Increasing HPV vaccination and eliminating barriers: Recommendations from young men who have sex with men

Fontenot, Holly B.; Fantasia, Heidi Collins; Vetters, Ralph; Zimet, Gregory D.

doi:10.1016/j.vaccine.2016.10.075

Cited by 47 publications

(55 citation statements)

References 26 publications

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“…In a qualitative study of YMSM, a theme among men interviewed was a desire for HPV vaccination to be a co-occurring part of other health-related services (e.g., HIV testing). 32 Additionally, findings suggest that limited access to health care may especially affect HPV vaccine coverage among black and Hispanic YMSM and those without a college degree for whom coverage lags. Broad public health efforts are needed to increase acceptance and access to health care services for YMSM and transgender women.…”

Section: Discussionmentioning

confidence: 99%

Human Papillomavirus Vaccination Among Young Men Who Have Sex With Men and Transgender Women in 2 US Cities, 2012–2014

Gorbach¹,

Cook²,

Gratzer³

et al. 2017

Sexual Trans Dis

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Background Since 2011, in the United States, quadrivalent human papillomavirus (HPV) vaccine has been recommended for boys aged 11 to 12 years, men through age 21, and men who have sex with men (MSM) through age 26. We assessed HPV vaccination coverage and factors associated with vaccination among young MSM (YMSM) and transgender women (TGW) in 2 cities. Methods During 2012–2014, 808 YMSM and TGWaged 18 to 26 years reported vaccination status in a self-administered computerized questionnaire at 3 sexually transmitted disease (STD) clinics in Los Angeles and Chicago. Associations with HPV vaccination were assessed using bivariate and multivariable models to calculate adjusted odds ratios (aORs) and 95% confidence intervals (CIs). Results Few of the diverse participants (Hispanic/Latino, 38.0%; white, 27.0%; and black/African American, 17.9%) reported receiving 1 or more HPV vaccine doses (n = 111 [13.7%]) and even fewer reported 3 doses (n = 37 [4.6%]). A multivariable model found associations between vaccination and having a 4-year college degree or higher (aOR, 2.83; CI, 1.55–5.17) and self-reported STDs (aOR, 1.21; CI, 1.03–1.42). In a model including recommendation variables, the strongest predictor of vaccination was a health care provider recommendation (aOR, 11.85; CI, 6.70–20.98). Conclusions Human papillomavirus vaccination coverage was low among YMSM and TGW in this 2–US city study. Our findings suggest further efforts are needed to reach YMSM seeking care in STD clinics, increase strong recommendations from health care providers, and integrate HPV vaccination with other clinical services such as STD testing.

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Section: Discussionmentioning

confidence: 99%

Human Papillomavirus Vaccination Among Young Men Who Have Sex With Men and Transgender Women in 2 US Cities, 2012–2014

Gorbach¹,

Cook²,

Gratzer³

et al. 2017

Sexual Trans Dis

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“…This may be due to a person's unwillingness to be aware of the disease and its vaccine, on the other hand, due to the culture and values of the society where talking about sex is thought taboo. Many studies have also reported that lack of HPV vaccine uptake is due to a lack of knowledge about the vaccine and related cancer in men and women [28][29][30][31].…”

Section: Discussionmentioning

confidence: 99%

“…They included parents' shame about talking about sex with children, fewer men's referrals to the physician due to their shame, lack of vaccination due to the prevailing atmosphere in the society and family, and misbehavior of the staff with people with sexual problems. Several studies have also pointed to these factors [35,[47][48][49].…”

Section: Discussionmentioning

confidence: 99%

“…The learner could be teenagers, youth, parents, and health professionals, educational content is designed for each one according to their knowledge and awareness, as well as the cultures and values of each country. Fontenot's study showed that the family had a facilitating role in vaccine uptake and should be educated about HPV and the vaccine [48].…”

Section: Discussionmentioning

confidence: 99%

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Explaining the determinants of Human Papillomavirus Vaccine uptake and Strategies to Increase Its Uptake among young adults in Capital of Iran: a qualitative study

Yarmohammadi¹,

Ghaffari²,

Ramezankhani³

2020

Preprint

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Background The HPV vaccine prevents the most common cancer in women, which is cervical cancer. This study aimed to determine the factors affecting the uptake and non- uptake of HPV vaccine in the young adult in Tehran and strategies to increase their vaccine uptake. Methods This is the first qualitative study with the conventional content analysis approach in this context in Iran in 2018-2019. Participants, with a maximum variation in terms of age, sex, educational level, occupation, income, work experience, marital status, were selected purposefully to take part in a semi-structured interview. The data were recorded and analyzed according to the interview continued until data saturation. MAXQDA software version 10 was used for data management. Results The participants were 20 health professionals and 10 young adults from Tehran. Factors affecting HPV vaccine uptake and non- uptake identified as seven categories, including knowledge, health value, external stimuli, outcome expectations, perceived threat, healthcare services, and Contextual factors. Moreover, the strategies to increase vaccine uptake included Compulsory vaccination, vaccine availability, and implementing the educational process. Conclusions Considering the factors identified in this study, the authorities and practitioners must take steps to increase the HPV vaccine in young adults by considering the effective factors, as well as the strategies, such as Compulsory vaccination, increasing vaccine availability, and implementing educational interventions.

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“…One survey of 350 mothers of both male and female children in low-income families in the United States found that mothers were more likely to pursue HPV vaccine initiation and completion in their daughters compared with their sons. 27 As a result of these and other data 28 the CDC and other vaccine advocacy organizations have boosted their efforts in displaying educational material to appropriately inform parents of adolescent males and young men of their risk for HPV and related diseases, including genital warts, anogenital cancers, and laryngeal papillomas. 1 Another important parental barrier that has been well-documented is the fear that HPV vaccination may condone or lead to more promiscuous sexual behaviors in sons and daughters.…”

Section: Hpv and Parentsmentioning

confidence: 99%

Adolescent human papillomavirus vaccination in the United States: Opportunities for integrating pharmacies into the immunization neighborhood

Fava

Colleran

Bignasci

et al. 2017

Human Vaccines & Immunotherapeutics

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Human Papillomavirus (HPV) vaccination faces several barriers, including a social stigma which carries religious and philosophical implications among parents of adolescents as well as young adults. Hundreds of immunization interventions and programs have been developed to address these factors and boost HPV vaccination rates in the United States. We sought to review the existing literature highlighting barriers to HPV immunization, as well as programs targeting increased HPV vaccine uptake in effort to develop novel vaccination initiatives. The most impactful barriers identified were parental stigma and low quality of provider recommendations for the vaccine. Despite the implementation of many HPV initiatives, outcomes of these programs are largely limited to modest improvements in vaccine uptake in small, homogeneous populations. We describe pharmacies as distinctly advantageous but underutilized resources within the immunization neighborhood and propose a novel concept to improve vaccination rates as well as reduce HPV-related disease burden in all demographics.

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Increasing HPV vaccination and eliminating barriers: Recommendations from young men who have sex with men

Cited by 47 publications

References 26 publications

Human Papillomavirus Vaccination Among Young Men Who Have Sex With Men and Transgender Women in 2 US Cities, 2012–2014

Human Papillomavirus Vaccination Among Young Men Who Have Sex With Men and Transgender Women in 2 US Cities, 2012–2014

Explaining the determinants of Human Papillomavirus Vaccine uptake and Strategies to Increase Its Uptake among young adults in Capital of Iran: a qualitative study

Adolescent human papillomavirus vaccination in the United States: Opportunities for integrating pharmacies into the immunization neighborhood

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