HIV-positive gay men's knowledge and perceptions of Human Papillomavirus (HPV) and HPV vaccination: A qualitative study
The human papillomavirus (HPV) is the most common sexually transmitted infection worldwide. Gay, bisexual, and other men who have sex with men (GBM) living with HIV are disproportionately impacted by HPV-associated anal cancer, with rates about 100-fold that of the general population. Fortunately, H...
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| description | The human papillomavirus (HPV) is the most common sexually transmitted infection worldwide. Gay, bisexual, and other men who have sex with men (GBM) living with HIV are disproportionately impacted by HPV-associated anal cancer, with rates about 100-fold that of the general population. Fortunately, HPV vaccination has proven efficacy in preventing both anogenital warts (condyloma) in males and anal pre-cancers (anal intraepithelial neoplasia; AIN) in GBM up to the age of 26. We conducted in-depth, semi-structured interviews with 25 HIV-positive gay men in Toronto to gain an understanding of their knowledge and experiences related to HPV and the HPV vaccine. These participants were part of The HPV Screening and Vaccine Evaluation (HPV-SAVE) Study, and received invitations to have anal cancer screening from their primary care doctors. Interviews were analyzed following a Grounded Theory Approach. Most participants had not received the HPV vaccine. Men described a lack of prior knowledge of the health consequences of HPV for GBM living with HIV and financial barriers to vaccine access. Participants did not articulate concerns about vaccine safety. Men frequently reported initial beliefs that HPV was predominantly-or exclusively-a risk for females or young girls, and thus they had not considered the vaccine to be necessary. Some participants remained uncertain if the current availability of the vaccine, and their newly acquired knowledge of its importance, was "too little, too late" because of their age and/or HPV exposure. Improving access and uptake of HPV vaccination requires addressing both financial barriers to access as well as increasing HPV health literacy levels, particularly by reframing the long-standing gendered associations of HPV. Physicians should provide clear, tailored messages regarding HPV vaccination. |
| doi_str_mv | 10.1371/journal.pone.0207953 |
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Gay, bisexual, and other men who have sex with men (GBM) living with HIV are disproportionately impacted by HPV-associated anal cancer, with rates about 100-fold that of the general population. Fortunately, HPV vaccination has proven efficacy in preventing both anogenital warts (condyloma) in males and anal pre-cancers (anal intraepithelial neoplasia; AIN) in GBM up to the age of 26. We conducted in-depth, semi-structured interviews with 25 HIV-positive gay men in Toronto to gain an understanding of their knowledge and experiences related to HPV and the HPV vaccine. These participants were part of The HPV Screening and Vaccine Evaluation (HPV-SAVE) Study, and received invitations to have anal cancer screening from their primary care doctors. Interviews were analyzed following a Grounded Theory Approach. Most participants had not received the HPV vaccine. Men described a lack of prior knowledge of the health consequences of HPV for GBM living with HIV and financial barriers to vaccine access. Participants did not articulate concerns about vaccine safety. Men frequently reported initial beliefs that HPV was predominantly-or exclusively-a risk for females or young girls, and thus they had not considered the vaccine to be necessary. Some participants remained uncertain if the current availability of the vaccine, and their newly acquired knowledge of its importance, was "too little, too late" because of their age and/or HPV exposure. Improving access and uptake of HPV vaccination requires addressing both financial barriers to access as well as increasing HPV health literacy levels, particularly by reframing the long-standing gendered associations of HPV. Physicians should provide clear, tailored messages regarding HPV vaccination.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0207953</identifier><identifier>PMID: 30496221</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Acquired immune deficiency syndrome ; Adult ; Aged ; AIDS ; Anal cancer ; Anogenital ; Anus ; Anus Neoplasms ; Biology and Life Sciences ; Bisexuality ; Canada ; Cancer ; Cancer research ; Cancer screening ; Cancer vaccines ; Care and treatment ; Colorectal cancer ; Condylomata Acuminata ; Early Detection of Cancer ; Family medicine ; Females ; Gay men ; Girls ; Health aspects ; Health care ; Health Knowledge, Attitudes, Practice ; HIV ; HIV infections ; HIV Infections - complications ; HIV Infections - psychology ; HIV patients ; Homosexuality, Male - psychology ; Human immunodeficiency virus ; Human papillomavirus ; Humans ; Immunization ; Immunotherapy ; Interview, Psychological ; Knowledge acquisition ; Male ; Males ; Medical personnel ; Medical societies ; Medicine and Health Sciences ; Men ; Middle Aged ; Papillomaviridae - pathogenicity ; Papillomavirus ; Papillomavirus Infections ; Papillomavirus vaccines ; Papillomavirus Vaccines - supply & distribution ; Papillomavirus Vaccines - therapeutic use ; Patient Acceptance of Health Care ; People and Places ; Perception ; Physicians ; Primary care ; Qualitative Research ; Risk factors ; Screening ; Sexual and Gender Minorities - education ; Sexual and Gender Minorities - psychology ; Sexually transmitted diseases ; STD ; Vaccination ; Vaccination - trends ; Vaccines ; Warts</subject><ispartof>PloS one, 2018-11, Vol.13 (11), p.e0207953-e0207953</ispartof><rights>COPYRIGHT 2018 Public Library of Science</rights><rights>2018 Grace et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. 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Gay, bisexual, and other men who have sex with men (GBM) living with HIV are disproportionately impacted by HPV-associated anal cancer, with rates about 100-fold that of the general population. Fortunately, HPV vaccination has proven efficacy in preventing both anogenital warts (condyloma) in males and anal pre-cancers (anal intraepithelial neoplasia; AIN) in GBM up to the age of 26. We conducted in-depth, semi-structured interviews with 25 HIV-positive gay men in Toronto to gain an understanding of their knowledge and experiences related to HPV and the HPV vaccine. These participants were part of The HPV Screening and Vaccine Evaluation (HPV-SAVE) Study, and received invitations to have anal cancer screening from their primary care doctors. Interviews were analyzed following a Grounded Theory Approach. Most participants had not received the HPV vaccine. 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complications</subject><subject>HIV Infections - psychology</subject><subject>HIV patients</subject><subject>Homosexuality, Male - psychology</subject><subject>Human immunodeficiency virus</subject><subject>Human papillomavirus</subject><subject>Humans</subject><subject>Immunization</subject><subject>Immunotherapy</subject><subject>Interview, Psychological</subject><subject>Knowledge acquisition</subject><subject>Male</subject><subject>Males</subject><subject>Medical personnel</subject><subject>Medical societies</subject><subject>Medicine and Health Sciences</subject><subject>Men</subject><subject>Middle Aged</subject><subject>Papillomaviridae - pathogenicity</subject><subject>Papillomavirus</subject><subject>Papillomavirus Infections</subject><subject>Papillomavirus vaccines</subject><subject>Papillomavirus Vaccines - supply & distribution</subject><subject>Papillomavirus Vaccines - therapeutic use</subject><subject>Patient Acceptance of Health Care</subject><subject>People and Places</subject><subject>Perception</subject><subject>Physicians</subject><subject>Primary care</subject><subject>Qualitative Research</subject><subject>Risk factors</subject><subject>Screening</subject><subject>Sexual and Gender Minorities - 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Gay, bisexual, and other men who have sex with men (GBM) living with HIV are disproportionately impacted by HPV-associated anal cancer, with rates about 100-fold that of the general population. Fortunately, HPV vaccination has proven efficacy in preventing both anogenital warts (condyloma) in males and anal pre-cancers (anal intraepithelial neoplasia; AIN) in GBM up to the age of 26. We conducted in-depth, semi-structured interviews with 25 HIV-positive gay men in Toronto to gain an understanding of their knowledge and experiences related to HPV and the HPV vaccine. These participants were part of The HPV Screening and Vaccine Evaluation (HPV-SAVE) Study, and received invitations to have anal cancer screening from their primary care doctors. Interviews were analyzed following a Grounded Theory Approach. Most participants had not received the HPV vaccine. Men described a lack of prior knowledge of the health consequences of HPV for GBM living with HIV and financial barriers to vaccine access. Participants did not articulate concerns about vaccine safety. Men frequently reported initial beliefs that HPV was predominantly-or exclusively-a risk for females or young girls, and thus they had not considered the vaccine to be necessary. Some participants remained uncertain if the current availability of the vaccine, and their newly acquired knowledge of its importance, was "too little, too late" because of their age and/or HPV exposure. Improving access and uptake of HPV vaccination requires addressing both financial barriers to access as well as increasing HPV health literacy levels, particularly by reframing the long-standing gendered associations of HPV. Physicians should provide clear, tailored messages regarding HPV vaccination.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>30496221</pmid><doi>10.1371/journal.pone.0207953</doi><orcidid>https://orcid.org/0000-0002-9032-3959</orcidid><oa>free_for_read</oa></addata></record> |
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| recordid | cdi_plos_journals_2139590275 |
| source | MEDLINE; DOAJ Directory of Open Access Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central; Free Full-Text Journals in Chemistry; Public Library of Science (PLoS) |
| subjects | Acquired immune deficiency syndrome Adult Aged AIDS Anal cancer Anogenital Anus Anus Neoplasms Biology and Life Sciences Bisexuality Canada Cancer Cancer research Cancer screening Cancer vaccines Care and treatment Colorectal cancer Condylomata Acuminata Early Detection of Cancer Family medicine Females Gay men Girls Health aspects Health care Health Knowledge, Attitudes, Practice HIV HIV infections HIV Infections - complications HIV Infections - psychology HIV patients Homosexuality, Male - psychology Human immunodeficiency virus Human papillomavirus Humans Immunization Immunotherapy Interview, Psychological Knowledge acquisition Male Males Medical personnel Medical societies Medicine and Health Sciences Men Middle Aged Papillomaviridae - pathogenicity Papillomavirus Papillomavirus Infections Papillomavirus vaccines Papillomavirus Vaccines - supply & distribution Papillomavirus Vaccines - therapeutic use Patient Acceptance of Health Care People and Places Perception Physicians Primary care Qualitative Research Risk factors Screening Sexual and Gender Minorities - education Sexual and Gender Minorities - psychology Sexually transmitted diseases STD Vaccination Vaccination - trends Vaccines Warts |
| title | HIV-positive gay men's knowledge and perceptions of Human Papillomavirus (HPV) and HPV vaccination: A qualitative study |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-13T05%3A42%3A11IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_plos_&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=HIV-positive%20gay%20men's%20knowledge%20and%20perceptions%20of%20Human%20Papillomavirus%20(HPV)%20and%20HPV%20vaccination:%20A%20qualitative%20study&rft.jtitle=PloS%20one&rft.au=Grace,%20Daniel&rft.date=2018-11-29&rft.volume=13&rft.issue=11&rft.spage=e0207953&rft.epage=e0207953&rft.pages=e0207953-e0207953&rft.issn=1932-6203&rft.eissn=1932-6203&rft_id=info:doi/10.1371/journal.pone.0207953&rft_dat=%3Cgale_plos_%3EA563792275%3C/gale_plos_%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2139590275&rft_id=info:pmid/30496221&rft_galeid=A563792275&rft_doaj_id=oai_doaj_org_article_ea43764ff58144a38ab7c0db564f99f0&rfr_iscdi=true |