期刊
JMIR PUBLIC HEALTH AND SURVEILLANCE
卷 7, 期 12, 页码 -出版社
JMIR PUBLICATIONS, INC
DOI: 10.2196/32407
关键词
human papillomavirus; vaccination; accuracy; self-reported; men who have sex with men; immunisation; public health; immunization; HPV vaccination; bisexual adolescents; bisexual men
资金
- Merck Co [54860]
- Australian National Health and Medical Research Council (NHMRC) Emerging Leadership Investigator Grant [GNT1172873]
- Australian NHMRC Leadership Investigator Grants [GNT1172900, GNT1197951]
- NHMRC Senior Research Fellowship [GNT1136117]
The study examined self-reported HPV vaccination status among gay and bisexual adolescent males in Australia, finding that it underestimated actual vaccination rates and may be inaccurate for clinical and research purposes.
Background: Men who have sex with men are a risk group for anal human papillomavirus (HPV) and anal cancer. Australia introduced a universal school-based HPV vaccination program in 2013. Self-reported HPV vaccination status has been widely used in clinical and research settings, but its accuracy is understudied. Objective: We aimed to examine the accuracy of self-reported HPV vaccination status among gay and bisexual adolescent males. Methods: We included 192 gay and bisexual males aged 16-20 years from the Human Papillomavirus in Young People Epidemiological Research 2 (HYPER2) study in Melbourne, Australia. All participants had been eligible for the universal school-based HPV vaccination program implemented in 2013 and were asked to self-report their HPV vaccination status. Written informed consent was obtained to verify their HPV vaccination status using records at the National HPV Vaccination Program Register and the Australian Immunisation Register. We calculated the sensitivity, specificity, positive predictive value, and negative predictive value of self-reported HPV vaccination status. Results: The median age of the 192 males was 19 (IQR 18-20) years. There were 128 males (67%) who had HPV vaccination records documented on either registry. Self-reported HPV vaccination had a sensitivity of 47.7% (95% CI 38.8%-56.7%; 61/128), a specificity of 85.9% (95% CI 75.0%-93.4%; 55/64), a positive predictive value of 87.1% (95% CI 77.0%-93.9%; 61/70), and a negative predictive value of 45.1% (95% CI 36.1%-54.3%; 55/122). Conclusions: Self-reported HPV vaccination status among Australian gay and bisexual adolescent males underestimates actual vaccination and may be inaccurate for clinical and research purposes.
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