Vaccine Effectiveness Against Anal HPV Among Men Who Have Sex With Men Aged 18–45 Years Attending Sexual Health Clinics in 3 United States Cities, 2018–2023 Article Swipe
Carla L. DeSisto
,
Rachel L. Winer
,
Troy D. Querec
,
Damilola Dada
,
Preeti Pathela
,
Lenore Asbel
,
John Lin
,
Jennifer Tang
,
Alfred Iqbal
,
Elissa Meites
,
Elizabeth R. Unger
,
Lauri E. Markowitz
·
YOU?
·
· 2024
· Open Access
·
· DOI: https://doi.org/10.1093/infdis/jiae394
YOU?
·
· 2024
· Open Access
·
· DOI: https://doi.org/10.1093/infdis/jiae394
Background We assessed human papillomavirus (HPV) vaccine effectiveness (VE) against anal HPV among men who have sex with men (MSM) in 2018–2023. Methods Residual anal specimens from MSM without HIV aged 18–45 years were tested for HPV. We calculated adjusted prevalence ratios (aPR) and 95% confidence intervals (CI) for associations between vaccination (≥1 dose) and quadrivalent vaccine (4vHPV)-type prevalence adjusting for city, race/ethnicity, and nonvaccine-type HPV prevalence, stratified by age group (18–26, 27–45 years). VE was calculated as (1 − aPR) × 100. Results Among 2802 persons aged 18–26, 4vHPV-type prevalence was lower in those vaccinated at age <18 (aPR = 0.13; 95% CI, .08–.22; VE = 87%) and those vaccinated ≥2 years before specimen collection (aPR = 0.52; 95% CI, .42–.64; VE = 48%) compared with unvaccinated persons. Among 3548 persons aged 27–45, 4vHPV-type prevalence was lower in those vaccinated at ages 18–26 (aPR = 0.68; 95% CI, .57–.82; VE = 32%) and those vaccinated ≥2 years before specimen collection (aPR = 0.66; 95% CI, .57–.77; VE = 33%) compared with unvaccinated persons. While we observed no VE in persons vaccinated at age >26 overall, 4vHPV-type prevalence was lower in the subgroup vaccinated ≥2 years before specimen collection (aPR = 0.71; 95% CI, .56–.89; VE = 29%). Conclusions We found high VE against anal 4vHPV-type prevalence among MSM aged 18–26 who were vaccinated at age <18. Lower VE was observed among MSM aged 27–45 who were vaccinated at age 18–26 or ≥2 years before specimen collection. While ideally vaccination should be given at younger ages, vaccination can prevent some future infections in this population.
Related Topics
Concepts
Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1093/infdis/jiae394
- https://academic.oup.com/jid/advance-article-pdf/doi/10.1093/infdis/jiae394/58790504/jiae394.pdf
- OA Status
- hybrid
- Cited By
- 4
- References
- 29
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4401500687
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
-
https://openalex.org/W4401500687Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.1093/infdis/jiae394Digital Object Identifier
- Title
-
Vaccine Effectiveness Against Anal HPV Among Men Who Have Sex With Men Aged 18–45 Years Attending Sexual Health Clinics in 3 United States Cities, 2018–2023Work title
- Type
-
articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2024Year of publication
- Publication date
-
2024-08-07Full publication date if available
- Authors
-
Carla L. DeSisto, Rachel L. Winer, Troy D. Querec, Damilola Dada, Preeti Pathela, Lenore Asbel, John Lin, Jennifer Tang, Alfred Iqbal, Elissa Meites, Elizabeth R. Unger, Lauri E. MarkowitzList of authors in order
- Landing page
-
https://doi.org/10.1093/infdis/jiae394Publisher landing page
- PDF URL
-
https://academic.oup.com/jid/advance-article-pdf/doi/10.1093/infdis/jiae394/58790504/jiae394.pdfDirect link to full text PDF
- Open access
-
YesWhether a free full text is available
- OA status
-
hybridOpen access status per OpenAlex
- OA URL
-
https://academic.oup.com/jid/advance-article-pdf/doi/10.1093/infdis/jiae394/58790504/jiae394.pdfDirect OA link when available
- Concepts
-
Men who have sex with men, Human papillomavirus, Medicine, Anal sex, Anal cancer, Demography, Gynecology, Reproductive health, Gerontology, Environmental health, Family medicine, Internal medicine, Population, Human immunodeficiency virus (HIV), Syphilis, SociologyTop concepts (fields/topics) attached by OpenAlex
- Cited by
-
4Total citation count in OpenAlex
- Citations by year (recent)
-
2025: 4Per-year citation counts (last 5 years)
- References (count)
-
29Number of works referenced by this work
- Related works (count)
-
10Other works algorithmically related by OpenAlex
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