Willingness to receive the COVID-19 vaccine among HIV positive men who have sex with men in China: a cross-sectional study.
BMC Public Health
; 23(1): 64, 2023 01 10.
Article
in English
| MEDLINE | ID: covidwho-2196190
ABSTRACT
BACKGROUND:
People living with HIV(PLWH) are deemed more vulnerable to the SARS-CoV-2 infection than the uninfected population. Vaccination is an effective measure for COVID-19 control, yet, little knowledge exists about the willingness of men who have sex with men (MSM) living with HIV in China to be vaccinated.METHODS:
This cross-sectional study evaluated the willingness of MSM living with HIV to receive COVID-19 vaccination in six cities of Guangdong, China, from July to September 2020. Factors associated with willingness to receive COVID-19 vaccination using multivariable logistic regression.RESULTS:
In total, we recruited 944 HIV-positive MSM with a mean age of 29.2 ± 7.7 years. Of all participants, 92.4% of them were willing to receive the COVID-19 vaccine. Participants who were separated, divorced, or widowed (adjusted OR 5.29, 95%CI 1.02-27.48), had an annual income higher than 9,000 USD (adjusted OR 1.70, 95%CI 1.01-2.86), had ever taken an HIV self-test (adjusted OR 1.78, 95%CI 1.07-2.95), had ever disclosed sexual orientation to a doctor/nurse (adjusted OR 3.16, 95%CI 1.33-7.50), had ever disclosed sexual orientation to others besides their male partners (adjusted OR 2.18, 95%CI 1.29-3.69) were more willing to receive the vaccine. Sex with a female partner in the past six months decreased the likelihood of willingness to receive the vaccine (adjusted OR 0.40, 95%CI 0.17-0.95). Economic burden, worry that my health condition could not bear the risk of receiving COVID-19 vaccines, and concern that the vaccination would affect the immune status and antiretroviral therapy were the main reasons for unwillingness to receive vaccination.CONCLUSION:
Our study showed that HIV-positive MSM had a high willingness to receive the COVID-19 vaccination. Targeted interventions such as health education should be conducted among MSM with HIV infection to enhance COVID-19 vaccine uptake.Keywords
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
HIV Infections
/
Sexual and Gender Minorities
/
COVID-19
Type of study:
Experimental Studies
/
Observational study
/
Prognostic study
/
Randomized controlled trials
Topics:
Vaccines
Limits:
Adult
/
Female
/
Humans
/
Male
/
Young adult
Country/Region as subject:
Asia
Language:
English
Journal:
BMC Public Health
Journal subject:
Public Health
Year:
2023
Document Type:
Article
Affiliation country:
S12889-022-14961-5
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