Promoting vaccination during rapid HIV testing: Recommendations from men who have sex with men in California.

Publisher: Hindawi in collaboration with John Wiley & Sons, Inc Country of Publication: England NLM ID: 9306359 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1365-2524 (Electronic) Linking ISSN: 09660410 NLM ISO Abbreviation: Health Soc Care Community Subsets: MEDLINE

Publication: [London] : Hindawi in collaboration with John Wiley & Sons, Inc.
Original Publication: Oxford : Blackwell Scientific Publications, c1993-

HIV Infections*/diagnosis ; HIV Infections*/prevention & control ; Papillomavirus Infections*/diagnosis ; Papillomavirus Infections*/epidemiology ; Papillomavirus Infections*/prevention & control ; Papillomavirus Vaccines* ; Sexual and Gender Minorities*; Adult ; California ; Health Knowledge, Attitudes, Practice ; Homosexuality, Male ; Humans ; Male ; Vaccination

Community-based rapid HIV testing is effective for reaching racial-ethnically diverse men who have sex with men (MSM), offering an opportunity for bundled health promotion interventions. Given MSM experience a heightened prevalence of human papillomavirus (HPV) and meningococcal disease, we examined their preferences for bundling rapid HIV testing with an intervention to promote vaccination against these infections. In 2020, we conducted five virtual focus groups (N = 25 participants) in English and Spanish with MSM in Southern California's Inland Empire. Participants discussed their knowledge about HPV and meningitis vaccination and attitudes toward receiving vaccination information and referrals during rapid HIV tests. We used the rigorous and accelerated data reduction technique to systematically analyse the data. Participants had a mean age of 30, were socioeconomically diverse, and predominantly (68%) Hispanic. 96% had ever been tested for HIV, while only 28% were vaccinated against HPV and/or meningitis. Most participants were unaware of MSM's elevated risk for HPV and meningitis and were eager to receive vaccination information from LGBTQ+-friendly providers. However, many participants emphasised rapid HIV testing was stressful and anticipated feeling overwhelmed if presented with vaccination information in this setting. Preferred formats for vaccine promotion included pamphlets and resources that could be discretely accessed online, supported by broader advertising featuring diverse MSM on social media, dating apps, and posters in the community. Overall, our findings suggest that bundling health promotion messages with rapid HIV testing may be ineffective, as the anxiety associated with taking an HIV test may interfere with such messages and their impact.
(© 2022 John Wiley & Sons Ltd.)

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U24 MD015970 United States MD NIMHD NIH HHS; U54 MD013368 United States MD NIMHD NIH HHS

Keywords: HIV testing; HPV vaccination; United States; community-based participatory research; focus groups; men who have sex with men; meningitis vaccination

0 (Papillomavirus Vaccines)

Date Created: 20220105 Date Completed: 20220815 Latest Revision: 20230902

20240513

PMC9253199

10.1111/hsc.13702

34985804