RATES AND PREDICTORS OF HUMAN PAPILLOMAVIRUS VACCINATION AMONG YOUNG MEN RECRUITED FROM URBAN CLINICAL AND COMMUNITY SETTINGS

摘要: Background and Objective Human papillomavirus (HPV) vaccination rates are suboptimal in young men, representing a missed opportunity to prevent cancers caused by HPV. Data about factors associated with over time important design interventions that improve rates. The aims of this study were determine HPV vaccine initiation completion men 13-26 years age recruited from clinical community settings 2013-2014 2016-2017, vaccination. Material Methods Men (N=747) hospital-based teen health center (THC), department sexually transmitted disease clinic (HDSTD) the general community. Participants completed self-administered survey assessing demographic behavioral factors. Vaccination status was determined using electronic medical record statewide immunization registry. We rates, recruitment site year. independently completion, overall stratified year, multivariable logistic regression. Results Mean 21.2 years, 258 (34.5%) had initiated series 154 (20.8%) it. Those THC (vs. HDSTD) more likely initiate (71.3%, 23.2%, 19.5%, respectively, p<.0001) complete (50.7%, 11.7%, 8.3%, series. In analysis, variables younger (13-17 vs. 22-26 years: AOR 5.31), insurance plan (Private Medicaid: OR 0.39; Medicaid others: 2.22), no cigarette smoking (no yes: 1.78) (THC HDSTD: 3.74; community: 3.01). Variables 3.55; 18-21 4.26), 0.51; 2.62), fewer lifetime female partners (1 2-10: 2.55; 1 11+: 2.23) 4.99; 3.95). Conclusion HPV low among 6 after recommendations for men. Men who reported behaviors have been higher risk less be vaccinated. Interventions access primary care home programs cover costs may increase