Sex Transm Dis 2019 Apr 15. Epub 2019 Apr 15.
Department of Epidemiology, Rollins School of Public Health, Emory University; Atlanta, GA.
Background: Human papillomavirus (HPV) and HPV-associated cancer rates are high among men who have sex with men (MSM). The US Advisory Committee on Immunization Practices (ACIP) recommends HPV vaccination for all MSM through age 26. We examined trends in HPV vaccine uptake among young US MSM between 2014-2017.
Methods: Cochran-Armitage tests and estimated annual percentage changes (EAPC) were used to examine annual trends (2014-2017) in HPV vaccination initiation among US MSM ≤26 years as of 2011 who participated in a nationwide annual cross-sectional online survey. We identified independent correlates of HPV vaccination in 2017 using Poisson regression modeling.
Results: There were 2,381 participants in 2014; 4,143 in 2015; 3,926 in 2016; and 3,407 in 2017. Mean age was 23.5 years, 39% lived in metropolitan areas, and 37% lived in the South. HPV vaccination significantly increased (p<0.0001) from 22.5% in 2014 to 37.6% in 2017 (EAPC=17.4%). HPV vaccination was significantly greater for MSM who were younger, had health insurance, saw a healthcare provider (HCP) in the past 12-months, resided in the Northeast, resided in metropolitan areas, had higher household income, disclosed their sexual identity to HCP, and had gonorrhea/chlamydia diagnosis in the past 12-months.
Conclusions: HPV vaccination among MSM increased from 2014-2017, but vaccine uptake varied significantly by MSM subgroup. Despite favorable trends, the HPV vaccination coverage for this population (37.6%) is less than half of the Healthy People 2020 target (80%). Additional efforts are needed to increase coverage.