Promoting HPV Vaccination in People with HIV: Factors to Consider

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...

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Bibliographic Details
Published in:International journal of environmental research and public health 2023-03, Vol.20 (7), p.5345
Main Authors: Huff, Kinsey A, Braun, Ashlea, Salvaggio, Michelle R, McGough, Patrick, Frank-Pearce, Summer G, Kendzor, Darla E, Bui, Thanh Cong
Format: Article
Language:English
Subjects:
AIDS vaccines
Analysis
Asian Americans
Black people
Cancer
Cancer vaccines
Content analysis
Education
Ethnicity
Health aspects
Health Knowledge, Attitudes, Practice
Health risks
Hispanic people
HIV
HIV (Viruses)
HIV Infections - prevention & control
HIV patients
Human immunodeficiency virus
Human papillomavirus
Humans
Immunization
Infections
Men
Minority & ethnic groups
Motivation
Papillomavirus Infections - prevention & control
Papillomavirus Vaccines - therapeutic use
Patient Acceptance of Health Care
Prevention
Qualitative research
Sexual behavior
Sexual Partners
Sexually transmitted diseases
Skills
STD
Vaccination
Vaccines
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Summary: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.
ISSN:1660-4601
1661-7827
1660-4601
DOI:10.3390/ijerph20075345