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P842 Healthcare engagement and HPV vaccination among gay, bisexual, and other men who have sex with men (gbMSM): a CIRN study
  1. Ramandip Grewal1,
  2. Anna Yeung2,
  3. Marc Brisson3,
  4. Troy Grennan4,
  5. Alexandra De Pokomandy5,
  6. Joseph Cox5,
  7. Gilles Lambert6,
  8. David Moore7,
  9. François Coutlée8,
  10. Shelley Deeks9,
  11. Sandra Gardner10,
  12. Dane Griffiths11,
  13. Wanrudee Isaranuwatchai1,
  14. Jody Jollimore12,
  15. James Murray13,
  16. Gina Ogilvie14,
  17. Chantal Sauvageau15,
  18. Darrell Tan2,
  19. Barry Adam16,
  20. Heather Armstrong14,
  21. Mark Gaspar10,
  22. Clemon George17,
  23. Daniel Grace18,
  24. Trevor Hart19,
  25. Ann Burchell2
  1. 1St. Michael’s Hospital, Toronto, Canada
  2. 2St. Michael’s Hospital, Centre for Urban Health Solutions, Li Ka Shing Knowledge Institute, Toronto, Canada
  3. 3Université Laval, Quebec City, Canada
  4. 4BC Centre for Disease Control, Clinical Prevention Services, Vancouver, Canada
  5. 5McGill University, Montreal, Canada
  6. 6University of Montreal, Montreal, Canada
  7. 7BC Centre for Excellence in HIV/AIDS, Vancouver, Canada
  8. 8l’Université de Montréal, Microbiologie Médicale et Infectiologie, Montreal, Canada
  9. 9Public Health Ontario, Toronto, Canada
  10. 10University of Toronto, Toronto, Canada
  11. 11Gay Men’s Sexual Health Alliance, Toronto, Canada
  12. 12Community Based Research Centre, Vancouver, Canada
  13. 13Ontario Ministry of Health and Long-Term Care, Toronto, Canada
  14. 14University of British Columbia, Vancouver, Canada
  15. 15Institut National de Santé Publique du Québec, Montreal, Canada
  16. 16University of Windsor, Windsor, Canada
  17. 17University of West Indies – Cave Hill, Cave Hill, Barbados
  18. 18University of Toronto, Dalla Lana School of Public Health, Toronto, Canada
  19. 19Ryerson University, Psychology, Toronto, Canada


Background Canada was one of the first countries to offer publicly funded programs providing HPV vaccine free of charge to gbMSM. In 2015–2016, the provinces of British Columbia (BC), Ontario (ON), and Quebec (QC) implemented programs for gbMSM aged 9–26 years. We sought to explore where men received the HPV vaccine and the influence of healthcare engagement on vaccination.

Methods Engage is a sexual health study among gbMSM aged 16+ in the largest urban centres in each province: Vancouver, BC; Toronto, ON; and Montreal, QC. Men are recruited via respondent driven sampling (RDS). We compared proportions (non-RDS adjusted) to questionnaire responses on healthcare engagement among vaccinated (1+ doses) versus unvaccinated in the subset of men aged ≤26 years old at enrolment.

Results From 01/2017 to 31/12/2018, 477 men aged ≤26 enrolled (144 Vancouver, 84 Toronto, 249 Montreal). Their median age was 24 years (IQR 22–25). In Vancouver, Toronto and Montreal, respectively, 48.6%, 44.1%, 44.2% had initiated HPV vaccination with 58.6%, 56.8% and 48.2% of vaccinated men having received all 3 doses. Popular venues for vaccination included a: sexual health clinic (50.7%), medical clinic not specializing in sexual health (14.8%), community health centre (10.6%), and doctor’s office (7.4%). Compared to unvaccinated men, more vaccinated men had a family doctor (65.9% vs 52.3%, p=0.0047), had a different provider/clinic for sexual health care or had a HIV care provider (66.8% vs 51.8%, p=0.0022), had a STI/HIV test in the past year (90.8% vs 68.6%, p<0.0001), and were diagnosed with a STI in the past year (39.6% vs 20.0%, p<0.0001).

Conclusion Compared to unvaccinated men, vaccinated men were more engaged in healthcare. It is unknown whether men requested the vaccine or providers offered it. Nevertheless, our findings suggest opportunistic HPV vaccination when men receive other services, particularly those related to sexual health.

Disclosure No significant relationships.

  • HPV
  • gay and bisexual men and other men who have sex with men
  • Canada

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