Results尽管在过去的一年中高使用医疗保健（86%）和高接受率（87.8/100）免费HPV疫苗，只有6.8%的人接受了一剂或多剂疫苗。此外，只有4%的未接种疫苗的男性获得了他们的卫生保健提供者（HCP）的疫苗。在未接种疫苗的男性的多变量回归中，疫苗可接受性增加与HCP推荐、担心感染HPV以及在过去一年中接受性传播疾病检测相关，而安全性问题、较低的感染风险以及与HPV感染/疾病相关的羞耻感与疫苗可接受性降低相关。通过逻辑回归，疫苗的摄取与被测试的性传播疾病在过去的一年中，披露是同性恋或双性恋的医生，和更多的HPV knowledge.Conclusions卫生保健提供者需要使用常规的接触点与YMSM患者接种HPV疫苗。这些数据表明，错过了接种HPV疫苗的YMSM的机会。在未来，YMSM的HCP应小心避免错过接种疫苗的机会。
Background Men who have sex with men (MSM) are disproportionately affected by human papillomavirus (HPV)-related outcomes and would benefit from HPV vaccination in adolescence. We assessed HPV vaccine attitudes, uptake, and barriers in this high-risk young MSM (YMSM) population.Methods An online US sample of 1457 YMSM aged 18 to 26 years were recruited in December 2011 to examine HPV vaccine acceptability and uptake. The online survey included sociodemographics, HPV vaccine attitudes, acceptability, HPV vaccination status, health care use, and HPV knowledge.Results Despite high use of health care in the past year (86%) and high acceptability (87.8/100) for free HPV vaccine, only 6.8% had received one or more vaccine doses. In addition, only 4% of unvaccinated men had been offered the vaccine by their health care provider (HCP). In a multivariate regression of unvaccinated men, increased vaccine acceptability was associated with an HCP recommendation, worry about getting infected with HPV, and being tested for a sexually transmitted disease in the past year, whereas safety concerns, lower perceived risk of infection, and shame associated with HPV infection/disease were associated with decreased vaccine acceptability. Through logistic regression, vaccine uptake was associated with being tested for a sexually transmitted disease in the past year, disclosure of being gay or bisexual to a doctor, and greater HPV knowledge.Conclusions Health care providers need to use routine points of contact with YMSM patients to vaccinate against HPV. These data indicated missed opportunities to vaccinate YMSM who are open to HPV vaccination. In the future, HCPs of YMSM should be careful to avoid missed opportunities to vaccinate.