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Knowledge and attitudes of General Practitioners and sexual health care professionals regarding human papillomavirus vaccination for young men who have sex with men

Knowledge and attitudes of General Practitioners and sexual health care professionals regarding human papillomavirus vaccination for young men who have sex with men
Knowledge and attitudes of General Practitioners and sexual health care professionals regarding human papillomavirus vaccination for young men who have sex with men
Men who have sex with men (MSM) may be at higher risk for human papillomavirus (HPV)-associated cancers. Healthcare professionals’ recommendations can affect HPV vaccination uptake. Since 2016, MSM up to 45 years have been offered HPV vaccination at genitourinary medicine (GUM) clinics in a pilot programme, and primary care was recommended as a setting for opportunistic vaccination. Vaccination prior to potential exposure to the virus (i.e. sexual debut) is likely to be most efficacious, therefore a focus on young MSM (YMSM) is important. This study aimed to explore and compare the knowledge and attitudes of UK General Practitioners (GPs) and sexual healthcare professionals (SHCPs) regarding HPV vaccination for YMSM (age 16–24). A cross-sectional study using an online questionnaire examined 38 GPs and 49 SHCPs, including 59 (67.82%) females with a mean age of 40.71 years. Twenty-two participants (20 SHCPs, p < 0.001) had vaccinated a YMSM patient against HPV. GPs lack of time (25/38, 65.79%) and SHCP staff availability (27/49, 55.10%) were the main reported factors preventing YMSM HPV vaccination. GPs were less likely than SHCPs to believe there was sufficient evidence for vaccinating YMSM (OR = 0.02, 95% CI = 0.01, 0.47); less likely to have skills to identify YMSM who may benefit from vaccination (OR = 0.03, 95% CI = 0.01, 0.15); and less confident recommending YMSM vaccination (OR = 0.01, 95% CI = 0.00, 0.01). GPs appear to have different knowledge, attitudes, and skills regarding YMSM HPV vaccination when compared to SHCPs.
1661-7827
1-10
Merriel, Samuel W. D.
50082f10-4f74-4fea-8ef4-919a0ed4b6a3
Flannagan, Carrie
227e877d-af85-4556-8f39-8b9c6e2f2fec
Kesten, Joanna M.
d76376a3-d948-4ae3-8057-00898a21a5fb
Shapiro, Gilla K.
adb6690b-006e-469c-a5a3-d29d1f19f336
Nadarzynski, Tomasz
218d69a1-d1be-46f4-bead-23071bd4f270
Prue, Gillian
abe27453-2116-45d6-b012-9f448fde05b1
Merriel, Samuel W. D.
50082f10-4f74-4fea-8ef4-919a0ed4b6a3
Flannagan, Carrie
227e877d-af85-4556-8f39-8b9c6e2f2fec
Kesten, Joanna M.
d76376a3-d948-4ae3-8057-00898a21a5fb
Shapiro, Gilla K.
adb6690b-006e-469c-a5a3-d29d1f19f336
Nadarzynski, Tomasz
218d69a1-d1be-46f4-bead-23071bd4f270
Prue, Gillian
abe27453-2116-45d6-b012-9f448fde05b1

Merriel, Samuel W. D., Flannagan, Carrie, Kesten, Joanna M., Shapiro, Gilla K., Nadarzynski, Tomasz and Prue, Gillian (2018) Knowledge and attitudes of General Practitioners and sexual health care professionals regarding human papillomavirus vaccination for young men who have sex with men. International Journal of Environmental Research and Public Health, 15 (1), 1-10. (doi:10.3390/ijerph15010151).

Record type: Article

Abstract

Men who have sex with men (MSM) may be at higher risk for human papillomavirus (HPV)-associated cancers. Healthcare professionals’ recommendations can affect HPV vaccination uptake. Since 2016, MSM up to 45 years have been offered HPV vaccination at genitourinary medicine (GUM) clinics in a pilot programme, and primary care was recommended as a setting for opportunistic vaccination. Vaccination prior to potential exposure to the virus (i.e. sexual debut) is likely to be most efficacious, therefore a focus on young MSM (YMSM) is important. This study aimed to explore and compare the knowledge and attitudes of UK General Practitioners (GPs) and sexual healthcare professionals (SHCPs) regarding HPV vaccination for YMSM (age 16–24). A cross-sectional study using an online questionnaire examined 38 GPs and 49 SHCPs, including 59 (67.82%) females with a mean age of 40.71 years. Twenty-two participants (20 SHCPs, p < 0.001) had vaccinated a YMSM patient against HPV. GPs lack of time (25/38, 65.79%) and SHCP staff availability (27/49, 55.10%) were the main reported factors preventing YMSM HPV vaccination. GPs were less likely than SHCPs to believe there was sufficient evidence for vaccinating YMSM (OR = 0.02, 95% CI = 0.01, 0.47); less likely to have skills to identify YMSM who may benefit from vaccination (OR = 0.03, 95% CI = 0.01, 0.15); and less confident recommending YMSM vaccination (OR = 0.01, 95% CI = 0.00, 0.01). GPs appear to have different knowledge, attitudes, and skills regarding YMSM HPV vaccination when compared to SHCPs.

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More information

Accepted/In Press date: 18 January 2018
e-pub ahead of print date: 18 January 2018
Published date: 2018

Identifiers

Local EPrints ID: 417145
URI: https://eprints.soton.ac.uk/id/eprint/417145
ISSN: 1661-7827
PURE UUID: 5572b06a-eed4-48a7-9a70-d12fcc48e4a5

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Date deposited: 22 Jan 2018 17:30
Last modified: 19 Feb 2018 17:31

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Contributors

Author: Samuel W. D. Merriel
Author: Carrie Flannagan
Author: Joanna M. Kesten
Author: Gilla K. Shapiro
Author: Gillian Prue

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