Validation of self-reported human papillomavirus vaccination in young adult men who have sex with men

The Victorian Government introduced a time-limited human papillomavirus (HPV) catch-up program for gay, bisexual, and other men who have sex with men (GBMSM) aged ≤ 26 years in 2017–2019. We conducted a retrospective observational study to examine the accuracy of the self-report of HPV vaccination s...

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Main Authors: Eric P.F. Chow, Christopher K. Fairley, Sidney Atkinson, Catriona S Bradshaw, Marcus Y. Chen
Format: Article
Language:English
Published: Taylor & Francis Group 2024-12-01
Series:Human Vaccines & Immunotherapeutics
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Online Access:https://www.tandfonline.com/doi/10.1080/21645515.2024.2371179
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author Eric P.F. Chow
Christopher K. Fairley
Sidney Atkinson
Catriona S Bradshaw
Marcus Y. Chen
author_facet Eric P.F. Chow
Christopher K. Fairley
Sidney Atkinson
Catriona S Bradshaw
Marcus Y. Chen
author_sort Eric P.F. Chow
collection DOAJ
description The Victorian Government introduced a time-limited human papillomavirus (HPV) catch-up program for gay, bisexual, and other men who have sex with men (GBMSM) aged ≤ 26 years in 2017–2019. We conducted a retrospective observational study to examine the accuracy of the self-report of HPV vaccination status using computer-assisted self-interviewing versus their immunization history via electronic health records. We included GBMSM aged 23–30 years visiting the Melbourne Sexual Health Centre (MSHC) in 2020–2021 because they were age-eligible for the HPV catch-up program in Victoria, Australia. Individuals who were unsure about their vaccination status were categorized as ‘unvaccinated’. Of the 1,786 eligible men, 1,665 men self-reported their HPV vaccination status: 48.8% (n = 812) vaccinated, 17.4% (n = 289) unvaccinated, and 33.9% (n = 564) unsure. Self-reported HPV vaccination had a sensitivity of 61.3% (95%CI: 58.3 to 64.2%; 661/1079), a specificity of 74.2% (95%CI: 70.5 to 77.7%; 435/586), a positive predictive value of 81.4% (95%CI: 78.6 to 84.0%; 661/812), a negative predictive value of 51.0% (95%CI: 47.6 to 54.4%; 435/853), and an accuracy of 52.6% (95%CI: 50.1 to 55.0%). Our results showed that only half of GBMSM know and report their HPV vaccination status correctly. Novel approaches such as digital vaccine passports may be useful for individuals to accurately report their vaccination status to guide accurate clinical decisions and management.
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spelling doaj-art-b0e2505e26da409aa9101e6a31a86fc32025-08-20T02:34:25ZengTaylor & Francis GroupHuman Vaccines & Immunotherapeutics2164-55152164-554X2024-12-0120110.1080/21645515.2024.2371179Validation of self-reported human papillomavirus vaccination in young adult men who have sex with menEric P.F. Chow0Christopher K. Fairley1Sidney Atkinson2Catriona S Bradshaw3Marcus Y. Chen4Melbourne Sexual Health Centre, Alfred Health, Melbourne, AustraliaMelbourne Sexual Health Centre, Alfred Health, Melbourne, AustraliaMelbourne Sexual Health Centre, Alfred Health, Melbourne, AustraliaMelbourne Sexual Health Centre, Alfred Health, Melbourne, AustraliaMelbourne Sexual Health Centre, Alfred Health, Melbourne, AustraliaThe Victorian Government introduced a time-limited human papillomavirus (HPV) catch-up program for gay, bisexual, and other men who have sex with men (GBMSM) aged ≤ 26 years in 2017–2019. We conducted a retrospective observational study to examine the accuracy of the self-report of HPV vaccination status using computer-assisted self-interviewing versus their immunization history via electronic health records. We included GBMSM aged 23–30 years visiting the Melbourne Sexual Health Centre (MSHC) in 2020–2021 because they were age-eligible for the HPV catch-up program in Victoria, Australia. Individuals who were unsure about their vaccination status were categorized as ‘unvaccinated’. Of the 1,786 eligible men, 1,665 men self-reported their HPV vaccination status: 48.8% (n = 812) vaccinated, 17.4% (n = 289) unvaccinated, and 33.9% (n = 564) unsure. Self-reported HPV vaccination had a sensitivity of 61.3% (95%CI: 58.3 to 64.2%; 661/1079), a specificity of 74.2% (95%CI: 70.5 to 77.7%; 435/586), a positive predictive value of 81.4% (95%CI: 78.6 to 84.0%; 661/812), a negative predictive value of 51.0% (95%CI: 47.6 to 54.4%; 435/853), and an accuracy of 52.6% (95%CI: 50.1 to 55.0%). Our results showed that only half of GBMSM know and report their HPV vaccination status correctly. Novel approaches such as digital vaccine passports may be useful for individuals to accurately report their vaccination status to guide accurate clinical decisions and management.https://www.tandfonline.com/doi/10.1080/21645515.2024.2371179HPVvaccineaccuracypreventiongayprevention
spellingShingle Eric P.F. Chow
Christopher K. Fairley
Sidney Atkinson
Catriona S Bradshaw
Marcus Y. Chen
Validation of self-reported human papillomavirus vaccination in young adult men who have sex with men
Human Vaccines & Immunotherapeutics
HPV
vaccine
accuracy
prevention
gay
prevention
title Validation of self-reported human papillomavirus vaccination in young adult men who have sex with men
title_full Validation of self-reported human papillomavirus vaccination in young adult men who have sex with men
title_fullStr Validation of self-reported human papillomavirus vaccination in young adult men who have sex with men
title_full_unstemmed Validation of self-reported human papillomavirus vaccination in young adult men who have sex with men
title_short Validation of self-reported human papillomavirus vaccination in young adult men who have sex with men
title_sort validation of self reported human papillomavirus vaccination in young adult men who have sex with men
topic HPV
vaccine
accuracy
prevention
gay
prevention
url https://www.tandfonline.com/doi/10.1080/21645515.2024.2371179
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