HPV-related information sharing and factors associated with US men's disclosure of an HPV test result to their female sexual partners
- Stephanie L Marhefka1,
- Ellen M Daley1,
- Erica Hesch Anstey1,
- Cheryl A Vamos1,
- Eric R Buhi1,
- Stephanie Kolar2,
- Anna R Giuliano3
- 1Department of Community and Family Health, College of Public Health, University of South Florida, Tampa, Florida, USA
- 2Department of Epidemiology and Biostatistics, College of Public Health, University of South Florida, Tampa, Florida, USA
- 3Risk Assessment, Detection & Intervention (RADI) Program, H. Lee Moffitt Cancer Center and Research Institute, Tampa, Florida, USA
- Correspondence to Dr Ellen M Daley, Department of Community and Family Health, College of Public Health, University of South Florida, 13201 Bruce B. Downs Blvd. MDC 56, Tampa, FL 33612, USA;
Contributors SLM is an investigator on the Cognitive and Emotional Responses to HPV in Men (CER) Study; she led the writing effort, coordinated all sections of the paper, co-wrote the discussion section and participated in the results and analysis. EMD is the principal investigator of the CER Study; she reviewed all sections of the paper, contributed to the methods and discussion sections and was responsible for the final production of the manuscript. EHA is a graduate assistant on the CER Study who contributed with the background section, editing efforts and coordination of manuscript preparation. CV was a graduate assistant on the CER Study; she wrote the methods section and contributed to the discussion section. ERB is an investigator on the CER Study; he directed the analysis of results and contributed to the discussion section. SK is the data manager on the CER Study and was responsible for producing the tables and results in the paper. ARG is the principal investigator of the parent study (the HPV In Men Study); she contributed to the overall structure of the manuscript, reviewed and revised findings. All authors on this paper had full access to all the data in the study and take responsibility for the integrity of the data and the accuracy of the data analysis.
- Accepted 27 November 2011
- Published Online First 3 January 2012
Objectives Prevalence of human papillomavirus (HPV) is high in both men and women, yet men have seldom been involved in HPV education/prevention programmes, and their disclosure of known HPV infection has rarely been studied. This analysis sought to determine factors associated with men's HPV test result disclosure and HPV-related information sharing with partners.
Methods From 2007 to 2010, men enrolled in a psychosocial study of responses to HP testing who reported having a female main sexual partner (N=251) completed surveys including questions about HPV test results, disclosure of HPV test results to partner(s), relationship characteristics and stigma (for those who reported HPV-positive results) approximately 3 weeks after receiving an HPV test result. Logistic regression was conducted to determine factors associated with disclosure of HPV test results in cross-sectional analysis.
Results Most men disclosed their test results to a main partner (82%). Self-reported HPV-negative test result, a high school education and a higher commitment to a sexual partner were significantly associated with increased disclosure in multivariable analysis. Men who disclosed (vs those who did not) were significantly more likely to provide their partners with HPV-related information. Among men who disclosed to their main partner, nearly half reported that partner asked them questions about HPV.
Conclusions Results from this study highlight the critical role that men who are symptomatic for, who are tested for or who are vaccinated against HPV can play in educating their sexual partners, independent of whether they actually disclose their test results.
- Human papillomavirus
- social stigma
- HIV women
- HPV men
- communication skills
- sexual behaviour
- sexual health
- reproductive health
- public health
- communication technologies
Funding This study is supported through a grant from the National Cancer Institute (R01 CA123346) and the HPV In Men Study R01 CA098803.
Competing interests None.
Ethics approval Ethics approval was provided by University of South Florida Institutional Review Board.
Provenance and peer review Not commissioned; externally peer reviewed.