Sexual Health Assessment of Young Appalachian MSM

Background: Associations between anal cancer and HPV infection have been well established. Rates of anal cancer among men who have sex with men (MSM) are significantly higher than their heterosexual counterparts. Few studies have been conducted assessing the uptake of the HPV vaccine among MSM, especially those living in rural areas. This pilot study examined HPV vaccine acceptability among young Appalachian MSM.

Method: Participants (N=15) were recruited in person at a local bar to attend a sexual health education session facilitated by a university health educator. The session covered information about common sexually transmitted infections (STIs) with emphasis on preventative behaviors. After the educational session, participants were offered free HIV testing, HSV-2 testing, dose 1 of the HPV vaccine, and a referral to a healthcare provider for bacterial STI testing (i.e., chlamydia, gonorrhea, and syphilis). Acceptance of services was monitored for two months via weekly updates submitted to the researcher by phone, fax, or email.

Results: Prior to enrolling in the study, one participant reported completing the HPV vaccine series. Four participants accepted dose 1, two of whom also accepted dose 2 at the two-month marker. Five participants accepted HSV-2 testing. Five participants accepted HIV testing. Only one participant accepted referral for bacterial STI testing.

Conclusion: Based upon the uptake of sexual health services that were available at time of encounter vs. services available through referral, it seems that sexual health screenings are more acceptable among this population when immediately available.