Meites Elissa, Markowitz Lauri E, Paz-Bailey Gabriela, Oster Alexandra M
Division of STD Prevention, National Center for HIV/AIDS, Viral Hepatitis, STD and TB Prevention, Centers for Disease Control and Prevention, 1600 Clifton Road NE, MS E-02, Atlanta, GA 30333, USA.
Division of HIV/AIDS Prevention, National Center for HIV/AIDS, Viral Hepatitis, STD and TB Prevention, Centers for Disease Control and Prevention, 1600 Clifton Road NE, MS E-46, Atlanta, GA 30333, USA.
Vaccine. 2014 Nov 12;32(48):6356-9. doi: 10.1016/j.vaccine.2014.09.033. Epub 2014 Sep 22.
Men who have sex with men (MSM) are at high risk for disease associated with human papillomavirus (HPV). In late 2011, HPV vaccine was recommended for males through age 21 and MSM through age 26. Using data from the 2011 National HIV Behavioral Surveillance System, we assessed self-reported HPV vaccine uptake among MSM, using multivariate analysis to calculate adjusted prevalence ratios (aPRs) and 95% confidence intervals (CIs). Among 3221 MSM aged 18-26, 157 (4.9%) reported ≥1 vaccine dose. Uptake was higher among men who visited a healthcare provider (aPR 2.3, CI: 1.2-4.2), disclosed same-sex sexual attraction/behavior to a provider (aPR 2.1, CI: 1.3-3.3), reported a positive HIV test (aPR 2.2, CI: 1.5-3.2), or received hepatitis vaccine (aPR 3.9, CI: 2.4-6.4). Of 3064 unvaccinated MSM, 2326 (75.9%) had visited a healthcare provider within 1 year. These national data on HPV vaccine uptake among MSM provide a baseline as vaccination recommendations are implemented.
与男性发生性行为的男性（男男性行为者）感染人乳头瘤病毒（HPV）相关疾病的风险很高。2011年末，建议为21岁及以下男性以及26岁及以下男男性行为者接种HPV疫苗。利用2011年国家艾滋病病毒行为监测系统的数据，我们评估了男男性行为者中自我报告的HPV疫苗接种情况，采用多变量分析计算调整后的患病率比值（aPRs）和95%置信区间（CIs）。在3221名年龄在18 - 26岁的男男性行为者中，157人（4.9%）报告接种了≥1剂疫苗。在看过医疗服务提供者的男性中接种率更高（aPR 2.3，CI：1.2 - 4.2），向医疗服务提供者披露过同性性吸引/行为的男性（aPR 2.1，CI：1.3 - 3.3），报告HIV检测呈阳性的男性（aPR 2.2，CI：1.5 - 3.2），或接种过肝炎疫苗的男性（aPR 3.9，CI：2.4 - 6.4）。在3064名未接种疫苗的男男性行为者中，2326人（75.9%）在1年内看过医疗服务提供者。随着HPV疫苗接种建议的实施，这些关于男男性行为者HPV疫苗接种情况的全国性数据提供了一个基线。
