Facilitators of and barriers to HPV vaccination among sexual and gender minority patients at a Boston community health center

Vaccine
Kaan Z ApaydinAlex S Keuroghlian

Abstract

Young sexual minority individuals have lower human papillomavirus (HPV) vaccine completion rates than the general population, and little is known about how gender minority people perceive HPV vaccination. The aim of this study was to qualitatively identify patient-, provider-, and systems-level barriers and facilitators for HPV vaccination among sexual and gender minority (SGM) people. Fifteen SGM-identified individuals, ages 23-26, were recruited at an urban community health center in Boston, MA, that specializes in care for SGM. Participants were enrolled in a study that utilized surveys and in-person focus groups. During focus groups, participants were asked to describe their perceived barriers and facilitators for completion of HPV vaccination. Fourteen participants reported having a sexual minority identity, and five participants reported having a gender minority identity. Participants described the following factors influencing HPV vaccination: (1) at the patient level, low HPV-related knowledge and lack of engagement in care were associated with less vaccination, whereas fear of HPV-related disease motivated vaccination; (2) at the provider level, knowledge and SGM cultural-competence related to HPV was associated with p...Continue Reading

Citations

Nov 12, 2019·Journal of the American Medical Informatics Association : JAMIA·Hansi ZhangJiang Bian
Nov 1, 2018·Journal of Cancer Education : the Official Journal of the American Association for Cancer Education·Miria KanoShine Chang
May 21, 2020·Human Vaccines & Immunotherapeutics·Li Ping WongGregory D Zimet
May 17, 2019·Revista Panamericana De Salud Pública = Pan American Journal of Public Health·Lídia Ester Lopes da SilvaDayani Galato
Sep 12, 2020·Annals of Behavioral Medicine : a Publication of the Society of Behavioral Medicine·Mary A GerendBrian Mustanski
Aug 13, 2021·Journal of the American Medical Informatics Association : JAMIA·Anthony T PhoJuno Obedin-Maliver
Jan 6, 2022·Health & Social Care in the Community·Andrea N PolonijoBrandon Brown

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