Associations Between Risk Perception and HPV Knowledge and Vaccine Uptake: Highlighting the LGBTQ+ Population

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Autores principales: Oluwatobiloba Ayo‐Ajibola, Ryan J. Davis, Matthew E. Lin, Jonathan D. West, Niels C. Kokot, Tamara Chambers
Formato: Artículo Open Access
Publicado: Wiley 2024
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author Oluwatobiloba Ayo‐Ajibola
Ryan J. Davis
Matthew E. Lin
Jonathan D. West
Niels C. Kokot
Tamara Chambers
author_facet Oluwatobiloba Ayo‐Ajibola
Ryan J. Davis
Matthew E. Lin
Jonathan D. West
Niels C. Kokot
Tamara Chambers
Oluwatobiloba Ayo‐Ajibola
Ryan J. Davis
Matthew E. Lin
Jonathan D. West
Niels C. Kokot
Tamara Chambers
collection Wiley Open Access
contents Associations Between Risk Perception and HPV Knowledge and Vaccine Uptake: Highlighting the LGBTQ+ Population Oluwatobiloba Ayo‐Ajibola Ryan J. Davis Matthew E. Lin Jonathan D. West Niels C. Kokot Tamara Chambers Otolaryngology–Head and Neck Surgery AbstractIntroductionGay and bisexual males and other LGBTQ+ communities are more frequently exposed to factors associated with an increased risk of human papillomavirus (HPV) acquisition. Vaccination is critical to protect against HPV+ head and neck cancer (HNC). We characterized the association of perceived level of risk of contraction with HPV knowledge, and vaccine decision‐making.Study DesignCross‐sectional cohort.SettingLGBTQ and general survey Reddit forums (control).MethodsA survey was shared amongst the online forums. Descriptive statistics characterized the data. Multivariable logistic regression was used to understand factors associated with vaccination, self‐perceived high risk, and knowledge of HPV + HNC.ResultsOf 718 respondents, most were female (41.09%), Caucasian (59.89%), college‐educated (33.01%), and insured (77.15%) with a mean age of 30.75 years. Half were vaccinated (49.16%), with most unvaccinated endorsing interest (60.58%). Few dependents were vaccinated (25.91%), with interest in vaccination among parents of unvaccinated children (38.58%). Knowledge of HIV's association with HPV (62.95%), HPV causing HNC (55.57%), and the vaccine's efficacy against HNC (55.57%) was also moderate. Identifying female (P = .042), a self‐perceived high‐risk (P < .001), and having vaccinated children (P < .001) increased vaccination likelihood; transgender (P = .021), or lesbian or gay sexual identity (P < .001) decreased likelihood. Personal HNC diagnosis (P < .001), self‐vaccination (P < .001), having vaccinated children (P < .001), having anal sex (P = .001) or no knowledge of past HPV status (P < .001) increased likelihood of high self‐perceived risk.ConclusionEfforts to improve public education regarding the association between HPV and HNC and vaccination efficacy are required to better inform vaccine decision‐making among individuals at risk for HPV infection. 10.1002/ohn.664 http://creativecommons.org/licenses/by/4.0/
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spellingShingle Associations Between Risk Perception and HPV Knowledge and Vaccine Uptake: Highlighting the LGBTQ+ Population
Oluwatobiloba Ayo‐Ajibola
Ryan J. Davis
Matthew E. Lin
Jonathan D. West
Niels C. Kokot
Tamara Chambers
Otolaryngology–Head and Neck Surgery
Associations Between Risk Perception and HPV Knowledge and Vaccine Uptake: Highlighting the LGBTQ+ Population Oluwatobiloba Ayo‐Ajibola Ryan J. Davis Matthew E. Lin Jonathan D. West Niels C. Kokot Tamara Chambers Otolaryngology–Head and Neck Surgery AbstractIntroductionGay and bisexual males and other LGBTQ+ communities are more frequently exposed to factors associated with an increased risk of human papillomavirus (HPV) acquisition. Vaccination is critical to protect against HPV+ head and neck cancer (HNC). We characterized the association of perceived level of risk of contraction with HPV knowledge, and vaccine decision‐making.Study DesignCross‐sectional cohort.SettingLGBTQ and general survey Reddit forums (control).MethodsA survey was shared amongst the online forums. Descriptive statistics characterized the data. Multivariable logistic regression was used to understand factors associated with vaccination, self‐perceived high risk, and knowledge of HPV + HNC.ResultsOf 718 respondents, most were female (41.09%), Caucasian (59.89%), college‐educated (33.01%), and insured (77.15%) with a mean age of 30.75 years. Half were vaccinated (49.16%), with most unvaccinated endorsing interest (60.58%). Few dependents were vaccinated (25.91%), with interest in vaccination among parents of unvaccinated children (38.58%). Knowledge of HIV's association with HPV (62.95%), HPV causing HNC (55.57%), and the vaccine's efficacy against HNC (55.57%) was also moderate. Identifying female (P = .042), a self‐perceived high‐risk (P < .001), and having vaccinated children (P < .001) increased vaccination likelihood; transgender (P = .021), or lesbian or gay sexual identity (P < .001) decreased likelihood. Personal HNC diagnosis (P < .001), self‐vaccination (P < .001), having vaccinated children (P < .001), having anal sex (P = .001) or no knowledge of past HPV status (P < .001) increased likelihood of high self‐perceived risk.ConclusionEfforts to improve public education regarding the association between HPV and HNC and vaccination efficacy are required to better inform vaccine decision‐making among individuals at risk for HPV infection. 10.1002/ohn.664 http://creativecommons.org/licenses/by/4.0/
title Associations Between Risk Perception and HPV Knowledge and Vaccine Uptake: Highlighting the LGBTQ+ Population
topic Otolaryngology–Head and Neck Surgery
url https://aao-hnsfjournals.onlinelibrary.wiley.com/doi/10.1002/ohn.664