Sexual and preventive behaviors associated with HAV, HBV, and HPV vaccine hesitancy among men who have sex with men in France
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 determi...
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| Format: | Article |
| Language: | English |
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Taylor & Francis Group
2024-12-01
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| Series: | Human Vaccines & Immunotherapeutics |
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| Online Access: | https://www.tandfonline.com/doi/10.1080/21645515.2024.2348845 |
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| author | Chloé Cogordan Lisa Fressard Emeline Brosset Aurélie Bocquier Annie Velter Margot Annequin Michel Bourrelly Jean Constance David Michels Marion Mora Stéphane Morel Camilla Oliveri Gwenaëlle Maradan Cyril Berenger Bruno Spire Pierre Verger |
| author_facet | Chloé Cogordan Lisa Fressard Emeline Brosset Aurélie Bocquier Annie Velter Margot Annequin Michel Bourrelly Jean Constance David Michels Marion Mora Stéphane Morel Camilla Oliveri Gwenaëlle Maradan Cyril Berenger Bruno Spire Pierre Verger |
| author_sort | Chloé Cogordan |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-60eb52866cf24b02997ba120160ea3d7 |
| institution | DOAJ |
| issn | 2164-5515 2164-554X |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | Human Vaccines & Immunotherapeutics |
| spelling | doaj-art-60eb52866cf24b02997ba120160ea3d72025-08-20T03:22:19ZengTaylor & Francis GroupHuman Vaccines & Immunotherapeutics2164-55152164-554X2024-12-0120110.1080/21645515.2024.2348845Sexual and preventive behaviors associated with HAV, HBV, and HPV vaccine hesitancy among men who have sex with men in FranceChloé Cogordan0Lisa Fressard1Emeline Brosset2Aurélie Bocquier3Annie Velter4Margot Annequin5Michel Bourrelly6Jean Constance7David Michels8Marion Mora9Stéphane Morel10Camilla Oliveri11Gwenaëlle Maradan12Cyril Berenger13Bruno Spire14Pierre Verger15ORS PACA, Southeastern Health Regional Observatory, Marseille, FranceORS PACA, Southeastern Health Regional Observatory, Marseille, FranceORS PACA, Southeastern Health Regional Observatory, Marseille, FranceORS PACA, Southeastern Health Regional Observatory, Marseille, FranceSanté publique France (The French Public Health Agency), Saint-Maurice, FranceORS PACA, Southeastern Health Regional Observatory, Marseille, FranceAix Marseille Univ, Inserm, IRD, SESSTIM, Sciences Economiques & Sociales de la Santé & Traitement de l’Information Médicale, ISSPAM, Marseille, FranceORS PACA, Southeastern Health Regional Observatory, Marseille, FranceAIDES, Pantin, FranceAix Marseille Univ, Inserm, IRD, SESSTIM, Sciences Economiques & Sociales de la Santé & Traitement de l’Information Médicale, ISSPAM, Marseille, FranceAIDES, Paris, FranceORS PACA, Southeastern Health Regional Observatory, Marseille, FranceORS PACA, Southeastern Health Regional Observatory, Marseille, FranceORS PACA, Southeastern Health Regional Observatory, Marseille, FranceAix Marseille Univ, Inserm, IRD, SESSTIM, Sciences Economiques & Sociales de la Santé & Traitement de l’Information Médicale, ISSPAM, Marseille, FranceORS PACA, Southeastern Health Regional Observatory, Marseille, FranceVaccination 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.https://www.tandfonline.com/doi/10.1080/21645515.2024.2348845MSMhepatitis Bhepatitis Ahuman papillomavirusvaccine hesitancysexual activity |
| spellingShingle | Chloé Cogordan Lisa Fressard Emeline Brosset Aurélie Bocquier Annie Velter Margot Annequin Michel Bourrelly Jean Constance David Michels Marion Mora Stéphane Morel Camilla Oliveri Gwenaëlle Maradan Cyril Berenger Bruno Spire Pierre Verger Sexual and preventive behaviors associated with HAV, HBV, and HPV vaccine hesitancy among men who have sex with men in France Human Vaccines & Immunotherapeutics MSM hepatitis B hepatitis A human papillomavirus vaccine hesitancy sexual activity |
| title | Sexual and preventive behaviors associated with HAV, HBV, and HPV vaccine hesitancy among men who have sex with men in France |
| title_full | Sexual and preventive behaviors associated with HAV, HBV, and HPV vaccine hesitancy among men who have sex with men in France |
| title_fullStr | Sexual and preventive behaviors associated with HAV, HBV, and HPV vaccine hesitancy among men who have sex with men in France |
| title_full_unstemmed | Sexual and preventive behaviors associated with HAV, HBV, and HPV vaccine hesitancy among men who have sex with men in France |
| title_short | Sexual and preventive behaviors associated with HAV, HBV, and HPV vaccine hesitancy among men who have sex with men in France |
| title_sort | sexual and preventive behaviors associated with hav hbv and hpv vaccine hesitancy among men who have sex with men in france |
| topic | MSM hepatitis B hepatitis A human papillomavirus vaccine hesitancy sexual activity |
| url | https://www.tandfonline.com/doi/10.1080/21645515.2024.2348845 |
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