Awareness and acceptance of HPV vaccination for condyloma acuminata among men who have sex with men in China

Abstract

The dissemination of the fact that the human papillomavirus (HPV) vaccine can protect females as well as males is greatly beneficial for the control of condyloma acuminata (CA). We aimed to investigate the acceptance of the HPV vaccine for CA among men who have sex with men (MSM) in China. A cross-sectional online survey in the adult MSM population from 31 regions in China was carried out via WeChat in May 2017. Information on demographic characteristics, sexual behaviors, history of HIV and HPV infection, awareness of CA and HPV/CA vaccines, acceptance of CA vaccination, and behavioral intentions for vaccination were collected through a self-administered questionnaire. In total, 902 questionnaires were analyzed; the prevalence of CA was 13.3% (120/902), the HIV positivity rate was 15.1% (136/902), and the coinfection rate of HIV and CA was 3.9% (35/902). In the MSM population, the knowledge of CA and HPV/CA vaccines was poor, but the acceptance rate of the CA vaccine was high (85.1%, 768/902). Data indicated that MSM who had a history of anal intercourse (OR = 1.9), had heard of CA (OR = 2.9), knew the treatments for CA (OR = 2.0), had heard of HPV vaccines/cervical cancer vaccines (OR = 1.9), and received education about CA (OR = 1.9) were associated with the intention to use CA vaccines. With current moderate levels of CA and HPV/CA vaccine awareness, more emphasis should be placed on improving education and other behavioral interventions for high-risk populations such as MSM in China.

Unveiling the Therapeutic Horizon: HPV Vaccines and Their Impact on Cutaneous Diseases—A Comprehensive Review

“…Unfortunately, only 34.8% of the MSM in the study reported having friends or family members vaccinated. Notably, 85.1% of MSM from 31 regions in China expressed willingness to be vaccinated against CA [ 67 ].…”

Using an extended information-motivation-behavioral skills model to explain HPV vaccination intention among men who have sex with men only and men who have sex with men and women

“…In other words, the knowledge and attitude of individuals regarding HPV vaccine might be key factors in improving vaccination decisions. 11 , 37 , 38 …”

Predicted Cervical Cancer Prevention: Impact of National HPV Vaccination Program on Young Women in South Korea

“…As of October 2020, 110 countries worldwide have implemented national HPV vaccination program [31,32]. At the population level, there is evidence of a reduction in highgrade cervical abnormalities among young women [33][34][35] and vaccination significantly reduces the prevalence of highrisk HPV types among young women [36].…”

“…Specifically, in young women in their 20s-30s, it is predicted to prevent cervical cancer by approximately 7%-8% compared to the current vaccination program in 2036-2040. The nine-valent vaccine covers 5 additional HPV types (31,33,45,52, and 58) that cause cervical cancer. This provides 15%-20% additional coverage than bivalent or quadrivalent vaccines, thereby preventing 90% of the HPV types related to cervical cancer [39].…”