[Abstract] A qualitative assessment of UK sexual healthcare professionals’ views on targeted vaccination against human papillomavirus (HPV) for men who have sex with men (MSM)

Nadaryzski, Tom, Llewellyn, Carrie, Richardson, Daniel, Pollard, Alex and Smith, Helen (2015) [Abstract] A qualitative assessment of UK sexual healthcare professionals’ views on targeted vaccination against human papillomavirus (HPV) for men who have sex with men (MSM). In: Unset.

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Abstract

Background
Female-only HPV vaccination will fail to protect MSM against HPV and its sequelae i.e. genital warts and anal cancers. In the absence of gender-neutral HPV vaccination, targeted vaccination for MSM at sexual health clinics offers a valuable preventive opportunity.
Aims
To identify sexual healthcare professionals’ (SHCPs) perceived barriers and facilitators for MSM-targeted HPV vaccination.
Methods
Nineteen telephone interviews, with UK-based self-referred SHCPs (13 doctors, 3 nurses, 3 health advisers), were conducted in October and November 2014. The interviews were recorded and transcribed verbatim. Data were analysed thematically by two researchers.
Results
Nine themes were identified. The major perceived barriers were: ‘concerns about vaccination programme equity and equality’; ‘concerns about vaccination effectiveness’; ‘challenges with targeting MSM’; ‘obstacles with HPV vaccination delivery’ and ‘negative public reaction to targeting MSM’. The main facilitators were: ‘policies and guidelines’; ‘rising awareness’; ‘acceptable settings’ and ‘adequate vaccination procedures’. While SHCPs expressed varied and sometimes contradictory views on MSM-targeted HPV vaccination, most agreed that HPV vaccination, inclusive of all school-aged boys, would be the most suitable strategy.
Conclusion
Although SHCPs recognised a need to protect MSM against HPV, several challenges and obstacles associated with the introduction of MSM-targeted HPV vaccination in the UK were reported. Solutions on individual, organisational and public levels were offered. SHCPs’ perspectives and concerns need to be addressed when developing policies and guidelines for a potential MSM-targeted HPV vaccination. Future research needs to examine whether negative views of SHCPs towards MSM-targeted HPV vaccination are associated with lower HPV vaccine acceptability and uptake in MSM.

Item Type: Conference or Workshop Item (Paper)
Schools and Departments: Brighton and Sussex Medical School > Primary Care and Public Health
Subjects: R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine > RA0440 Study and teaching. Research
Depositing User: Phoenix Marshall
Date Deposited: 19 Sep 2016 12:27
Last Modified: 02 Dec 2016 15:37
URI: http://sro.sussex.ac.uk/id/eprint/63370

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