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首页> 外文期刊>Vaccine >How very young men who have sex with men view vaccination against human papillomavirus
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How very young men who have sex with men view vaccination against human papillomavirus

机译：与男性发生性关系的年轻男性如何看待针对人类乳头瘤病毒的疫苗

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Background: HPV vaccination of men who have sex with men (MSM) prior to the commencement of sexual activity would have the maximum impact on preventing HPV and anal cancer in this population. However, knowledge and attitudes towards HPV vaccination among very young MSM have not been previously studied. Methods: Two hundred MSM aged 16 to 20 were recruited via community and other sources. Participants were asked about their knowledge and attitudes towards HPV and HPV vaccination. Results: Most (80%, 95% confidence interval (CI) 72.2-87.2%) men were not willing to purchase the vaccine because of its cost (AUD$450). However, if the vaccine was offered to MSM free of charge, 86% (95% Cl: 80-90%) reported they would be willing to disclose their sexuality to a health care provider in order to obtain the vaccine. Over half (54%, 95%: 47-61%) of men would only be willing to disclose their sexuality to receive the HPV vaccine after their first experience of anal intercourse. The age at first insertive anal intercourse and the age at first receptive anal intercourse were 0.21 (IQR: -2.5 to 3.2) and 0.17 (IQR: -2.9 to 2.7) years earlier than the age that men would be willing to disclose their sexuality to receive the HPV vaccine, respectively. Willingness to receive the vaccine at a younger age was associated with younger age at first insertive anal intercourse. Conclusion: Overall, very young MSM expressed high acceptance of HPV vaccination. Early, opportunistic vaccination of very young MSM may be feasible in settings where very young MSM have not been vaccinated through universal programs targeting school aged males. However, given HPV infections occur early on, the effectiveness of this approach will be less than vaccination targeting school aged boys
机译：背景：在性活动开始之前，对与男性发生性关系的男性（MSM）进行HPV疫苗接种将对预防该人群中的HPV和肛门癌产生最大的影响。但是，以前尚未研究过非常年轻的MSM对HPV疫苗接种的知识和态度。方法：通过社区和其他渠道招募了200名16至20岁的MSM。询问参与者关于HPV和HPV疫苗接种的知识和态度。结果：由于成本高昂（450澳元），大多数（80％，95％的置信区间（CI）72.2-87.2％）男性不愿购买该疫苗。但是，如果将疫苗免费提供给MSM，则有86％（95％Cl：80-90％）报告称他们愿意向医疗服务提供者披露其性以获得疫苗。超过一半（54％，95％：47-61％）的男性在初次肛交后才愿意透露自己的性行为以接受HPV疫苗。首次插入肛交的年龄和第一次接受肛交的年龄比男性愿意向其公开性行为的年龄早0.21（IQR：-2.5至3.2）和0.17（IQR：-2.9至2.7）岁。分别接受HPV疫苗。年轻人初次接受肛门性交时愿意接受疫苗的年龄较小。结论：总的来说，非常年轻的MSM对HPV疫苗接种表示高度认可。在尚未通过针对学龄男性的通用计划对非常年轻的MSM进行疫苗接种的情况下，可以对非常年轻的MSM进行早期机会性疫苗接种。但是，鉴于HPV感染较早发生，这种方法的效果将不及针对学龄男孩的疫苗接种

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