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Misinformation, Gendered Perceptions, and Low Healthcare Provider Communication Around HPV and the HPV Vaccine Among Young Sexual Minority Men in New York City: The P18 Cohort Study

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Abstract

Human papillomavirus (HPV) is the most common sexually transmitted infection among adults in the United States, and can cause several types of cancer. This is of particular concern for sexual minority men, as their increased risk of HIV acquisition increases risk for HPV and HPV-associated cancers, particularly when coupled with low rates of HPV vaccination. As part of a larger study of the syndemic of HIV, substance use, and mental health among young sexual minority men in New York City, we sought to explore what sexual minority men know about HPV and the HPV vaccine, along with their experiences have been communicating about the virus and vaccine. We interviewed 38 young sexual minority men with diverse sociodemographic characteristics and identified three main themes: low knowledge about HPV infection and vaccination, highly gendered misconceptions about HPV only affecting women, and lack of communication from healthcare providers about HPV. The prevalence of incorrect HPV knowledge, coupled with inadequate education and vaccination in healthcare settings, indicates a missed opportunity for HPV prevention in a high-risk and high-need population.

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Funding

This work was supported by the National Institute on Drug Abuse [1R01DA0225537, 2R01DA025537] and the National Institute of Allergy and Infectious Diseases [R01AI132020, R56AI122000].

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Authors and Affiliations

  1. Department of Health Science, University of Alabama, 470 Russell Hall, Tuscaloosa, AL, 35487, USA

    Jessica Jaiswal

  2. Center for Health, Identity, Behavior & Prevention Studies, School of Public Health, Rutgers University, 1 Riverfront Plaza, Suite 1020, Newark, NJ, 07102, USA

    Jessica Jaiswal, Caleb LoSchiavo, Anthony Maiolatesi, Farzana Kapadia & Perry N. Halkitis

  3. Center for Interdisciplinary Research on AIDS, Yale University, 135 College Street, New Haven, CT, 06510, USA

    Jessica Jaiswal & Anthony Maiolatesi

  4. School of Public Health, Rutgers University, 683 Hoes Lane West, Piscataway, NJ, 08854, USA

    Caleb LoSchiavo & Perry N. Halkitis

  5. School of Public Health, Yale University, 60 College Street, New Haven, CT, 06510, USA

    Anthony Maiolatesi

  6. College of Global Public Health, New York University, 726 Broadway, New York, NY, 10012, USA

    Farzana Kapadia

  7. School of Medicine, New York University, 550 1st Avenue, New York, NY, 10016, USA

    Farzana Kapadia

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Jaiswal, J., LoSchiavo, C., Maiolatesi, A. et al. Misinformation, Gendered Perceptions, and Low Healthcare Provider Communication Around HPV and the HPV Vaccine Among Young Sexual Minority Men in New York City: The P18 Cohort Study. J Community Health 45, 702–711 (2020). https://doi.org/10.1007/s10900-019-00784-w

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