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Barriers and facilitators to HPV and meningococcal vaccination among men who have sex with men: a qualitative study

BACKGROUND: Men who have sex with men (MSM) have suboptimal uptake of human papillomavirus (HPV) and meningococcal vaccines. This study examines barriers and facilitators to HPV and meningococcal vaccination among MSM in a large, racially/ethnically diverse, and medically underserved U.S. region. ME...

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Autores principales: Naidu, Justin, Polonijo, Andrea N.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10204191/
https://www.ncbi.nlm.nih.gov/pubmed/37221575
http://dx.doi.org/10.1186/s12889-023-15847-w
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author Naidu, Justin
Polonijo, Andrea N.
author_facet Naidu, Justin
Polonijo, Andrea N.
author_sort Naidu, Justin
collection PubMed
description BACKGROUND: Men who have sex with men (MSM) have suboptimal uptake of human papillomavirus (HPV) and meningococcal vaccines. This study examines barriers and facilitators to HPV and meningococcal vaccination among MSM in a large, racially/ethnically diverse, and medically underserved U.S. region. METHODS: In 2020, we conducted five focus groups with MSM living in the Inland Empire, California. Participants discussed (1) their knowledge about and attitudes toward HPV, meningococcal disease, and related vaccines; and (2) factors that would encourage or discourage vaccine uptake. Data were systematically analyzed to identify salient barriers and facilitators to vaccination. RESULTS: Participants (N = 25) had a median age of 29. Most were Hispanic (68%), self-identified as gay (84%), and had college degrees (64%). Key barriers to vaccination included: (1) limited awareness and knowledge about HPV and meningococcal disease, (2) reliance on mainstream healthcare providers for vaccine information, (3) stigma and reluctance to disclose sexual orientation, (4) uncertainty about health insurance coverage and vaccine costs, and (5) distance and time required to access vaccines. Key facilitators to vaccination were: (1) vaccine confidence, (2) perceived severity of HPV and meningococcal disease, (3) bundling vaccination into routine healthcare, and (4) pharmacies as vaccination sites. CONCLUSIONS: Findings highlight opportunities for HPV and meningococcal vaccine promotion, including targeted education and awareness campaigns for MSM, LGBT inclusivity training for healthcare providers, and structural interventions to improve vaccine accessibility.
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spelling pubmed-102041912023-05-24 Barriers and facilitators to HPV and meningococcal vaccination among men who have sex with men: a qualitative study Naidu, Justin Polonijo, Andrea N. BMC Public Health Research BACKGROUND: Men who have sex with men (MSM) have suboptimal uptake of human papillomavirus (HPV) and meningococcal vaccines. This study examines barriers and facilitators to HPV and meningococcal vaccination among MSM in a large, racially/ethnically diverse, and medically underserved U.S. region. METHODS: In 2020, we conducted five focus groups with MSM living in the Inland Empire, California. Participants discussed (1) their knowledge about and attitudes toward HPV, meningococcal disease, and related vaccines; and (2) factors that would encourage or discourage vaccine uptake. Data were systematically analyzed to identify salient barriers and facilitators to vaccination. RESULTS: Participants (N = 25) had a median age of 29. Most were Hispanic (68%), self-identified as gay (84%), and had college degrees (64%). Key barriers to vaccination included: (1) limited awareness and knowledge about HPV and meningococcal disease, (2) reliance on mainstream healthcare providers for vaccine information, (3) stigma and reluctance to disclose sexual orientation, (4) uncertainty about health insurance coverage and vaccine costs, and (5) distance and time required to access vaccines. Key facilitators to vaccination were: (1) vaccine confidence, (2) perceived severity of HPV and meningococcal disease, (3) bundling vaccination into routine healthcare, and (4) pharmacies as vaccination sites. CONCLUSIONS: Findings highlight opportunities for HPV and meningococcal vaccine promotion, including targeted education and awareness campaigns for MSM, LGBT inclusivity training for healthcare providers, and structural interventions to improve vaccine accessibility. BioMed Central 2023-05-23 /pmc/articles/PMC10204191/ /pubmed/37221575 http://dx.doi.org/10.1186/s12889-023-15847-w Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Naidu, Justin
Polonijo, Andrea N.
Barriers and facilitators to HPV and meningococcal vaccination among men who have sex with men: a qualitative study
title Barriers and facilitators to HPV and meningococcal vaccination among men who have sex with men: a qualitative study
title_full Barriers and facilitators to HPV and meningococcal vaccination among men who have sex with men: a qualitative study
title_fullStr Barriers and facilitators to HPV and meningococcal vaccination among men who have sex with men: a qualitative study
title_full_unstemmed Barriers and facilitators to HPV and meningococcal vaccination among men who have sex with men: a qualitative study
title_short Barriers and facilitators to HPV and meningococcal vaccination among men who have sex with men: a qualitative study
title_sort barriers and facilitators to hpv and meningococcal vaccination among men who have sex with men: a qualitative study
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10204191/
https://www.ncbi.nlm.nih.gov/pubmed/37221575
http://dx.doi.org/10.1186/s12889-023-15847-w
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