Predisposing, Enabling, and Need-Related Factors Associated with Human Papillomavirus Vaccination Intentions and Uptake Among Black and Hispanic Sexual and Gender Diverse Adults in the USA
The purpose of the current study was to identify predisposing, enabling, and need-based factors associated with human papillomavirus (HPV) or HPV vaccination intentions among ethnoracial minority men who have sex with men (MSM) and gender expansive natal males. This was a secondary analysis of surve...
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| Veröffentlicht in: | Journal of racial and ethnic health disparities 2023-02, Vol.10 (1), p.237-243 |
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| creator | Wheldon, Christopher W. Eaton, Lisa A. Watson, Ryan J. |
| description | The purpose of the current study was to identify predisposing, enabling, and need-based factors associated with human papillomavirus (HPV) or HPV vaccination intentions among ethnoracial minority men who have sex with men (MSM) and gender expansive natal males. This was a secondary analysis of survey data from 299 Black and Hispanic MSM and gender expansive young (aged 18–30 years) adults living in the USA. Variable selection was informed by Anderson’s model of healthcare utilization. Outcomes were self-reported HPV vaccination and vaccine intentions. Less than half of the sample (45.5%) reported initiating (i.e., receiving at least 1 dose) HPV vaccination. Hierarchical multiple regression was used to identify relevant theoretical predictors. Among those who were unvaccinated, 14.2% were unlikely, 56.3% were undecided, and 29.4% likely to initiate HPV vaccination within the next 12 months. More favorable vaccine attitudes (adjusted prevalence ratio [
aPR
] = 1.55; 95%
CI
: 1.12–2.15), past year routine check-up (
aPR
= 1.50; 95%
CI
: 1.14–1.97), and ever being diagnosed with anogenital warts (
aPR
= 1.55; 95%
CI
: 1.12–2.15) were independently associated with the probability of HPV vaccination. Several enabling factors (e.g., testing for sexually transmitted infections) were not associated with HPV vaccination, suggesting routine missed opportunities. There were no associations between predictor variables and HPV vaccine intentions. Targeted efforts are needed to decrease anal cancer disparities experienced by ethnoracial minority MSM. Leveraging enabling factors already present this population (e.g., STI testing and pre-exposure prophylaxis use) are potential targets for interventions to increase the reach of HPV vaccination. |
| doi_str_mv | 10.1007/s40615-021-01214-1 |
| format | Article |
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aPR
] = 1.55; 95%
CI
: 1.12–2.15), past year routine check-up (
aPR
= 1.50; 95%
CI
: 1.14–1.97), and ever being diagnosed with anogenital warts (
aPR
= 1.55; 95%
CI
: 1.12–2.15) were independently associated with the probability of HPV vaccination. Several enabling factors (e.g., testing for sexually transmitted infections) were not associated with HPV vaccination, suggesting routine missed opportunities. There were no associations between predictor variables and HPV vaccine intentions. Targeted efforts are needed to decrease anal cancer disparities experienced by ethnoracial minority MSM. Leveraging enabling factors already present this population (e.g., STI testing and pre-exposure prophylaxis use) are potential targets for interventions to increase the reach of HPV vaccination.</description><identifier>ISSN: 2197-3792</identifier><identifier>EISSN: 2196-8837</identifier><identifier>DOI: 10.1007/s40615-021-01214-1</identifier><identifier>PMID: 34981465</identifier><language>eng</language><publisher>Cham: Springer International Publishing</publisher><subject>Adults ; Anal cancer ; Anogenital ; Anogenital warts ; Black or African American ; Cervical cancer ; Coronaviruses ; COVID-19 vaccines ; Epidemiology ; Gays & lesbians ; Gender ; Gender identity ; Health behavior ; Health care ; Health disparities ; Health services utilization ; Hispanic Americans ; Hispanic or Latino ; Homosexuality, Male ; Human papillomavirus ; Human Papillomavirus Viruses ; Humans ; Immunization ; Infections ; Intention ; Male ; Males ; Medical screening ; Medicine ; Medicine & Public Health ; Men ; Men who have sex with men ; Mens health ; Non-binary gender ; Papillomavirus Infections - prevention & control ; Papillomavirus Vaccines - therapeutic use ; Patient Acceptance of Health Care ; Prophylaxis ; Quality of Life Research ; Secondary analysis ; Sexual and Gender Minorities ; Sexually Transmitted Diseases ; Social Inequality ; Social networks ; Social Structure ; Statistical analysis ; STD ; Surveys and Questionnaires ; Transgender persons ; Uptake ; Vaccination ; Vaccines ; Variables ; Warts</subject><ispartof>Journal of racial and ethnic health disparities, 2023-02, Vol.10 (1), p.237-243</ispartof><rights>W. Montague Cobb-NMA Health Institute 2022</rights><rights>2022. W. Montague Cobb-NMA Health Institute.</rights><rights>W. Montague Cobb-NMA Health Institute 2022.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c474t-4bce87bccee7ca0f26ff0e3a1ece1114e441421e6e81b63bb49545e69385956f3</citedby><cites>FETCH-LOGICAL-c474t-4bce87bccee7ca0f26ff0e3a1ece1114e441421e6e81b63bb49545e69385956f3</cites><orcidid>0000-0002-0452-0252</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s40615-021-01214-1$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/2922075812?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>230,314,778,782,883,12727,12806,12833,21375,21376,21378,27911,27912,30986,33517,33518,33731,33732,33992,33993,35792,35793,35797,35798,41475,42544,43646,43792,43940,44316,44317,51306,64370,64372,64374,72224</link.rule.ids><linktorsrc>$$Uhttps://www.proquest.com/docview/2922075812?pq-origsite=primo$$EView_record_in_ProQuest$$FView_record_in_$$GProQuest</linktorsrc><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34981465$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Wheldon, Christopher W.</creatorcontrib><creatorcontrib>Eaton, Lisa A.</creatorcontrib><creatorcontrib>Watson, Ryan J.</creatorcontrib><title>Predisposing, Enabling, and Need-Related Factors Associated with Human Papillomavirus Vaccination Intentions and Uptake Among Black and Hispanic Sexual and Gender Diverse Adults in the USA</title><title>Journal of racial and ethnic health disparities</title><addtitle>J. Racial and Ethnic Health Disparities</addtitle><addtitle>J Racial Ethn Health Disparities</addtitle><description>The purpose of the current study was to identify predisposing, enabling, and need-based factors associated with human papillomavirus (HPV) or HPV vaccination intentions among ethnoracial minority men who have sex with men (MSM) and gender expansive natal males. This was a secondary analysis of survey data from 299 Black and Hispanic MSM and gender expansive young (aged 18–30 years) adults living in the USA. Variable selection was informed by Anderson’s model of healthcare utilization. Outcomes were self-reported HPV vaccination and vaccine intentions. Less than half of the sample (45.5%) reported initiating (i.e., receiving at least 1 dose) HPV vaccination. Hierarchical multiple regression was used to identify relevant theoretical predictors. Among those who were unvaccinated, 14.2% were unlikely, 56.3% were undecided, and 29.4% likely to initiate HPV vaccination within the next 12 months. More favorable vaccine attitudes (adjusted prevalence ratio [
aPR
] = 1.55; 95%
CI
: 1.12–2.15), past year routine check-up (
aPR
= 1.50; 95%
CI
: 1.14–1.97), and ever being diagnosed with anogenital warts (
aPR
= 1.55; 95%
CI
: 1.12–2.15) were independently associated with the probability of HPV vaccination. Several enabling factors (e.g., testing for sexually transmitted infections) were not associated with HPV vaccination, suggesting routine missed opportunities. There were no associations between predictor variables and HPV vaccine intentions. Targeted efforts are needed to decrease anal cancer disparities experienced by ethnoracial minority MSM. Leveraging enabling factors already present this population (e.g., STI testing and pre-exposure prophylaxis use) are potential targets for interventions to increase the reach of HPV vaccination.</description><subject>Adults</subject><subject>Anal cancer</subject><subject>Anogenital</subject><subject>Anogenital warts</subject><subject>Black or African American</subject><subject>Cervical cancer</subject><subject>Coronaviruses</subject><subject>COVID-19 vaccines</subject><subject>Epidemiology</subject><subject>Gays & lesbians</subject><subject>Gender</subject><subject>Gender identity</subject><subject>Health behavior</subject><subject>Health care</subject><subject>Health disparities</subject><subject>Health services utilization</subject><subject>Hispanic Americans</subject><subject>Hispanic or Latino</subject><subject>Homosexuality, Male</subject><subject>Human papillomavirus</subject><subject>Human Papillomavirus Viruses</subject><subject>Humans</subject><subject>Immunization</subject><subject>Infections</subject><subject>Intention</subject><subject>Male</subject><subject>Males</subject><subject>Medical screening</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Men</subject><subject>Men who have sex with men</subject><subject>Mens health</subject><subject>Non-binary gender</subject><subject>Papillomavirus Infections - prevention & control</subject><subject>Papillomavirus Vaccines - therapeutic use</subject><subject>Patient Acceptance of Health Care</subject><subject>Prophylaxis</subject><subject>Quality of Life Research</subject><subject>Secondary analysis</subject><subject>Sexual and Gender Minorities</subject><subject>Sexually Transmitted Diseases</subject><subject>Social Inequality</subject><subject>Social networks</subject><subject>Social Structure</subject><subject>Statistical analysis</subject><subject>STD</subject><subject>Surveys and Questionnaires</subject><subject>Transgender persons</subject><subject>Uptake</subject><subject>Vaccination</subject><subject>Vaccines</subject><subject>Variables</subject><subject>Warts</subject><issn>2197-3792</issn><issn>2196-8837</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>LD-</sourceid><sourceid>LD.</sourceid><sourceid>QXPDG</sourceid><recordid>eNp9ks9u1DAQxiMEotXSF-CALHHhQMB2HCe5IC2l7VaqoKIsV8txJrtuHXuxnYW-Wx8Ob7aUPwdOHs385psZ-cuy5wS_IRhXbwPDnJQ5piTHhBKWk0fZISUNz-u6qB5PcZUXVUMPsqMQrjFOWFk2BX-aHRSsqQnj5WF2d-mh02Hjgrar1-jEytZMkbQd-gjQ5Z_ByAgdOpUqOh_QPASn9JT6ruMaLcZBWnQpN9oYN8it9mNAX6VS2sqonUXnNoLdRWESXW6ivAE0H5xdofdGqpspvUhLSKsVuoIfozRT7gxsBx590FvwIbV0o4kBaYviGtDyav4se9JLE-Do_p1ly9OTL8eL_OLT2fnx_CJXrGIxZ62CumqVAqiUxD3lfY-hkAQUEEIYMEYYJcChJi0v2pY1JSuBN0VdNiXvi1n2bq-7GdsBOpXO8dKIjdeD9LfCSS3-rli9Fiu3FXVFKeckCby6F_Du2wghikEHBcZIC24MgnKSMFykr5tlL_9Br93obTpP0IZSXJU1oYmie0p5F4KH_mEZgsXOH2LvD5H8ISZ_iN0WL_4846HllxsSUOyBkEp2Bf737P_I_gQOQ8jn</recordid><startdate>20230201</startdate><enddate>20230201</enddate><creator>Wheldon, Christopher W.</creator><creator>Eaton, Lisa A.</creator><creator>Watson, Ryan J.</creator><general>Springer International Publishing</general><general>Springer Nature B.V</general><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>0-V</scope><scope>3V.</scope><scope>7QJ</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>ALSLI</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>HEHIP</scope><scope>K9.</scope><scope>KB0</scope><scope>LD-</scope><scope>LD.</scope><scope>M0S</scope><scope>M2S</scope><scope>NAPCQ</scope><scope>PATMY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PYCSY</scope><scope>QXPDG</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-0452-0252</orcidid></search><sort><creationdate>20230201</creationdate><title>Predisposing, Enabling, and Need-Related Factors Associated with Human Papillomavirus Vaccination Intentions and Uptake Among Black and Hispanic Sexual and Gender Diverse Adults in the USA</title><author>Wheldon, Christopher W. ; Eaton, Lisa A. ; Watson, Ryan J.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c474t-4bce87bccee7ca0f26ff0e3a1ece1114e441421e6e81b63bb49545e69385956f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Adults</topic><topic>Anal cancer</topic><topic>Anogenital</topic><topic>Anogenital warts</topic><topic>Black or African American</topic><topic>Cervical cancer</topic><topic>Coronaviruses</topic><topic>COVID-19 vaccines</topic><topic>Epidemiology</topic><topic>Gays & lesbians</topic><topic>Gender</topic><topic>Gender identity</topic><topic>Health behavior</topic><topic>Health care</topic><topic>Health disparities</topic><topic>Health services utilization</topic><topic>Hispanic Americans</topic><topic>Hispanic or Latino</topic><topic>Homosexuality, Male</topic><topic>Human papillomavirus</topic><topic>Human Papillomavirus Viruses</topic><topic>Humans</topic><topic>Immunization</topic><topic>Infections</topic><topic>Intention</topic><topic>Male</topic><topic>Males</topic><topic>Medical screening</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Men</topic><topic>Men who have sex with men</topic><topic>Mens health</topic><topic>Non-binary gender</topic><topic>Papillomavirus Infections - prevention & control</topic><topic>Papillomavirus Vaccines - therapeutic use</topic><topic>Patient Acceptance of Health Care</topic><topic>Prophylaxis</topic><topic>Quality of Life Research</topic><topic>Secondary analysis</topic><topic>Sexual and Gender Minorities</topic><topic>Sexually Transmitted Diseases</topic><topic>Social Inequality</topic><topic>Social networks</topic><topic>Social Structure</topic><topic>Statistical analysis</topic><topic>STD</topic><topic>Surveys and Questionnaires</topic><topic>Transgender persons</topic><topic>Uptake</topic><topic>Vaccination</topic><topic>Vaccines</topic><topic>Variables</topic><topic>Warts</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Wheldon, Christopher W.</creatorcontrib><creatorcontrib>Eaton, Lisa A.</creatorcontrib><creatorcontrib>Watson, Ryan J.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Social Sciences Premium Collection</collection><collection>ProQuest Central (Corporate)</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest One Sustainability</collection><collection>ProQuest Central UK/Ireland</collection><collection>Social Science Premium Collection</collection><collection>Agricultural & Environmental Science Collection</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>Natural Science Collection (ProQuest)</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>Sociology Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Ethnic NewsWatch</collection><collection>Ethnic NewsWatch (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Sociology Database</collection><collection>Nursing & Allied Health Premium</collection><collection>Environmental Science Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>Environmental Science Collection</collection><collection>Diversity Collection</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of racial and ethnic health disparities</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext_linktorsrc</fulltext></delivery><addata><au>Wheldon, Christopher W.</au><au>Eaton, Lisa A.</au><au>Watson, Ryan J.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Predisposing, Enabling, and Need-Related Factors Associated with Human Papillomavirus Vaccination Intentions and Uptake Among Black and Hispanic Sexual and Gender Diverse Adults in the USA</atitle><jtitle>Journal of racial and ethnic health disparities</jtitle><stitle>J. Racial and Ethnic Health Disparities</stitle><addtitle>J Racial Ethn Health Disparities</addtitle><date>2023-02-01</date><risdate>2023</risdate><volume>10</volume><issue>1</issue><spage>237</spage><epage>243</epage><pages>237-243</pages><issn>2197-3792</issn><eissn>2196-8837</eissn><abstract>The purpose of the current study was to identify predisposing, enabling, and need-based factors associated with human papillomavirus (HPV) or HPV vaccination intentions among ethnoracial minority men who have sex with men (MSM) and gender expansive natal males. This was a secondary analysis of survey data from 299 Black and Hispanic MSM and gender expansive young (aged 18–30 years) adults living in the USA. Variable selection was informed by Anderson’s model of healthcare utilization. Outcomes were self-reported HPV vaccination and vaccine intentions. Less than half of the sample (45.5%) reported initiating (i.e., receiving at least 1 dose) HPV vaccination. Hierarchical multiple regression was used to identify relevant theoretical predictors. Among those who were unvaccinated, 14.2% were unlikely, 56.3% were undecided, and 29.4% likely to initiate HPV vaccination within the next 12 months. More favorable vaccine attitudes (adjusted prevalence ratio [
aPR
] = 1.55; 95%
CI
: 1.12–2.15), past year routine check-up (
aPR
= 1.50; 95%
CI
: 1.14–1.97), and ever being diagnosed with anogenital warts (
aPR
= 1.55; 95%
CI
: 1.12–2.15) were independently associated with the probability of HPV vaccination. Several enabling factors (e.g., testing for sexually transmitted infections) were not associated with HPV vaccination, suggesting routine missed opportunities. There were no associations between predictor variables and HPV vaccine intentions. Targeted efforts are needed to decrease anal cancer disparities experienced by ethnoracial minority MSM. Leveraging enabling factors already present this population (e.g., STI testing and pre-exposure prophylaxis use) are potential targets for interventions to increase the reach of HPV vaccination.</abstract><cop>Cham</cop><pub>Springer International Publishing</pub><pmid>34981465</pmid><doi>10.1007/s40615-021-01214-1</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0002-0452-0252</orcidid><oa>free_for_read</oa></addata></record> |
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| identifier | ISSN: 2197-3792 |
| ispartof | Journal of racial and ethnic health disparities, 2023-02, Vol.10 (1), p.237-243 |
| issn | 2197-3792 2196-8837 |
| language | eng |
| recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_8722661 |
| source | Ethnic NewsWatch (Alumni) |
| subjects | Adults Anal cancer Anogenital Anogenital warts Black or African American Cervical cancer Coronaviruses COVID-19 vaccines Epidemiology Gays & lesbians Gender Gender identity Health behavior Health care Health disparities Health services utilization Hispanic Americans Hispanic or Latino Homosexuality, Male Human papillomavirus Human Papillomavirus Viruses Humans Immunization Infections Intention Male Males Medical screening Medicine Medicine & Public Health Men Men who have sex with men Mens health Non-binary gender Papillomavirus Infections - prevention & control Papillomavirus Vaccines - therapeutic use Patient Acceptance of Health Care Prophylaxis Quality of Life Research Secondary analysis Sexual and Gender Minorities Sexually Transmitted Diseases Social Inequality Social networks Social Structure Statistical analysis STD Surveys and Questionnaires Transgender persons Uptake Vaccination Vaccines Variables Warts |
| title | Predisposing, Enabling, and Need-Related Factors Associated with Human Papillomavirus Vaccination Intentions and Uptake Among Black and Hispanic Sexual and Gender Diverse Adults in the USA |
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