Human Papillomavirus Vaccination Among Young Adult Gay and Bisexual Men in the United States

Objectives. We examined human papillomavirus (HPV) vaccination among gay and bisexual men, a population with high rates of HPV infection and HPV-related disease. Methods. A national sample of gay and bisexual men aged 18 to 26 years (n = 428) completed online surveys in fall 2013. We identified corr...

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Veröffentlicht in:American journal of public health (1971) 2015-01, Vol.105 (1), p.96-102
Hauptverfasser: Reiter, Paul L, McRee, Annie-Laurie, Katz, Mira L, Paskett, Electra D
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container_title American journal of public health (1971)
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creator Reiter, Paul L
McRee, Annie-Laurie
Katz, Mira L
Paskett, Electra D
description Objectives. We examined human papillomavirus (HPV) vaccination among gay and bisexual men, a population with high rates of HPV infection and HPV-related disease. Methods. A national sample of gay and bisexual men aged 18 to 26 years (n = 428) completed online surveys in fall 2013. We identified correlates of HPV vaccination using multivariate logistic regression. Results. Overall, 13% of participants had received any doses of the HPV vaccine. About 83% who had received a health care provider recommendation for vaccination were vaccinated, compared with only 5% without a recommendation (P 
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We examined human papillomavirus (HPV) vaccination among gay and bisexual men, a population with high rates of HPV infection and HPV-related disease. Methods. A national sample of gay and bisexual men aged 18 to 26 years (n = 428) completed online surveys in fall 2013. We identified correlates of HPV vaccination using multivariate logistic regression. Results. Overall, 13% of participants had received any doses of the HPV vaccine. About 83% who had received a health care provider recommendation for vaccination were vaccinated, compared with only 5% without a recommendation (P &lt; .001). Vaccination was lower among participants who perceived greater barriers to getting vaccinated (odds ratio [OR] = 0.46; 95% confidence interval [CI] = 0.27, 0.78). Vaccination was higher among participants with higher levels of worry about getting HPV-related disease (OR = 1.54; 95% CI =  1.05, 2.27) or perceived positive social norms of HPV vaccination (OR = 1.57; 95% CI =  1.02, 2.43). Conclusions. HPV vaccine coverage is low among gay and bisexual men in the United States. Future efforts should focus on increasing provider recommendation for vaccination and should target other modifiable factors.</description><identifier>ISSN: 0090-0036</identifier><identifier>EISSN: 1541-0048</identifier><identifier>DOI: 10.2105/AJPH.2014.302095</identifier><identifier>PMID: 25393178</identifier><identifier>CODEN: AJPHDS</identifier><language>eng</language><publisher>United States: American Public Health Association</publisher><subject>Bisexuality ; Cancer ; Disease ; Gays &amp; lesbians ; Health insurance ; Human papillomavirus ; Immunization ; Immunization/Vaccines ; Infections ; Knowledge ; Lesbian/Gay/Bisexual/Transgender Persons ; Men ; Men's Health ; Polls &amp; surveys ; Population ; Public health ; Research and Practice ; Sexual orientation ; Transgender persons ; Vaccines ; Warts ; Young adults</subject><ispartof>American journal of public health (1971), 2015-01, Vol.105 (1), p.96-102</ispartof><rights>Copyright American Public Health Association Jan 2015</rights><rights>American Public Health Association 2015 2015</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c471t-83000900fbd7ff4ec923a5fcb88bd8ead888db63f1adf0f321b21adb788f11bf3</citedby><cites>FETCH-LOGICAL-c471t-83000900fbd7ff4ec923a5fcb88bd8ead888db63f1adf0f321b21adb788f11bf3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4265907/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4265907/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,724,777,781,882,27847,27905,27906,53772,53774</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25393178$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Reiter, Paul L</creatorcontrib><creatorcontrib>McRee, Annie-Laurie</creatorcontrib><creatorcontrib>Katz, Mira L</creatorcontrib><creatorcontrib>Paskett, Electra D</creatorcontrib><title>Human Papillomavirus Vaccination Among Young Adult Gay and Bisexual Men in the United States</title><title>American journal of public health (1971)</title><addtitle>Am J Public Health</addtitle><description>Objectives. We examined human papillomavirus (HPV) vaccination among gay and bisexual men, a population with high rates of HPV infection and HPV-related disease. Methods. A national sample of gay and bisexual men aged 18 to 26 years (n = 428) completed online surveys in fall 2013. We identified correlates of HPV vaccination using multivariate logistic regression. Results. Overall, 13% of participants had received any doses of the HPV vaccine. About 83% who had received a health care provider recommendation for vaccination were vaccinated, compared with only 5% without a recommendation (P &lt; .001). Vaccination was lower among participants who perceived greater barriers to getting vaccinated (odds ratio [OR] = 0.46; 95% confidence interval [CI] = 0.27, 0.78). Vaccination was higher among participants with higher levels of worry about getting HPV-related disease (OR = 1.54; 95% CI =  1.05, 2.27) or perceived positive social norms of HPV vaccination (OR = 1.57; 95% CI =  1.02, 2.43). Conclusions. HPV vaccine coverage is low among gay and bisexual men in the United States. Future efforts should focus on increasing provider recommendation for vaccination and should target other modifiable factors.</description><subject>Bisexuality</subject><subject>Cancer</subject><subject>Disease</subject><subject>Gays &amp; lesbians</subject><subject>Health insurance</subject><subject>Human papillomavirus</subject><subject>Immunization</subject><subject>Immunization/Vaccines</subject><subject>Infections</subject><subject>Knowledge</subject><subject>Lesbian/Gay/Bisexual/Transgender Persons</subject><subject>Men</subject><subject>Men's Health</subject><subject>Polls &amp; surveys</subject><subject>Population</subject><subject>Public health</subject><subject>Research and Practice</subject><subject>Sexual orientation</subject><subject>Transgender persons</subject><subject>Vaccines</subject><subject>Warts</subject><subject>Young adults</subject><issn>0090-0036</issn><issn>1541-0048</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>7TQ</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNpdkdFrFDEQxoNY7Fl990kCvvhy50yS3c2-CGfRntJiQSsIQshukjZlNzk3SbH_vXtcLbUvMwPzzcc3_Ah5hbBiCNW79ZfzzYoBihUHBm31hCywErgEEPIpWQC0MM-8PiTPU7oGQGwrfEYOWcVbjo1ckF-bMupAz_XWD0Mc9Y2fSqI_dN_7oLOPga7HGC7pz1jmujZlyPRE31IdDP3gk_1T9EDPbKA-0Hxl6UXw2Rr6Lets0wty4PSQ7Mu7fkQuPn38frxZnn49-Xy8Pl32osG8lBx2ScF1pnFO2L5lXFeu76TsjLTaSClNV3OH2jhwnGHH5rFrpHSIneNH5P3ed1u60ZrehjzpQW0nP-rpVkXt1f-b4K_UZbxRgtVVC81s8PbOYIq_i01ZjT71dhh0sLEkhZLVNTCJ7Sx980h6HcsU5vcU1kKIqpYtzCrYq_oppjRZdx8GQe3QqR06tUOn9ujmk9cPn7g_-MeK_wXJdpVq</recordid><startdate>201501</startdate><enddate>201501</enddate><creator>Reiter, Paul L</creator><creator>McRee, Annie-Laurie</creator><creator>Katz, Mira L</creator><creator>Paskett, Electra D</creator><general>American Public Health Association</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>0-V</scope><scope>0U~</scope><scope>1-H</scope><scope>3V.</scope><scope>7RV</scope><scope>7TQ</scope><scope>7WY</scope><scope>7WZ</scope><scope>7X7</scope><scope>7XB</scope><scope>87Z</scope><scope>88A</scope><scope>88C</scope><scope>88E</scope><scope>88G</scope><scope>88I</scope><scope>88J</scope><scope>8AF</scope><scope>8AO</scope><scope>8C1</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8FL</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>ALSLI</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BEC</scope><scope>BENPR</scope><scope>BEZIV</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DHY</scope><scope>DON</scope><scope>DPSOV</scope><scope>DWQXO</scope><scope>FRNLG</scope><scope>FYUFA</scope><scope>F~G</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>HCIFZ</scope><scope>K60</scope><scope>K6~</scope><scope>K9-</scope><scope>K9.</scope><scope>KB0</scope><scope>KC-</scope><scope>L.-</scope><scope>L.0</scope><scope>LK8</scope><scope>M0C</scope><scope>M0R</scope><scope>M0S</scope><scope>M0T</scope><scope>M1P</scope><scope>M2L</scope><scope>M2M</scope><scope>M2O</scope><scope>M2P</scope><scope>M2R</scope><scope>M7P</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PATMY</scope><scope>PQBIZ</scope><scope>PQBZA</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>PYCSY</scope><scope>Q9U</scope><scope>S0X</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>201501</creationdate><title>Human Papillomavirus Vaccination Among Young Adult Gay and Bisexual Men in the United States</title><author>Reiter, Paul L ; 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We examined human papillomavirus (HPV) vaccination among gay and bisexual men, a population with high rates of HPV infection and HPV-related disease. Methods. A national sample of gay and bisexual men aged 18 to 26 years (n = 428) completed online surveys in fall 2013. We identified correlates of HPV vaccination using multivariate logistic regression. Results. Overall, 13% of participants had received any doses of the HPV vaccine. About 83% who had received a health care provider recommendation for vaccination were vaccinated, compared with only 5% without a recommendation (P &lt; .001). Vaccination was lower among participants who perceived greater barriers to getting vaccinated (odds ratio [OR] = 0.46; 95% confidence interval [CI] = 0.27, 0.78). Vaccination was higher among participants with higher levels of worry about getting HPV-related disease (OR = 1.54; 95% CI =  1.05, 2.27) or perceived positive social norms of HPV vaccination (OR = 1.57; 95% CI =  1.02, 2.43). Conclusions. HPV vaccine coverage is low among gay and bisexual men in the United States. Future efforts should focus on increasing provider recommendation for vaccination and should target other modifiable factors.</abstract><cop>United States</cop><pub>American Public Health Association</pub><pmid>25393178</pmid><doi>10.2105/AJPH.2014.302095</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record>
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subjects Bisexuality
Cancer
Disease
Gays & lesbians
Health insurance
Human papillomavirus
Immunization
Immunization/Vaccines
Infections
Knowledge
Lesbian/Gay/Bisexual/Transgender Persons
Men
Men's Health
Polls & surveys
Population
Public health
Research and Practice
Sexual orientation
Transgender persons
Vaccines
Warts
Young adults
title Human Papillomavirus Vaccination Among Young Adult Gay and Bisexual Men in the United States
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