Associations Between Risk Perception and HPV Knowledge and Vaccine Uptake: Highlighting the LGBTQ+ Population
Introduction Gay and bisexual males and other LGBTQ+ communities are more frequently exposed to factors associated with an increased risk of human papillomavirus (HPV) acquisition. Vaccination is critical to protect against HPV+ head and neck cancer (HNC). We characterized the association of perceiv...
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| Veröffentlicht in: | Otolaryngology-head and neck surgery 2024-06, Vol.170 (6), p.1684-1695 |
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| creator | Ayo‐Ajibola, Oluwatobiloba Davis, Ryan J. Lin, Matthew E. West, Jonathan D. Kokot, Niels C. Chambers, Tamara |
| description | Introduction
Gay and bisexual males and other LGBTQ+ communities are more frequently exposed to factors associated with an increased risk of human papillomavirus (HPV) acquisition. Vaccination is critical to protect against HPV+ head and neck cancer (HNC). We characterized the association of perceived level of risk of contraction with HPV knowledge, and vaccine decision‐making.
Study Design
Cross‐sectional cohort.
Setting
LGBTQ and general survey Reddit forums (control).
Methods
A survey was shared amongst the online forums. Descriptive statistics characterized the data. Multivariable logistic regression was used to understand factors associated with vaccination, self‐perceived high risk, and knowledge of HPV + HNC.
Results
Of 718 respondents, most were female (41.09%), Caucasian (59.89%), college‐educated (33.01%), and insured (77.15%) with a mean age of 30.75 years. Half were vaccinated (49.16%), with most unvaccinated endorsing interest (60.58%). Few dependents were vaccinated (25.91%), with interest in vaccination among parents of unvaccinated children (38.58%). Knowledge of HIV's association with HPV (62.95%), HPV causing HNC (55.57%), and the vaccine's efficacy against HNC (55.57%) was also moderate. Identifying female (P = .042), a self‐perceived high‐risk (P |
| doi_str_mv | 10.1002/ohn.664 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2923911441</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2923911441</sourcerecordid><originalsourceid>FETCH-LOGICAL-c2274-c4202830752a5555ce22c25b735db382641f6bdc5463c9b8f55aab279ee4db813</originalsourceid><addsrcrecordid>eNp1kNtKw0AQhhdRbK3iG8jeKZTU3c0mm3jXFm3EYqu0vQ2bzbRdm5PZhNK3Nz3onQPDwMzHN_AjdEtJjxLCHvN11nNdfobalPjCcj0qzlGbUJ9bju97LXRlzBchxHWFuEQt27OZYJy1Udo3JldaVjrPDB5AtQXI8Kc2GzyFUkGxP2CZxTiYLvBblm8TiFdw2CykUjoDPC8quYEnHOjVOmm60tkKV2vA49Fg9tHF07yok8OHa3SxlImBm9PsoPnL82wYWOPJ6HXYH1uKMcEtxRlhnk2Ew6TTlALGFHMiYTtxZHvM5XTpRrFyuGsrP_KWjiNlxIQPwOPIo3YHPRy9RZl_12CqMNVGQZLIDPLahMxntk8p53v0_oiqMjemhGVYlDqV5S6kJNxnGzbZhk22DXl3ktZRCvEf9xtmA3SPwFYnsPvPE06C973uB8WbgW4</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2923911441</pqid></control><display><type>article</type><title>Associations Between Risk Perception and HPV Knowledge and Vaccine Uptake: Highlighting the LGBTQ+ Population</title><source>MEDLINE</source><source>Wiley Online Library Journals Frontfile Complete</source><creator>Ayo‐Ajibola, Oluwatobiloba ; Davis, Ryan J. ; Lin, Matthew E. ; West, Jonathan D. ; Kokot, Niels C. ; Chambers, Tamara</creator><creatorcontrib>Ayo‐Ajibola, Oluwatobiloba ; Davis, Ryan J. ; Lin, Matthew E. ; West, Jonathan D. ; Kokot, Niels C. ; Chambers, Tamara</creatorcontrib><description><![CDATA[Introduction
Gay and bisexual males and other LGBTQ+ communities are more frequently exposed to factors associated with an increased risk of human papillomavirus (HPV) acquisition. Vaccination is critical to protect against HPV+ head and neck cancer (HNC). We characterized the association of perceived level of risk of contraction with HPV knowledge, and vaccine decision‐making.
Study Design
Cross‐sectional cohort.
Setting
LGBTQ and general survey Reddit forums (control).
Methods
A survey was shared amongst the online forums. Descriptive statistics characterized the data. Multivariable logistic regression was used to understand factors associated with vaccination, self‐perceived high risk, and knowledge of HPV + HNC.
Results
Of 718 respondents, most were female (41.09%), Caucasian (59.89%), college‐educated (33.01%), and insured (77.15%) with a mean age of 30.75 years. Half were vaccinated (49.16%), with most unvaccinated endorsing interest (60.58%). Few dependents were vaccinated (25.91%), with interest in vaccination among parents of unvaccinated children (38.58%). Knowledge of HIV's association with HPV (62.95%), HPV causing HNC (55.57%), and the vaccine's efficacy against HNC (55.57%) was also moderate. Identifying female (P = .042), a self‐perceived high‐risk (P < .001), and having vaccinated children (P < .001) increased vaccination likelihood; transgender (P = .021), or lesbian or gay sexual identity (P < .001) decreased likelihood. Personal HNC diagnosis (P < .001), self‐vaccination (P < .001), having vaccinated children (P < .001), having anal sex (P = .001) or no knowledge of past HPV status (P < .001) increased likelihood of high self‐perceived risk.
Conclusion
Efforts to improve public education regarding the association between HPV and HNC and vaccination efficacy are required to better inform vaccine decision‐making among individuals at risk for HPV infection.]]></description><identifier>ISSN: 0194-5998</identifier><identifier>EISSN: 1097-6817</identifier><identifier>DOI: 10.1002/ohn.664</identifier><identifier>PMID: 38327242</identifier><language>eng</language><publisher>England</publisher><subject>Adult ; Cross-Sectional Studies ; Female ; gardasil ; Health Knowledge, Attitudes, Practice ; HPV ; HPV vaccination ; Humans ; LGBTQ ; Male ; Papillomavirus Infections - prevention & control ; Papillomavirus Vaccines - administration & dosage ; patient knowledge ; Sexual and Gender Minorities - psychology ; Sexual and Gender Minorities - statistics & numerical data ; Surveys and Questionnaires ; treatment decision‐making ; Vaccination - psychology ; Vaccination - statistics & numerical data</subject><ispartof>Otolaryngology-head and neck surgery, 2024-06, Vol.170 (6), p.1684-1695</ispartof><rights>2024 The Authors. Otolaryngology–Head and Neck Surgery published by Wiley Periodicals LLC on behalf of American Academy of Otolaryngology–Head and Neck Surgery Foundation.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c2274-c4202830752a5555ce22c25b735db382641f6bdc5463c9b8f55aab279ee4db813</cites><orcidid>0000-0001-7388-6373 ; 0000-0003-2309-7143 ; 0000-0002-6934-9740 ; 0009-0002-4824-7160</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fohn.664$$EPDF$$P50$$Gwiley$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fohn.664$$EHTML$$P50$$Gwiley$$Hfree_for_read</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38327242$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ayo‐Ajibola, Oluwatobiloba</creatorcontrib><creatorcontrib>Davis, Ryan J.</creatorcontrib><creatorcontrib>Lin, Matthew E.</creatorcontrib><creatorcontrib>West, Jonathan D.</creatorcontrib><creatorcontrib>Kokot, Niels C.</creatorcontrib><creatorcontrib>Chambers, Tamara</creatorcontrib><title>Associations Between Risk Perception and HPV Knowledge and Vaccine Uptake: Highlighting the LGBTQ+ Population</title><title>Otolaryngology-head and neck surgery</title><addtitle>Otolaryngol Head Neck Surg</addtitle><description><![CDATA[Introduction
Gay and bisexual males and other LGBTQ+ communities are more frequently exposed to factors associated with an increased risk of human papillomavirus (HPV) acquisition. Vaccination is critical to protect against HPV+ head and neck cancer (HNC). We characterized the association of perceived level of risk of contraction with HPV knowledge, and vaccine decision‐making.
Study Design
Cross‐sectional cohort.
Setting
LGBTQ and general survey Reddit forums (control).
Methods
A survey was shared amongst the online forums. Descriptive statistics characterized the data. Multivariable logistic regression was used to understand factors associated with vaccination, self‐perceived high risk, and knowledge of HPV + HNC.
Results
Of 718 respondents, most were female (41.09%), Caucasian (59.89%), college‐educated (33.01%), and insured (77.15%) with a mean age of 30.75 years. Half were vaccinated (49.16%), with most unvaccinated endorsing interest (60.58%). Few dependents were vaccinated (25.91%), with interest in vaccination among parents of unvaccinated children (38.58%). Knowledge of HIV's association with HPV (62.95%), HPV causing HNC (55.57%), and the vaccine's efficacy against HNC (55.57%) was also moderate. Identifying female (P = .042), a self‐perceived high‐risk (P < .001), and having vaccinated children (P < .001) increased vaccination likelihood; transgender (P = .021), or lesbian or gay sexual identity (P < .001) decreased likelihood. Personal HNC diagnosis (P < .001), self‐vaccination (P < .001), having vaccinated children (P < .001), having anal sex (P = .001) or no knowledge of past HPV status (P < .001) increased likelihood of high self‐perceived risk.
Conclusion
Efforts to improve public education regarding the association between HPV and HNC and vaccination efficacy are required to better inform vaccine decision‐making among individuals at risk for HPV infection.]]></description><subject>Adult</subject><subject>Cross-Sectional Studies</subject><subject>Female</subject><subject>gardasil</subject><subject>Health Knowledge, Attitudes, Practice</subject><subject>HPV</subject><subject>HPV vaccination</subject><subject>Humans</subject><subject>LGBTQ</subject><subject>Male</subject><subject>Papillomavirus Infections - prevention & control</subject><subject>Papillomavirus Vaccines - administration & dosage</subject><subject>patient knowledge</subject><subject>Sexual and Gender Minorities - psychology</subject><subject>Sexual and Gender Minorities - statistics & numerical data</subject><subject>Surveys and Questionnaires</subject><subject>treatment decision‐making</subject><subject>Vaccination - psychology</subject><subject>Vaccination - statistics & numerical data</subject><issn>0194-5998</issn><issn>1097-6817</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>24P</sourceid><sourceid>EIF</sourceid><recordid>eNp1kNtKw0AQhhdRbK3iG8jeKZTU3c0mm3jXFm3EYqu0vQ2bzbRdm5PZhNK3Nz3onQPDwMzHN_AjdEtJjxLCHvN11nNdfobalPjCcj0qzlGbUJ9bju97LXRlzBchxHWFuEQt27OZYJy1Udo3JldaVjrPDB5AtQXI8Kc2GzyFUkGxP2CZxTiYLvBblm8TiFdw2CykUjoDPC8quYEnHOjVOmm60tkKV2vA49Fg9tHF07yok8OHa3SxlImBm9PsoPnL82wYWOPJ6HXYH1uKMcEtxRlhnk2Ew6TTlALGFHMiYTtxZHvM5XTpRrFyuGsrP_KWjiNlxIQPwOPIo3YHPRy9RZl_12CqMNVGQZLIDPLahMxntk8p53v0_oiqMjemhGVYlDqV5S6kJNxnGzbZhk22DXl3ktZRCvEf9xtmA3SPwFYnsPvPE06C973uB8WbgW4</recordid><startdate>202406</startdate><enddate>202406</enddate><creator>Ayo‐Ajibola, Oluwatobiloba</creator><creator>Davis, Ryan J.</creator><creator>Lin, Matthew E.</creator><creator>West, Jonathan D.</creator><creator>Kokot, Niels C.</creator><creator>Chambers, Tamara</creator><scope>24P</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-7388-6373</orcidid><orcidid>https://orcid.org/0000-0003-2309-7143</orcidid><orcidid>https://orcid.org/0000-0002-6934-9740</orcidid><orcidid>https://orcid.org/0009-0002-4824-7160</orcidid></search><sort><creationdate>202406</creationdate><title>Associations Between Risk Perception and HPV Knowledge and Vaccine Uptake: Highlighting the LGBTQ+ Population</title><author>Ayo‐Ajibola, Oluwatobiloba ; Davis, Ryan J. ; Lin, Matthew E. ; West, Jonathan D. ; Kokot, Niels C. ; Chambers, Tamara</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c2274-c4202830752a5555ce22c25b735db382641f6bdc5463c9b8f55aab279ee4db813</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Adult</topic><topic>Cross-Sectional Studies</topic><topic>Female</topic><topic>gardasil</topic><topic>Health Knowledge, Attitudes, Practice</topic><topic>HPV</topic><topic>HPV vaccination</topic><topic>Humans</topic><topic>LGBTQ</topic><topic>Male</topic><topic>Papillomavirus Infections - prevention & control</topic><topic>Papillomavirus Vaccines - administration & dosage</topic><topic>patient knowledge</topic><topic>Sexual and Gender Minorities - psychology</topic><topic>Sexual and Gender Minorities - statistics & numerical data</topic><topic>Surveys and Questionnaires</topic><topic>treatment decision‐making</topic><topic>Vaccination - psychology</topic><topic>Vaccination - statistics & numerical data</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ayo‐Ajibola, Oluwatobiloba</creatorcontrib><creatorcontrib>Davis, Ryan J.</creatorcontrib><creatorcontrib>Lin, Matthew E.</creatorcontrib><creatorcontrib>West, Jonathan D.</creatorcontrib><creatorcontrib>Kokot, Niels C.</creatorcontrib><creatorcontrib>Chambers, Tamara</creatorcontrib><collection>Wiley Online Library Open Access</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Otolaryngology-head and neck surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ayo‐Ajibola, Oluwatobiloba</au><au>Davis, Ryan J.</au><au>Lin, Matthew E.</au><au>West, Jonathan D.</au><au>Kokot, Niels C.</au><au>Chambers, Tamara</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Associations Between Risk Perception and HPV Knowledge and Vaccine Uptake: Highlighting the LGBTQ+ Population</atitle><jtitle>Otolaryngology-head and neck surgery</jtitle><addtitle>Otolaryngol Head Neck Surg</addtitle><date>2024-06</date><risdate>2024</risdate><volume>170</volume><issue>6</issue><spage>1684</spage><epage>1695</epage><pages>1684-1695</pages><issn>0194-5998</issn><eissn>1097-6817</eissn><abstract><![CDATA[Introduction
Gay and bisexual males and other LGBTQ+ communities are more frequently exposed to factors associated with an increased risk of human papillomavirus (HPV) acquisition. Vaccination is critical to protect against HPV+ head and neck cancer (HNC). We characterized the association of perceived level of risk of contraction with HPV knowledge, and vaccine decision‐making.
Study Design
Cross‐sectional cohort.
Setting
LGBTQ and general survey Reddit forums (control).
Methods
A survey was shared amongst the online forums. Descriptive statistics characterized the data. Multivariable logistic regression was used to understand factors associated with vaccination, self‐perceived high risk, and knowledge of HPV + HNC.
Results
Of 718 respondents, most were female (41.09%), Caucasian (59.89%), college‐educated (33.01%), and insured (77.15%) with a mean age of 30.75 years. Half were vaccinated (49.16%), with most unvaccinated endorsing interest (60.58%). Few dependents were vaccinated (25.91%), with interest in vaccination among parents of unvaccinated children (38.58%). Knowledge of HIV's association with HPV (62.95%), HPV causing HNC (55.57%), and the vaccine's efficacy against HNC (55.57%) was also moderate. Identifying female (P = .042), a self‐perceived high‐risk (P < .001), and having vaccinated children (P < .001) increased vaccination likelihood; transgender (P = .021), or lesbian or gay sexual identity (P < .001) decreased likelihood. Personal HNC diagnosis (P < .001), self‐vaccination (P < .001), having vaccinated children (P < .001), having anal sex (P = .001) or no knowledge of past HPV status (P < .001) increased likelihood of high self‐perceived risk.
Conclusion
Efforts to improve public education regarding the association between HPV and HNC and vaccination efficacy are required to better inform vaccine decision‐making among individuals at risk for HPV infection.]]></abstract><cop>England</cop><pmid>38327242</pmid><doi>10.1002/ohn.664</doi><tpages>12</tpages><orcidid>https://orcid.org/0000-0001-7388-6373</orcidid><orcidid>https://orcid.org/0000-0003-2309-7143</orcidid><orcidid>https://orcid.org/0000-0002-6934-9740</orcidid><orcidid>https://orcid.org/0009-0002-4824-7160</orcidid><oa>free_for_read</oa></addata></record> |
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| identifier | ISSN: 0194-5998 |
| ispartof | Otolaryngology-head and neck surgery, 2024-06, Vol.170 (6), p.1684-1695 |
| issn | 0194-5998 1097-6817 |
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| source | MEDLINE; Wiley Online Library Journals Frontfile Complete |
| subjects | Adult Cross-Sectional Studies Female gardasil Health Knowledge, Attitudes, Practice HPV HPV vaccination Humans LGBTQ Male Papillomavirus Infections - prevention & control Papillomavirus Vaccines - administration & dosage patient knowledge Sexual and Gender Minorities - psychology Sexual and Gender Minorities - statistics & numerical data Surveys and Questionnaires treatment decision‐making Vaccination - psychology Vaccination - statistics & numerical data |
| title | Associations Between Risk Perception and HPV Knowledge and Vaccine Uptake: Highlighting the LGBTQ+ Population |
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