TY - JOUR
T1 - Factors that Predict HPV Vaccination Behavior Among Young Men-Who-Have-Sex-with-Men in the Greater Philadelphia Region
AU - Mann-Barnes, Tyrell
AU - Bhimla, Aisha
AU - Coronado, Michael
AU - Lin, Timmy
AU - Duro-Aina, Adebola
AU - Park, Hemi
AU - Ma, Grace X.
N1 - Publisher Copyright:
© 2022, W. Montague Cobb-NMA Health Institute.
PY - 2023/10
Y1 - 2023/10
N2 - 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.
AB - 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.
KW - Human papillomavirus
KW - Sexually transmitted infections
KW - Sexual Behavior
KW - Papillomavirus Infections/prevention & control
KW - Humans
KW - Vaccination
KW - Male
KW - Human Papillomavirus Viruses
KW - Homosexuality, Male
KW - Patient Acceptance of Health Care
KW - Sexual and Gender Minorities
KW - Philadelphia
KW - Papillomavirus Vaccines
UR - http://www.scopus.com/inward/record.url?scp=85137056922&partnerID=8YFLogxK
UR - https://www.webofscience.com/api/gateway?GWVersion=2&SrcApp=purepublist2023&SrcAuth=WosAPI&KeyUT=WOS:000847242600001&DestLinkType=FullRecord&DestApp=WOS
U2 - 10.1007/s40615-022-01396-2
DO - 10.1007/s40615-022-01396-2
M3 - Article
C2 - 36036840
SN - 2197-3792
VL - 10
SP - 2167
EP - 2174
JO - Journal of racial and ethnic health disparities
JF - Journal of racial and ethnic health disparities
IS - 5
ER -
