Increasg Human Papillomavis Vaccatn Among Young Gay and Bisexual Men: A Randomized Pilot Trial of the Outsmart HPV Interventn - PMC

Contents:

• REVIEW OF HUMAN PAPILLOMAVIS (HPV) BURN AND HPV VACCATN FOR GAY, BISEXUAL, AND OTHER MEN WHO HAVE SEX WH MEN AND TRANSGENR WOMEN THE UNED STAT
• HUMAN PAPILLOMAVIS VACCATN VERAGE AMONG YOUNG, GAY, BISEXUAL, AND OTHER MEN WHO HAVE SEX WH MEN AND TRANSGENR WOMEN - 3 U.S. CI, 2016-2018
• HUMAN PAPILLOMAVIS VACCATN VERAGE AMONG YOUNG, GAY, BISEXUAL, AND OTHER MEN WHO HAVE SEX WH MEN AND TRANSGENR WOMEN — 3 U.S. CI, 2016–2018
• HUMAN PAPILLOMAVIS (HPV) VACCATN ACROSS A S OF KNOWLEDGE, WILLGNS, AND UPTAKE AMONG GAY, BISEXUAL, AND OTHER MEN WHO HAVE SEX WH MEN CANADA’S THREE LARGT CI
• A WEB-BASED HUMAN PAPILLOMAVIS VACCATN INTERVENTN FOR YOUNG GAY, BISEXUAL, AND OTHER MEN WHO HAVE SEX WH MEN: PROTOL FOR A RANDOMIZED CONTROLLED TRIAL
• HPV VACCATN OF GAY, BISEXUAL AND OTHER MEN WHO HAVE SEX WH MEN SEXUAL HEALTH AND HIV CLICS ENGLAND: VACCATN UPTAKE AND ATTENDANC DURG THE PILOT PHASE
• HUMAN PAPILLOMAVIS VACCE COURSE COMPLETN AMONG GAY AND BISEXUAL MEN WHO HAVE SEX WH MEN FROM A TIME-LIMED HPV VACCATN CATCH-UP PROGRAM VICTORIA, ATRALIA
• INCREASG HUMAN PAPILLOMAVIS VACCATN AMONG YOUNG GAY AND BISEXUAL MEN: A RANDOMIZED PILOT TRIAL OF THE OUTSMART HPV INTERVENTN
• VACCE-PREVENTABLE ANAL HUMAN PAPILLOMAVIS ATRALIAN GAY AND BISEXUAL MEN
• INCREAS HUMAN PAPILLOMAVIS VACCE VERAGE OVER 12 MONTHS AMONG A MUNY-RECED HORT OF GAY, BISEXUAL, AND OTHER MEN WHO HAVE SEX WH MEN CANADA
• HUMAN PAPILLOMAVIS VACCE AWARENS AMONG HIV-POSIVE GAY AND BISEXUAL MEN: A QUALATIVE STUDY

REVIEW OF HUMAN PAPILLOMAVIS (HPV) BURN AND HPV VACCATN FOR GAY, BISEXUAL, AND OTHER MEN WHO HAVE SEX WH MEN AND TRANSGENR WOMEN THE UNED STAT

Jt like all other men, gay, bisexual, and other men who have sex wh men need to know how to protect their health throughout their life. Prevalence of HIV among sexual partners of gay, bisexual, and other men who have sex wh men is 40 tim that of sexual partners of heterosexual men;.

HUMAN PAPILLOMAVIS VACCATN VERAGE AMONG YOUNG, GAY, BISEXUAL, AND OTHER MEN WHO HAVE SEX WH MEN AND TRANSGENR WOMEN - 3 U.S. CI, 2016-2018

In fact, gay, bisexual, and other men who have sex wh men make up more than half of the people livg wh HIV the Uned Stat and experience two thirds of all new HIV fectns each year.

Further, young gay, bisexual, and other men who have sex wh men 13-24 had over 72% of the timated new HIV fectns 2010. The large percentage of gay, bisexual, and other men who have sex wh men who have HIV and STDs means that, as a group, they have a higher chance of beg exposed to the diseas.

Most gay, bisexual, and other men who have sex wh men get HIV by havg anal sex, which is the riskit type of sex for gettg or spreadg HIV.

HUMAN PAPILLOMAVIS VACCATN VERAGE AMONG YOUNG, GAY, BISEXUAL, AND OTHER MEN WHO HAVE SEX WH MEN AND TRANSGENR WOMEN — 3 U.S. CI, 2016–2018

CDC’s Lbian, Gay, Bisexual and Transgenr Health Servic page has rourc that n help you fd health re provirs that are skilled providg health servic to gay and bisexual men. The human papillomavis (HPV) vacce is also available for gay, bisexual, and other men who have sex wh men up to 26 years of age to prevent genal warts and other HPV-associated diseas and ndns such as oropharyngeal or anal ncer.

ABSTRACTGay, bisexual, and other men who have sex wh men (MSM) and transgenr women, particularly those who are livg wh HIV, are disproportnately affected by human papillomavis (HPV). For this narrative review of HPV health out and vaccatn for gay, bisexual, and other MSM and transgenr women the Uned Stat, we highlighted 71 publitns regardg 1) burn of HPV fectns and related diseas; 2) HPV vacce efficy; 3) HPV vaccatn remendatns; 4) HPV vaccatn verage; 5) real-world vacce effectivens and health impacts; and 6) HPV vaccatn acceptabily.

HUMAN PAPILLOMAVIS (HPV) VACCATN ACROSS A S OF KNOWLEDGE, WILLGNS, AND UPTAKE AMONG GAY, BISEXUAL, AND OTHER MEN WHO HAVE SEX WH MEN CANADA’S THREE LARGT CI

KEYWORDS: Papillomavis fectns, papillomavis vacc, vaccatn verage, sexual and genr moriIntroductnGay, bisexual, and other men who have sex wh men (MSM) and transgenr women experience substantial health equi, 1cludg beg disproportnately affected by human papillomavis (HPV), the most mon sexually transmted fectn the Uned Stat.

A WEB-BASED HUMAN PAPILLOMAVIS VACCATN INTERVENTN FOR YOUNG GAY, BISEXUAL, AND OTHER MEN WHO HAVE SEX WH MEN: PROTOL FOR A RANDOMIZED CONTROLLED TRIAL

In addn, onle surveys n intify and enroll large numbers of geographilly dispersed lbian, gay, bisexual, and transgenr (LGBT) participants, although mographic characteristics of ter-based rponnts tend to skew toward more participants of non-Hispanic whe race/ethnicy, higher tnal attament, and higher hoehold e levels than other typ of study signs. 6–8In this paper, we review and summarize data relevant to HPV health out and HPV vaccatn among gay, bisexual, and other MSM and transgenr women the Uned Stat. MethodsWe nducted a rapid review g the MEDLINE database to intify publitns regardg HPV or HPV vaccatn among gay, bisexual, or other MSM or transgenr women, cludg rmatn relevant to vaccatn policy and the vaccatn program the Uned Stat.

Search terms ed were: ((HPV or human papillomavis) and (vacce or vacc or vaccatn)) and (“men who have sex wh men” or MSM or homosexual or gay or bisexual or sexual mori or LGBTQ), ab. 10 In the Uned Stat, HPV seroprevalence was asssed the Natnal Health and Nutrn Examatn Survey (NHANES); this natnal survey, among 169 MSM who intified as gay/bisexual durg 2003–2010, seroprevalence of quadrivalent HPV vacce typ 6/11/16/18 was 42.

3 Men who intify as gay or bisexual, or who tend to have sex wh men, and transgenr persons through age 26 years were specifilly clud begng 2016.

HPV VACCATN OF GAY, BISEXUAL AND OTHER MEN WHO HAVE SEX WH MEN SEXUAL HEALTH AND HIV CLICS ENGLAND: VACCATN UPTAKE AND ATTENDANC DURG THE PILOT PHASE

51HPV vaccatn acceptabilyTailorg terventns to effectively prevent HPV-related disease among gay, bisexual, and other MSM and transgenr women requir addrsg facilators and barriers to vaccatn. In an onle survey, adult gay and bisexual men were signifintly more terted HPV vaccatn than heterosexual men, and all were more willg to receive vaccatn when amed as preventg ncer.

57 A study of 817 gay, bisexual, and other MSM aged 18–26 years who vised a health-re provir wh the past year reported that 64. For example, a small study of 33 HIV-posive gay and bisexual men who were foreign-born Lato and terviewed Spanish 2015–2016, 15 (45%) had heard of HPV vacce, and only one had received ≥1 dose. 31, 34, 62, 63 A study asssg potential opportuni for HPV vaccatn among gay, bisexual, and other MSM aged 18–26 years reported that 88.

HUMAN PAPILLOMAVIS VACCE COURSE COMPLETN AMONG GAY AND BISEXUAL MEN WHO HAVE SEX WH MEN FROM A TIME-LIMED HPV VACCATN CATCH-UP PROGRAM VICTORIA, ATRALIA

Gay and bisexual men enrolled via onle advertisements, iatn of HPV vaccatn was signifintly higher among the terventn group (45%) than the ntrol group (26%); a larger randomized ntrolled trial is unrway. Efforts are ongog to crease HPV vaccatn verage among persons of all genrs and to monor impacts of HPV vaccatn on health out, cludg among populatns disproportnately affected by HPV fectn and HPV-related disease, such as gay, bisexual, and other MSM and transgenr women. Seroprevalence of human papillomavis 6/11/16/18 among self-intified gay/bisexual men who have sex wh men, men who have sex wh women, and femal, Uned Stat, 2003-2010.

Outsmart HPV: acceptabily and short-term effects of a web-based HPV vaccatn terventn for young adult gay and bisexual men. A web-based human papillomavis vaccatn terventn for young gay, bisexual, and other men who have sex wh men: protol for a randomized ntrolled trial. Increasg human papillomavis vaccatn among young gay and bisexual men: a randomized pilot trial of the outsmart HPV terventn.

Review of human papillomavis (HPV) burn and HPV vaccatn for gay, bisexual, and other men who have sex wh men and transgenr women the Uned Stat. Gay, bisexual, and other men who have sex wh men (MSM) and transgenr women, particularly those who are livg wh HIV, are disproportnately affected by human papillomavis (HPV).

INCREASG HUMAN PAPILLOMAVIS VACCATN AMONG YOUNG GAY AND BISEXUAL MEN: A RANDOMIZED PILOT TRIAL OF THE OUTSMART HPV INTERVENTN

Human papillomavis vaccatn verage among young, gay, bisexual, and other men who have sex wh men and transgenr women - 3 U. Gay, bisexual, and other men who have sex wh men (MSM) and transgenr women are disproportnately affected by human papillomavis (HPV).

Sexual Mixg Patterns and Anal Human Papillomavis Among Young Gay, Bisexual, and Other Men Who Have Sex Wh Men and Transgenr Women 2 Ci the Uned Stat, 2012-2014. Efficy of the Outsmart HPV Interventn: A Randomized Controlled Trial to Increase HPV Vaccatn among Young Gay, Bisexual, and Other Men Who Have Sex wh Men. ABSTRACTGay, bisexual, and other men who have sex wh men (MSM) and transgenr women are disproportnately affected by human papillomavis (HPV).

Gay, bisexual, and other men who have sex wh men (MSM) and transgenr women are disproportnately affected by HPV, particularly those who are livg wh human immunoficiency vis (HIV). 11, 18, 20 The objective of this analysis was to asss HPV vaccatn verage and associated characteristics among young gay, bisexual, and other MSM and young transgenr women g data om a study nducted three U. Ci 2016– cross-sectnal Vacce Impact Men (VIM) study enrolled gay, bisexual, and other MSM and transgenr women aged 18–26 years durg Febary 2016 through September 2018.

VACCE-PREVENTABLE ANAL HUMAN PAPILLOMAVIS ATRALIAN GAY AND BISEXUAL MEN

23, 24 Participants were enrolled om three urban centers/clics servg primarily lbian, gay, bisexual, transgenr, queer (LGBTQ) and other sexual mory populatns, specifilly a muny center Chigo, Illois, a sexually transmted disease (STD) clic and a muny ttg se Seattle, Washgton, and an LGBTQ clic Los Angel, California.

Participants were eligible if they met the followg three creria at time of enrollment: (1) aged 18–26 years; (2) assigned male sex at birth, regardls of current genr inty or exprsn; and (3) ever havg oral or anal sex wh a male partner, currently intifyg as gay or bisexual, and/or tendg to have sex wh a male partner the future. 4 (SAS Instute, Cary, NC) 1881 young gay, bisexual, and other MSM and young transgenr women study participants, 1416 were clud this analysis (Table 1) and 456 were exclud (226 did not rpond to a qutn about HPV vaccatn, 168 were unsure if they had been vaccated, 52 did not report an age at first dose, and 19 reported an eligible age at first dose). Among Los Angel participants, verage differed signifintly only by genr vaccatn verage* among participatg gay, bisexual, and other men who have sex wh men, by participant characteristics – 3 U.

INCREAS HUMAN PAPILLOMAVIS VACCE VERAGE OVER 12 MONTHS AMONG A MUNY-RECED HORT OF GAY, BISEXUAL, AND OTHER MEN WHO HAVE SEX WH MEN CANADA

1) Table vaccatn verage* among participatg gay, bisexual, and other men who have sex wh men, by cy and participant characteristics – 3 U. Characteristics of participatg gay, bisexual, and other men who have sex wh men who reported receivg ≥1 dose of HPV vacce* overall and by cy – 3 U. 2)This analysis reports HPV vaccatn verage among young, gay, bisexual, and other MSM and young transgenr women three U.

In ntrast, Seattle participants reported an olr age at vaccatn and almost half were vaccated at a public health/STD clic; this, along wh higher verage at this se, may be due to a lol health partment mpaign that occurred durg the study perd to promote HPV vaccatn among gay men, bisexual men, transgenr people, and straight men who have sex wh men, 27 as well as the se beg proactive providg HPV vaccatn for adult MSM and transgenr this analysis, HPV vaccatn verage overall (47. 11–13 Other large multi-se surveys, such as the Natnal Health Interview Survey and the Natnal College Health Asssment, rpectively showed verage among mal aged 18–26 years who intify as gay at 18% 2013–201521 and creasg om 24% 2011 to 32% 2012. Enuraggly, about half of young, gay, bisexual, and other MSM and young transgenr women our analysis had received ≥1 dose of HPV vacce, and verage varied by enrollment se three U.

ABSTRACTBackgroundSome Canadian jurisdictns offer publicly fund HPV vacce to gay, bisexual, and other men who have sex wh men (GBM) aged ≤26 years. KEYWORDS: Human papillomavis, men who have sex wh men, uptake, willgns, knowledge, publicly fund program, primary preventn, barriers, facilatorsIntroductnGay, bisexual, and other men who have sex wh men (GBM) are a prry populatn for human papillomavis (HPV) vaccatn due to a higher risk of HPV and HPV-associated disease pared to men who have sex wh women. Alignment of measur wh the termants of vacce hancy matrix18 for exploratn of stage the HPV vaccatn s among gay, bisexual, and other men who have sex wh men, Engage Study, 2017–2019DetermantSub-tegoryQutnnaire measureContextual fluenc: Influenc arisg due to historic, soc-cultural, environmental, health system/stutnal, enomic or polil factorsCulture/genr/soc-enomicEdutnFancial stra40Sexual orientatnCountry of birth (immigratn)Ethnicy/raceCommunitn and media environmentReceived rmatn about sexual health past six months (om the muny, health profsnals, muny-based anizatns, or social and other media sourc)Historil fluenc (negative experience of a populatn)Comfort around disclosg same-sex romantic relatnships to others “I prefer to keep my same-sex romantic relatnships rather private” (note: also falls vacce/vaccatn-specific issu)Individual and group fluenc: Influenc arisg om personal perceptn of the vacce or fluenc of the social/peer environmentExperience wh past vaccatnPast hepatis A or B vaccatnHealth system, provirs-tst and personal experienceReceived poorer service than other people at least one of the followg settgs: doctor’s office, muny health center, walk- clic, hospal emergency room, sexual health clic or other hospal service (all are potential venu for HPV vaccatn)Vacce/vaccatn-specific issu: directly related to vacce or vaccatnDign of vaccatn program/mo of liveryAny healthre accs (currently has primary re provir or sexual health re provir [provir specific for sexual health re needs and/or HIV re specialist])Eligible for ee vaccatn at study enrollment (≤26 years old = eligible, ≥27 years old = eligible)Statistil analysisIn studi g RDS recment, men wh larger social works may have a greater probabily of beg reced to the study.

HUMAN PAPILLOMAVIS VACCE AWARENS AMONG HIV-POSIVE GAY AND BISEXUAL MEN: A QUALATIVE STUDY

41 Network size was measured g the qutn, “How many men who have sex wh men aged 16 years or olr, cludg trans men, do you know who live or work the [Cy] area (whether they intify as gay or otherwise)?

Across the three ci, age ranged between 16 and 80 years old (median = 31 years); 22–32% were ≤26 years old, 12–19% were livg wh HIV, 55–70% were whe, 57–65% were born Canada, 88–93% intified as a cisgenr man, 72–80% intified as gay, and 64–77% had a post-sendary tn (Table 2). 47Compared wh vaccated men, men intifyg as queer vers gay had lower odds of beg unaware of the vacce, which may partly be explaed by higher tnal attament among men intifyg as queer and beg more actively nnected to a muny where sexual health knowledge is shared.

Lower uptake among bisexual vers gay men has also been seen for the hepatis B vacce and several other healthre servic such as HIV ttg.