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 - PubMed

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
HIV-POSIVE GAY MEN’S KNOWLEDGE AND PERCEPTNS OF HUMAN PAPILLOMAVIS (HPV) AND HPV VACCATN: A QUALATIVE STUDY
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
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

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

The human papillomavis (HPV) is the most mon sexually transmted fectn worldwi. Gay, bisexual, and other men who have sex wh men (GBM) livg wh HIV are disproportnately impacted by HPV-associated anal ncer, wh rat about 100-fold that of the general populatn. Fortunately, HPV vaccatn has proven efficy preventg both anogenal warts (ndyloma) mal and anal pre-ncers (anal traephelial neoplasia; AIN) GBM up to the age of 26. We nducted -pth, semi-stctured terviews wh 25 HIV-posive gay men Toronto to ga an unrstandg of their knowledge and experienc related to HPV and the HPV vacce. The participants were part of The HPV Screeng and Vacce Evaluatn (HPV-SAVE) Study, and received vatns to have anal ncer screeng om their primary re doctors. Interviews were analyzed followg a Ground Theory Approach. Most participants had not received the HPV vacce. Men scribed a lack of prr knowledge of the health nsequenc of HPV for GBM livg wh HIV and fancial barriers to vacce accs. Participants did not articulate ncerns about vacce safety. Men equently reported ial beliefs that HPV was predomantly—or exclively—a risk for femal or young girls, and th they had not nsired the vacce to be necsary. Some participants remaed uncerta if the current availabily of the vacce, and their newly acquired knowledge of s importance, was “too ltle, too late” bee of their age and/or HPV exposure. Improvg accs and uptake of HPV vaccatn requir addrsg both fancial barriers to accs as well as creasg HPV health leracy levels, particularly by reamg the long-standg genred associatns of HPV. Physicians should provi clear, tailored msag regardg HPV vaccatn. * human papillomavirus homosexual *

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.

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. 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.

HIV-POSIVE GAY MEN’S KNOWLEDGE AND PERCEPTNS OF HUMAN PAPILLOMAVIS (HPV) AND HPV VACCATN: A QUALATIVE STUDY

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. 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. 54Acceptabily of HPV vaccatn among gay, bisexual, and other MSM and transgenr women is generally high.

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. A study of HPV vaccatn verage among 1416 gay, bisexual, and other MSM and transgenr women nducted 2016–2018 three U.

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. 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.

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

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. A review of lbian, gay, bisexual, trans and tersex (LGBTI) health and healthre equali. Human papillomavis vaccatn among young adult gay and bisexual men the Uned Stat.