HPV infections among young MSM visiting sexual health centers in the Netherlands:Opportunities for targeted HPV vaccination

Introduction: In 2009, girls-only HPV16/18 vaccination was introduced in the Netherlands which has achieved 46–61% uptake. Heterosexual men have benefitted from herd protection, but it is unknown whether men who have sex with men (MSM) also benefit from herd effects of the girls-only HPV16/18 vaccination program. Because MSM bear a high HPV-related disease burden, countries might consider targeted vaccination for MSM. To study possible herd effects and prior HPV exposure at a potential moment of vaccination, we assessed trends in the HPV prevalence and proportions (sero)negative for the variou... Mehr ...

Verfasser: Woestenberg, Petra J.
van Benthem, Birgit H.B.
Bogaards, Johannes A.
King, Audrey J.
van der Klis, Fiona R.M.
Pasmans, Hella
Leussink, Suzan
van der Sande, Marianne A.B.
Hoebe, Christian J.P.A.
Dokumenttyp: Artikel
Erscheinungsdatum: 2020
Reihe/Periodikum: Woestenberg , P J , van Benthem , B H B , Bogaards , J A , King , A J , van der Klis , F R M , Pasmans , H , Leussink , S , van der Sande , M A B & Hoebe , C J P A 2020 , ' HPV infections among young MSM visiting sexual health centers in the Netherlands : Opportunities for targeted HPV vaccination ' , Vaccine , vol. 38 , no. 17 , pp. 3321-3329 . https://doi.org/10.1016/j.vaccine.2020.03.002
Sprache: Englisch
Permalink: https://search.fid-benelux.de/Record/base-27232308
Datenquelle: BASE; Originalkatalog
Powered By: BASE
Link(s) : https://research.vumc.nl/en/publications/84416eeb-f1a1-430c-a18a-3ddb890f8aef

Introduction: In 2009, girls-only HPV16/18 vaccination was introduced in the Netherlands which has achieved 46–61% uptake. Heterosexual men have benefitted from herd protection, but it is unknown whether men who have sex with men (MSM) also benefit from herd effects of the girls-only HPV16/18 vaccination program. Because MSM bear a high HPV-related disease burden, countries might consider targeted vaccination for MSM. To study possible herd effects and prior HPV exposure at a potential moment of vaccination, we assessed trends in the HPV prevalence and proportions (sero)negative for the various vaccine types among young MSM visiting sexual health centers (SHCs). Methods: We used data from MSM included in PASSYON study years 2009–2017. In this biennial cross-sectional study among visitors of SHCs aged 16–24 years, MSM provided a penile and anal swab for HPV DNA testing (including vaccine types HPV6/11/16/18/31/33/45/52/58) and blood for HPV antibody testing (HPV16/18/31/33/45/52/58). Results: In total 575 MSM were included, with a median of 22 years of age and 15 lifetime sex partners and 3.5% HIV positive. Trends in penile or anal HPV prevalence during 2009–2017 were statistically non-significant for all vaccine types. Of the 455 MSM with a penile and anal swab, 360 (79%), 283 (62%) and 242 (53%) were HPV DNA negative at both anatomical sites for HPV16/18, HPV6/11/16/18 and HPV6/11/16/18/31/33/45/52/58 respectively. Among MSM who were HPV16/18 and HPV16/18/31/33/45/52/58 DNA negative and were tested for serology (n = 335 and 279 respectively), 82% and 71% were also seronegative for the respective types. Discussion: There were no significant declines in the HPV prevalence among MSM up to eight years after introduction of girls-only HPV16/18 vaccination, indicating that MSM are unlikely to benefit largely from herd effects from girls-only vaccination. Most MSM were vaccine-type DNA negative and seronegative, suggesting that vaccination of young MSM visiting SHCs could still be beneficial.