Factors associated with human papillomavirus, hepatitis A, hepatitis B and mpox vaccination uptake among gay, bisexual and other men who have sex with men in the UK- findings from the large community-based RiiSH-Mpox survey.

Autor:	Baldry G; Blood Safety, Hepatitis, STI & HIV Division, UK Health Security Agency, London, UK.; Institute for Global Health, University College London, London, UK., Phillips D; Blood Safety, Hepatitis, STI & HIV Division, UK Health Security Agency, London, UK., Wilkie R; Blood Safety, Hepatitis, STI & HIV Division, UK Health Security Agency, London, UK., Checchi M; Blood Safety, Hepatitis, STI & HIV Division, UK Health Security Agency, London, UK., Folkard K; Blood Safety, Hepatitis, STI & HIV Division, UK Health Security Agency, London, UK., Simmons R; Blood Safety, Hepatitis, STI & HIV Division, UK Health Security Agency, London, UK., Saunders J; Blood Safety, Hepatitis, STI & HIV Division, UK Health Security Agency, London, UK.; Institute for Global Health, University College London, London, UK.; The National Institute for Health and Care Research Health Protection Research Unit in Blood Borne and Sexually Transmitted Infections at University College London in Partnership With the UK Health Security Agency, London, UK., Mandal S; Blood Safety, Hepatitis, STI & HIV Division, UK Health Security Agency, London, UK., Mercer CH; Institute for Global Health, University College London, London, UK.; The National Institute for Health and Care Research Health Protection Research Unit in Blood Borne and Sexually Transmitted Infections at University College London in Partnership With the UK Health Security Agency, London, UK., Mohammed H; Blood Safety, Hepatitis, STI & HIV Division, UK Health Security Agency, London, UK.; Institute for Global Health, University College London, London, UK.; The National Institute for Health and Care Research Health Protection Research Unit in Blood Borne and Sexually Transmitted Infections at University College London in Partnership With the UK Health Security Agency, London, UK., Ogaz D; Blood Safety, Hepatitis, STI & HIV Division, UK Health Security Agency, London, UK.; The National Institute for Health and Care Research Health Protection Research Unit in Blood Borne and Sexually Transmitted Infections at University College London in Partnership With the UK Health Security Agency, London, UK.
Jazyk:	angličtina
Zdroj:	International journal of STD & AIDS [Int J STD AIDS] 2024 Oct; Vol. 35 (12), pp. 963-981. Date of Electronic Publication: 2024 Aug 20.
DOI:	10.1177/09564624241273778
Abstrakt:	Background: Gay, bisexual, and other men who have sex with men (GBMSM) face a disproportionate burden of sexually transmitted infections and are eligible for targeted vaccinations for hepatitis A (HAV), hepatitis B (HBV), human papilloma virus (HPV) and mpox. This study examines the sociodemographic characteristics, sexual behaviours, and sexual healthcare service (SHS) use associated with vaccination uptake. Methods: We undertook analyses of RiiSH-Mpox - an online, community-based survey with GBMSM recruited via social media and dating apps. We calculated vaccination uptake (≥1 dose) among eligible GBMSM. Bivariate and multivariable logistic regression was performed to identify factors independently associated with vaccination uptake among eligible participants. Results: Reported uptake in eligible GBMSM was around two-thirds for each of the vaccinations considered: mpox 69% (95% confidence interval (CI): 66%-72%), HAV 68% (CI:65%-70%), HBV 72% (CI:69%-74%) and HPV 65% (CI:61%-68%). Vaccination course completion (receiving all recommended doses) ranged from 75% (HBV) to 89% (HAV) among eligible GBMSM. Individuals who represented missed opportunities for vaccination ranged from 22 to 30% of eligible SHS attendees. Younger participants, individuals identifying as bisexual, reporting lower educational qualifications, or being unemployed reported lower uptake across multiple GBMSM-selective vaccinations. Individuals who reported greater levels of sexual behaviour and recent SHS use were more likely to report vaccinations. Conclusion: Eligible participants reported high uptake of vaccinations; however, uptake was lower amongst young GBMSM and self-identifying bisexual men. Awareness of groups with lower vaccination uptake will help inform practice, delivery strategies and health promotion, to improve the reach and impact of vaccinations amongst GBMSM. Competing Interests: Declaration of conflicting interestsThe author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
Databáze:	MEDLINE
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