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Promoting HPV Vaccination in People with HIV: Factors to Consider

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  • Kinsey A. Huff

    (Department of Family and Preventive Medicine, College of Medicine, University of Oklahoma Health Sciences Center, Oklahoma City, OK 73104, USA
    These authors contributed equally to this work.)

  • Ashlea Braun

    (Department of Nutritional Sciences, College of Education and Human Sciences, Oklahoma State University, Stillwater, OK 74078, USA
    These authors contributed equally to this work.)

  • Michelle R. Salvaggio

    (Infectious Diseases Section, Department of Internal Medicine, College of Medicine, University of Oklahoma Health Sciences Center, Oklahoma City, OK 73104, USA)

  • Patrick McGough

    (Oklahoma City-County Health Department, Oklahoma City, OK 73111, USA)

  • Summer G. Frank-Pearce

    (TSET Health Promotion Research Center, Stephenson Cancer Center, University of Oklahoma Health Sciences Center, 655 Research Parkway, Suite 400, Oklahoma City, OK 73104, USA
    Department of Biostatistics and Epidemiology, Hudson College of Public Health, University of Oklahoma Health Sciences Center, Oklahoma City, OK 73104, USA)

  • Darla E. Kendzor

    (Department of Family and Preventive Medicine, College of Medicine, University of Oklahoma Health Sciences Center, Oklahoma City, OK 73104, USA
    TSET Health Promotion Research Center, Stephenson Cancer Center, University of Oklahoma Health Sciences Center, 655 Research Parkway, Suite 400, Oklahoma City, OK 73104, USA)

  • Thanh Cong Bui

    (Department of Family and Preventive Medicine, College of Medicine, University of Oklahoma Health Sciences Center, Oklahoma City, OK 73104, USA
    TSET Health Promotion Research Center, Stephenson Cancer Center, University of Oklahoma Health Sciences Center, 655 Research Parkway, Suite 400, Oklahoma City, OK 73104, USA)

Abstract

People with HIV (PWH) and their sexual partners have increased risk of human papillomavirus (HPV) infection. Despite recommended HPV vaccination for PWH aged 18–26 years, vaccination rates among PWH remain low. This qualitative study used the Information–Motivation–Behavioral Skills (IMBS) model to identify factors influencing the decisions of PWH around promoting HPV vaccination to their sexual partners. Fourteen PWH with diverse sociodemographic characteristics participated in four focus-group discussions. Data were analyzed using thematic content analysis; codes and themes included IMBS constructs. For the information construct, the need for improved HPV education emerged as the driving factor for HPV vaccine uptake and discussing HPV vaccines with partners. Focal reasons for being unvaccinated included low knowledge of HPV risk, asymptomatic cancer-causing HPV, HPV vaccines, and vaccine eligibility. Salient factors in the motivation construct included the preventive benefits of HPV vaccination to both self and sexual partners. Salient factors in the behavioral skills construct included: accessing vaccine, low self-confidence and skills for promoting vaccination, relationships with sexual partners, partners’ vaccine hesitancy, and stigma. Race/ethnicity impacted HPV vaccination promotion; important determinants included perceptions of HPV-related diseases as “White people’s diseases” among Black people, and discrimination against those with HPV-related diseases among the Hispanic population.

Suggested Citation

  • Kinsey A. Huff & Ashlea Braun & Michelle R. Salvaggio & Patrick McGough & Summer G. Frank-Pearce & Darla E. Kendzor & Thanh Cong Bui, 2023. "Promoting HPV Vaccination in People with HIV: Factors to Consider," IJERPH, MDPI, vol. 20(7), pages 1-10, March.
    • Handle: RePEc:gam:jijerp:v:20:y:2023:i:7:p:5345-:d:1112483
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    References listed on IDEAS

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    1. Hengchen Dai & Silvia Saccardo & Maria A. Han & Lily Roh & Naveen Raja & Sitaram Vangala & Hardikkumar Modi & Shital Pandya & Michael Sloyan & Daniel M. Croymans, 2021. "Behavioural nudges increase COVID-19 vaccinations," Nature, Nature, vol. 597(7876), pages 404-409, September.
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