Validation of self-reported human papillomavirus vaccination in young adult men who have sex with men
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View abstract on PubMed
Summary
This summary is machine-generated.Gay, bisexual, and other men who have sex with men (GBMSM) often inaccurately report their human papillomavirus (HPV) vaccination status. This study highlights the need for better methods to confirm HPV immunization for accurate health decisions.
Area Of Science
- Public Health
- Immunology
- Epidemiology
Background
- The Victorian Government implemented a human papillomavirus (HPV) vaccination catch-up program for gay, bisexual, and other men who have sex with men (GBMSM) aged 26 years and under between 2017 and 2019.
- Accurate self-reporting of vaccination status is crucial for clinical decision-making and public health management, particularly for targeted immunization programs.
Purpose Of The Study
- To evaluate the accuracy of self-reported HPV vaccination status among GBMSM compared to their electronic health records.
- To assess the reliability of computer-assisted self-interviewing for capturing HPV immunization history in this population.
Main Methods
- A retrospective observational study was conducted involving GBMSM aged 23-30 years attending the Melbourne Sexual Health Centre (MSHC) in 2020-2021.
- Participants' self-reported HPV vaccination status (obtained via computer-assisted self-interviewing) was compared against immunization history documented in electronic health records.
- Individuals unsure of their vaccination status were classified as unvaccinated for analysis.
Main Results
- Of 1,665 GBMSM who self-reported, 48.8% reported being vaccinated, 17.4% unvaccinated, and 33.9% unsure.
- Self-reported HPV vaccination demonstrated a sensitivity of 61.3% and a specificity of 74.2%.
- The overall accuracy of self-reported HPV vaccination status was 52.6%, indicating that only about half of GBMSM accurately report their status.
Conclusions
- Self-reported HPV vaccination status among GBMSM has limited accuracy, with a significant proportion unable to correctly recall or report their immunization history.
- The findings underscore the need for novel approaches, such as digital vaccine passports, to improve the accuracy of vaccination status reporting.
- Accurate reporting is essential for informed clinical decisions and effective management of HPV vaccination programs within the GBMSM community.
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