Amboree Trisha L, Nyitray Alan G, Schneider John, Gargurevich Nick, Kuo Jacky, Chiao Elizabeth Y, Hwang Lu-Yu, Fujimoto Kayo
Center for Epidemiology and Population Health, Department of Pediatrics, Baylor College of Medicine, 6620 Main St, Houston, TX 77030, USA.
Center for AIDS Intervention Research, Department of Psychiatry and Behavioral Medicine, Medical College of Wisconsin, 8701 Watertown Plank Rd., Milwaukee, WI 53226, USA.
Prev Med Rep. 2023 Feb 8;32:102132. doi: 10.1016/j.pmedr.2023.102132. eCollection 2023 Apr.
This brief report examines the relationship, if any, between human immunodeficiency virus (HIV) status, and individual-level and socio-sexual partner-level factors of social determinants of health (SDOH) that are associated with human papillomavirus (HPV) knowledge and vaccine uptake in young sexual minority men (YSMM). We used data from 126 YSMM recruited by network-based sampling during 2015-2016 in Houston, Texas. Descriptive statistics and regression analyses were conducted to test the association between HIV status, SDOH, and HPV knowledge and vaccine uptake. Those living with HIV had lower odds of knowledge of HPV-associated anal cancer (OR: 0.43, 95% CI: 0.18-0.97) and knowledge of HPV spreading via sexual contact (OR: 0.11, 95% CI: 0.01-0.64), and higher odds of HPV vaccine uptake (OR: 2.90, 95% CI: 1.11-8.02). HPV knowledge and vaccine uptake in YSMM was not associated with partner's attributes or individuals' SDOH factors in our study yet was significantly associated with HIV status. Future interventions are needed to increase HPV knowledge among individuals living with HIV and vaccine uptake particularly among YSMM living without HIV that are not engaged in healthcare.
本简要报告探讨了人类免疫缺陷病毒（HIV）感染状况与健康的社会决定因素（SDOH）的个体层面及社会性别伴侣层面因素之间（若存在关联）的关系，这些因素与年轻性少数男性（YSMM）的人乳头瘤病毒（HPV）知识及疫苗接种情况相关。我们使用了2015 - 2016年期间在得克萨斯州休斯顿通过基于网络的抽样方法招募的126名YSMM的数据。进行了描述性统计和回归分析，以检验HIV感染状况、SDOH与HPV知识及疫苗接种之间的关联。感染HIV的人了解HPV相关肛门癌的几率较低（比值比：0.43，95%置信区间：0.18 - 0.97），了解HPV通过性接触传播的几率也较低（比值比：0.11，95%置信区间：0.01 - 0.64），而接种HPV疫苗的几率较高（比值比：2.90，95%置信区间：1.11 - 8.02）。在我们的研究中，YSMM的HPV知识和疫苗接种情况与伴侣属性或个体的SDOH因素无关，但与HIV感染状况显著相关。未来需要采取干预措施，以提高HIV感染者的HPV知识水平，并提高疫苗接种率，特别是在未接受医疗保健的未感染HIV的YSMM中。
