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Sexual and preventive behaviors associated with HAV, HBV, and HPV vaccine hesitancy among men who have sex with men in France.
Cogordan, Chloé; Fressard, Lisa; Brosset, Emeline; Bocquier, Aurélie; Velter, Annie; Annequin, Margot; Bourrelly, Michel; Constance, Jean; Michels, David; Mora, Marion; Morel, Stéphane; Oliveri, Camilla; Maradan, Gwenaëlle; Berenger, Cyril; Spire, Bruno; Verger, Pierre.
Afiliação
  • Cogordan C; ORS PACA, Southeastern Health Regional Observatory, Marseille, France.
  • Fressard L; ORS PACA, Southeastern Health Regional Observatory, Marseille, France.
  • Brosset E; ORS PACA, Southeastern Health Regional Observatory, Marseille, France.
  • Bocquier A; ORS PACA, Southeastern Health Regional Observatory, Marseille, France.
  • Velter A; Inserm, INSPIIRE, Université de Lorraine, Nancy, France.
  • Annequin M; Santé publique France (The French Public Health Agency), Saint-Maurice, France.
  • Bourrelly M; Aix Marseille Univ, Inserm, IRD, SESSTIM, Sciences Economiques & Sociales de la Santé & Traitement de l'Information Médicale, ISSPAM, Marseille, France.
  • Constance J; ORS PACA, Southeastern Health Regional Observatory, Marseille, France.
  • Michels D; Aix Marseille Univ, Inserm, IRD, SESSTIM, Sciences Economiques & Sociales de la Santé & Traitement de l'Information Médicale, ISSPAM, Marseille, France.
  • Mora M; Aix Marseille Univ, Inserm, IRD, SESSTIM, Sciences Economiques & Sociales de la Santé & Traitement de l'Information Médicale, ISSPAM, Marseille, France.
  • Morel S; ORS PACA, Southeastern Health Regional Observatory, Marseille, France.
  • Oliveri C; AIDES, Pantin, France.
  • Maradan G; Laboratoire de recherche communautaire, Coalition PLUS, Pantin, France.
  • Berenger C; Aix Marseille Univ, Inserm, IRD, SESSTIM, Sciences Economiques & Sociales de la Santé & Traitement de l'Information Médicale, ISSPAM, Marseille, France.
  • Spire B; AIDES, Paris, France.
  • Verger P; ORS PACA, Southeastern Health Regional Observatory, Marseille, France.
Hum Vaccin Immunother ; 20(1): 2348845, 2024 Dec 31.
Article em En | MEDLINE | ID: mdl-38783608
ABSTRACT
Vaccination coverage against hepatitis A virus (HAV), hepatitis B virus (HBV), and human papillomaviruses (HPV) is insufficient among men who have sex with men (MSM), partly because of their high prevalence of vaccine hesitancy (VH) specific to these vaccines. This study aimed to investigate determinants of specific VH in MSM, focusing on characteristics of their sexual activity, propensity to use prevention tools and medical care, disclosure of sexual orientation to health care professionals (HCPs), and perceived stigmatization. A cross-sectional electronic survey (February - August 2022) collected perceptions of HBV, HAV, and HPV, and of their respective vaccines among 3,730 French MSM and enabled the construction of a specific VH variable. Using agglomerative hierarchical cluster analysis, we constructed a typology of MSM sexual and prevention practices. We identified three MSM clusters (low- (C1, 24%), moderate- (C2, 41%), and high- (C3, 35%) "sexual activity/medical engagement") that showed an increasing gradient in the use of medical prevention with regular medical care and exposure to high-risk sexual practices. A multiple ordinal logistic regression showed that overall specific VH was higher in the C1 cluster and in men who had not informed their physician of their sexual orientation. This typology could usefully help to adapt vaccination communication strategies for MSM prevention program according to patients' profiles. HCPs should be encouraged and trained to ask men about their sexual practices and to provide appropriate vaccination recommendations nonjudgmentally.
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Texto completo: 1 Base de dados: MEDLINE Assunto principal: Comportamento Sexual / Vacinas contra Hepatite B / Homossexualidade Masculina / Infecções por Papillomavirus / Vacinas contra Papillomavirus / Hesitação Vacinal Idioma: En Ano de publicação: 2024 Tipo de documento: Article

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Comportamento Sexual / Vacinas contra Hepatite B / Homossexualidade Masculina / Infecções por Papillomavirus / Vacinas contra Papillomavirus / Hesitação Vacinal Idioma: En Ano de publicação: 2024 Tipo de documento: Article