COVID-19 Vaccination Uptake and Hesitancy in a National Sample of Australian Gay and Bisexual Men

Holt, Martin; MacGibbon, James; Bavinton, Benjamin R.; Broady, Timothy; Clackett, Shawn; Ellard, Jeanne; Kolstee, Johann; Molyneux, Angus; Murphy, Dean; Power, Cherie; Wit, John de

doi:10.1007/s10461-022-03603-x

Cited by 17 publications

(15 citation statements)

References 26 publications

(26 reference statements)

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“…Among PLWH, low willingness to accept vaccination were reported in Nigeria and Ethiopia (46.2%, and 33.7% respectively) [19,20]. However, our findings are consistent with those reported in studies conducted in middle, and high income countries, where moderate to high acceptability [15,16,18,30] (57%, 62%, 65, 70%, 72, and 80% respectively) were reported in China, India, Canada, Ireland, France, and Australia among PLWH [15][16][17][30][31][32]. The vigorous government of Uganda campaign to promote COVID-19 vaccination could explain the high acceptability [21,22].…”

Section: Discussionsupporting

confidence: 86%

COVID-19 vaccine acceptability, and uptake among people living with HIV in Uganda

et al. 2022

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Background Despite being a priority population for COVID-19 vaccination, limited data are available regarding acceptability of COVID-19 vaccines among people living with HIV (PLWH) in Sub-Saharan Africa. We described COVID-19 vaccine acceptability and factors associated with vaccine acceptability among PLWH in Uganda. Methods This was a cross-sectional study conducted among PLWH, aged ≥18 years, enrolled participants who were seeking HIV care from six purposely selected accredited ART clinics in Kampala. We obtained data on vaccine acceptability defined as willingness to accept any of the available COVID-19 vaccines using interviewer-administered questionnaires. In addition, we assessed vaccination status, complacency regarding COVID-19 disease, vaccine confidence, and vaccine convenience. Factors associated with COVID-19 vaccine acceptability were evaluated using modified Poisson regression with robust standard errors. Results We enrolled 767 participants of whom 485 (63%) were women. The median age was 33 years [interquartile range (IQR) 28–40] for women and 40 years [IQR], (34–47) for men. Of the respondents 534 (69.6%,95% confidence interval [CI]: 66.3%-72.8%) reported receiving at least one vaccine dose, with women significantly more likely than men to have been vaccinated (73% vs. 63%; p = 0.003). Among the unvaccinated 169 (72.7%, 95% CI: 66.6%-78.0%) were willing to accept vaccination, had greater vaccine confidence (85.9% had strong belief that the vaccines were effective; 81.9% that they were beneficial and 71% safe for PLWH; 90.5% had trust in health care professionals or 77.4% top government officials), and believed that it would be easy to obtain a vaccine if one decided to be vaccinated (83.6%). Vaccine acceptability was positively associated with greater vaccine confidence (adjusted prevalence ratio [aPR] 1.44; 95% CI: 1.08–1.90), and positive perception that it would be easy to obtain a vaccine (aPR 1.57; 95% CI: 1.26–1.96). Conclusion vaccine acceptance was high among this cohort of PLWH, and was positively associated with greater vaccine confidence, and perceived easiness (convince) to obtained the vaccine. Building vaccine confidence and making vaccines easily accessible should be a priority for vaccination programs targeting PLWH.

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Section: Discussionsupporting

confidence: 86%

COVID-19 vaccine acceptability, and uptake among people living with HIV in Uganda

et al. 2022

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“…The questionnaire measures have been previously described (Holt et al, 2022 ; MacGibbon et al, 2019 ). We collected data on demographics, health and well-being, relationships with male and female partners, recent sexual practices, HIV status, and attitudes to and use of HIV prevention, including HIV pre-exposure prophylaxis (PrEP).…”

Section: Methodsmentioning

confidence: 99%

“…Data were collected as part of the PrEPARE Project, a repeated, cross-sectional study of Australian GBM's attitudes to HIV prevention (Holt et al, 2022(Holt et al, , 2021a(Holt et al, , 2021bMacGibbon et al, 2021). This analysis focuses on the 2021 round: a national, online, cross-sectional survey of GBM conducted in April-June 2021 using Qualtrics software (Provo, UT).…”

Section: Study Design and Participantsmentioning

confidence: 99%

Explicit Relationship Agreements and HIV Pre-exposure Prophylaxis Use by Gay and Bisexual Men in Relationships

et al. 2022

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Relationship agreements are important for HIV prevention among gay and bisexual men (GBM) in relationships, with research earlier in the HIV epidemic often finding that agreements specified monogamy or condom use with casual partners. There is evidence that HIV pre-exposure prophylaxis (PrEP) has shifted sexual practices among some men in relationships, such as allowing condomless sex with casual partners, but there has been little attention paid to relationship agreements among GBM who use PrEP. In this paper, we analyzed national, Australian, cross-sectional data from an online survey completed by non-HIV-positive GBM in 2021 (N = 1,185). Using logistic regression, we identified demographic characteristics, sexual practices and the types of relationship agreement that were associated with PrEP use among GBM in relationships. Using Pearson’s chi-squared tests, we explored whether PrEP users in relationships reported similar sexual practices to PrEP users not in relationships. PrEP use among GBM in relationships was independently associated with older age, identifying as gay, being in a non-monogamous relationship, having a spoken (explicit) relationship agreement, having a primary HIV-negative partner taking PrEP or a primary partner living with HIV, reporting recent condomless casual sex, reporting an STI diagnosis in the past year, and knowing at least one other PrEP user. We found that PrEP users in relationships had similar sexual practices to PrEP users not in relationships. GBM in relationships who have casual sex and who meet PrEP suitability criteria may be good candidates for PrEP. Our findings suggest that explicit relationship agreements remain important for HIV prevention, and they support PrEP use among GBM in relationships.

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“…We used means and proportions for descriptive statistics. Similar to previous studies, [20] , [23] , [24] , [38] , [39] , [40] , [41] our analysis only included the unvaccinated participants (660). A series of simple logistic regression models were used for bivariate comparisons to report the crude odds ratio (OR) and 95% confidence interval (CI) of the factors associated with COVID-19 vaccine hesitancy among unvaccinated PLHIV.…”

Section: Methodsmentioning

confidence: 95%

COVID-19 vaccine hesitancy among people living with HIV in a low-resource setting: A multi-center study of prevalence, correlates and reasons

Sulaiman

Musa

Tsiga-Ahmed

et al. 2023

Vaccine

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COVID-19 Vaccination Uptake and Hesitancy in a National Sample of Australian Gay and Bisexual Men

Cited by 17 publications

References 26 publications

COVID-19 vaccine acceptability, and uptake among people living with HIV in Uganda

COVID-19 vaccine acceptability, and uptake among people living with HIV in Uganda

Explicit Relationship Agreements and HIV Pre-exposure Prophylaxis Use by Gay and Bisexual Men in Relationships

COVID-19 vaccine hesitancy among people living with HIV in a low-resource setting: A multi-center study of prevalence, correlates and reasons

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