Association of human papillomavirus-related knowledge, attitudes, and beliefs with HIV status: a national study of gay men

Paul A Gilbert; Noel T Brewer; Paul L Reiter

doi:10.1097/LGT.0b013e3181f1a960

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Association of human papillomavirus-related knowledge, attitudes, and beliefs with HIV status: a national study of gay men

Journal article

Peer reviewed

Association of human papillomavirus-related knowledge, attitudes, and beliefs with HIV status: a national study of gay men

Paul A Gilbert, Noel T Brewer and Paul L Reiter

Journal of lower genital tract disease, Vol.15(2), pp.83-88

04/2011

DOI: 10.1097/LGT.0b013e3181f1a960

PMCID: PMC4024215

PMID: 21169868

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Abstract

Anal cancer and other diseases caused by human papillomavirus (HPV) are more common among people who are HIV-positive. To understand the potential role of HIV status in HPV prevention efforts, we examined HPV-related knowledge, attitudes, and beliefs among HIV-positive and HIV-negative gay men. In January 2009, we interviewed a national sample of 247 adult gay men from the United States that included an oversample of HIV-positive men. Status of HIV was not associated with most beliefs about HPV-related diseases (i.e., genital warts, oral cancer, and anal cancer); however, HIV-positive men had higher worry about and perceived likelihood of these diseases. Most men correctly believed that HIV increases risk of HPV-related diseases, yet 29% to 42% still did not. Relatively few men believed that HPV vaccine works in males or that physicians are allowed to give it to men. Acceptability of the HPV vaccine was high and not associated with HIV status (78% of HIV-positive men vs 74% of HIV-negative men; adjusted odds ratio = 1.48; 95% confidence interval = 0.67-3.27). The high acceptability of HPV vaccine, relatively low knowledge of how HIV increases risk for HPV-related diseases, and misperceptions about HPV vaccine can inform HPV prevention efforts for gay men. The few differences by HIV status suggest that HPV prevention programs may be able to use similar approaches with both HIV-negative and HIV-positive gay men.

Papillomavirus Infections - complications

United States

Humans

Middle Aged

Condylomata Acuminata - virology

Condylomata Acuminata - complications

Anus Neoplasms - prevention & control

Anus Neoplasms - virology

Male

Health Knowledge, Attitudes, Practice

Condylomata Acuminata - prevention & control

Anus Neoplasms - complications

Papillomaviridae - immunology

Health Surveys

Patient Acceptance of Health Care

Papillomavirus Infections - prevention & control

HIV Infections - complications

Adult

Interviews as Topic

Papillomavirus Infections - virology

Homosexuality, Male - psychology

Papillomavirus Vaccines - administration & dosage

Details

Title: Subtitle: Association of human papillomavirus-related knowledge, attitudes, and beliefs with HIV status: a national study of gay men
Creators: Paul A Gilbert - Department of Health Behavior and Health Education, UNC Gillings School of Global Public Health, Chapel Hill, NC 27599-7440, USA. paul.gilbert@unc.edu
Noel T Brewer
Paul L Reiter
Resource Type: Journal article
Publication Details: Journal of lower genital tract disease, Vol.15(2), pp.83-88
DOI: 10.1097/LGT.0b013e3181f1a960
PMID: 21169868
PMCID: PMC4024215
NLM abbreviation: J Low Genit Tract Dis
ISSN: 1089-2591
eISSN: 1526-0976
Publisher: United States
Grant note: R25 CA57726 / NCI NIH HHS R25 CA057726 / NCI NIH HHS
Language: English
Date published: 04/2011
Academic Unit: Community and Behavioral Health
Record Identifier: 9984063207102771

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