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首页> 外文期刊>Papillomavirus Research >Moving beyond sex: Assessing the impact of gender identity on human papillomavirus vaccine recommendations and uptake among a national sample of rural-residing LGBT young adults
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Moving beyond sex: Assessing the impact of gender identity on human papillomavirus vaccine recommendations and uptake among a national sample of rural-residing LGBT young adults

机译：超越性别：评估性别认同对人乳头瘤病毒疫苗建议的影响以及在全国农村居住的LGBT年轻人样本中的摄取

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Background While national human papillomavirus (HPV) vaccination estimates exist by sex, little is known about HPV vaccination rates by gender identity. Methods We conducted a self-administered, anonymous online cross-sectional survey, with recruitment through Facebook ads, of lesbian, gay, bisexual, and transgender individuals in rural areas of the US. We compared HPV vaccine recommendation and uptake by self-reported sex assigned at birth and current gender identity. Results Six hundred sixty respondents were age eligible for HPV vaccination: 84% reported gender identity aligned with their sex assigned at birth, while 10% reported gender identity the differed from their sex assigned at birth; an additional 6% reported non-binary gender identity. Only 14% of male sex assigned at birth and 44% of female sex assigned at birth received HPV vaccine, similar to estimates by current gender identity. Transgender respondents’ HPV vaccination experience mirrored that of cisgender respondents with regard to sex assigned at birth. Conclusions Providers may base HPV vaccine recommendations on individuals’ sex assigned at birth, which may impact transgender individuals' vaccine coverage. Future HPV vaccine uptake studies should account for gender identity. With sex-specific catch-up HPV vaccination recommendations, the role of gender identity on provider recommendation and reimbursement needs to be addressed.
机译：背景技术虽然全国性的人类乳头瘤病毒（HPV）疫苗接种率是按性别估算的，但对通过性别身份识别的HPV疫苗接种率了解甚少。方法我们进行了一项自我管理的匿名在线横断面调查，并通过Facebook广告招募了美国农村地区的女同性恋，男同性恋，双性恋和变性者。我们比较了HPV疫苗的推荐量和出生时自我报告的性别以及当前的性别认同所吸收的疫苗。结果660名符合HPV疫苗接种条件的被调查者：84％的人称其性别与出生时的性别一致，而10％的人称其性别与出生时的性别不同。另有6％的人报告非二进制性别身份。出生时分配的男性中只有14％的男性和出生时分配的女性中的44％接受了HPV疫苗，这与当前性别身份的估计相似。跨性别受访者的HPV疫苗接种经验与顺性别受访者的出生时性别相关。结论提供者可能会根据出生时分配的性别来推荐HPV疫苗建议，这可能会影响跨性别者的疫苗覆盖率。未来的HPV疫苗摄取研究应说明性别认同。通过针对特定性别的HPV疫苗接种建议，需要解决性别认同在提供者建议和报销方面的作用。

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