Drexel University Dornsife School of Public Health, 3215 Market St., Philadelphia, PA 19104, USA.
Division of Population Science, Thomas Jefferson University, 834 Chestnut St., Ste. 314, Philadelphia, PA 19107, USA.
Health Promot Int. 2020 Apr 1;35(2):290-300. doi: 10.1093/heapro/daz030.
This study aimed to quantify human papillomavirus (HPV) vaccine Twitter messaging addressing gay, bisexual and other men who have sex with men (GB+MSM) and describes messaging by vaccine sentiment (attitudes towards vaccine) and characteristics (topic of messaging). Between August 2014 and July 2015, we collected 193 379 HPV-related tweets and classified them by vaccine sentiment and characteristics. We analysed a subsample of tweets containing the terms 'gay', 'bisexual' and 'MSM' (N = 2306), and analysed distributions of sentiment and characteristics using chi-square. HPV-related tweets containing GB+MSM terms occupied 1% of our sample. The subsample had a largely positive vaccine sentiment. However, a proportion of 'gay' and 'bisexual' tweets did not mention the vaccine, and a proportion of 'gay' and 'MSM' tweets had a negative sentiment. Topics varied by GB+MSM term-HPV risk messaging was prevalent in 'bisexual' (25%) tweets, and HPV transmission through sex/promiscuity messaging was prevalent in 'gay' (18%) tweets. Prevention/protection messaging was prevalent only in 'MSM' tweets (49%). Although HPV vaccine sentiment was positive in GB+MSM messaging, we identified deficits in the volume of GB+MSM messaging, a lack of focus on vaccination, and a proportion of negative tweets. While HPV vaccine promotion has historically focused on heterosexual HPV transmission, there are opportunities to shape vaccine uptake in GB+MSM through public health agenda setting using social media messaging that increases knowledge and minimizes HPV vaccine stigma. Social media-based HPV vaccine promotion should also address the identities of those at risk to bolster vaccine uptake and reduce the risk of HPV-attributable cancers.
本研究旨在定量分析针对男同性恋、双性恋和其他与男性发生性关系的男性（GB+MSM）的人乳头瘤病毒（HPV）疫苗 Twitter 消息，并描述疫苗情绪（对疫苗的态度）和特征（消息主题）的消息。在 2014 年 8 月至 2015 年 7 月期间，我们收集了 193379 条与 HPV 相关的推文，并根据疫苗情绪和特征对其进行分类。我们分析了包含“gay”、“bisexual”和“MSM”术语的推文样本（N=2306），并使用卡方分析了情绪和特征的分布。包含 GB+MSM 术语的 HPV 相关推文仅占我们样本的 1%。该子样本的疫苗情绪基本为正面。然而，一部分“gay”和“bisexual”推文并未提及疫苗，一部分“gay”和“MSM”推文持负面情绪。主题因 GB+MSM 术语而异-HPV 风险消息在“bisexual”（25%）推文中很常见，HPV 通过性/滥交传播的消息在“gay”（18%）推文中很常见，而仅在“MSM”（49%）推文中常见预防/保护消息。尽管在 GB+MSM 消息中 HPV 疫苗情绪为正面，但我们发现 GB+MSM 消息数量不足，缺乏对疫苗接种的关注，以及存在一定比例的负面推文。虽然 HPV 疫苗推广历史上一直侧重于异性恋 HPV 传播，但通过利用社交媒体消息来制定公共卫生议程，为 GB+MSM 人群增加知识并减少 HPV 疫苗污名化，有机会塑造疫苗接种率。基于社交媒体的 HPV 疫苗推广还应针对处于危险中的人群的身份，以提高疫苗接种率并降低 HPV 相关癌症的风险。
