{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,10]],"date-time":"2026-10-10T15:03:05Z","timestamp":1791644585435,"version":"4.3.4"},"reference-count":46,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2024,2,8]],"date-time":"2024-02-08T00:00:00Z","timestamp":1707350400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["aao-hnsfjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Otolaryngol.--head neck surg."],"published-print":{"date-parts":[[2024,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>Gay and bisexual males and other LGBTQ+ communities are more frequently exposed to factors associated with an increased risk of human papillomavirus (HPV) acquisition. Vaccination is critical to protect against HPV+ head and neck cancer (HNC). We characterized the association of perceived level of risk of contraction with HPV knowledge, and vaccine decision\u2010making.<\/jats:p><\/jats:sec><jats:sec><jats:title>Study Design<\/jats:title><jats:p>Cross\u2010sectional cohort.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>LGBTQ and general survey Reddit forums (control).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A survey was shared amongst the online forums. Descriptive statistics characterized the data. Multivariable logistic regression was used to understand factors associated with vaccination, self\u2010perceived high risk, and knowledge of HPV\u2009+\u2009HNC.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of 718 respondents, most were female (41.09%), Caucasian (59.89%), college\u2010educated (33.01%), and insured (77.15%) with a mean age of 30.75 years. Half were vaccinated (49.16%), with most unvaccinated endorsing interest (60.58%). Few dependents were vaccinated (25.91%), with interest in vaccination among parents of unvaccinated children (38.58%). Knowledge of HIV's association with HPV (62.95%), HPV causing HNC (55.57%), and the vaccine's efficacy against HNC (55.57%) was also moderate. Identifying female (<jats:italic>P<\/jats:italic>\u2009=\u2009.042), a self\u2010perceived high\u2010risk (<jats:italic>P<\/jats:italic>\u2009&lt;\u2009.001), and having vaccinated children (<jats:italic>P<\/jats:italic>\u2009&lt;\u2009.001) increased vaccination likelihood; transgender (<jats:italic>P<\/jats:italic>\u2009=\u2009.021), or lesbian or gay sexual identity (<jats:italic>P<\/jats:italic>\u2009&lt;\u2009.001) decreased likelihood. Personal HNC diagnosis (<jats:italic>P<\/jats:italic>\u2009&lt;\u2009.001), self\u2010vaccination (<jats:italic>P<\/jats:italic>\u2009&lt;\u2009.001), having vaccinated children (<jats:italic>P<\/jats:italic>\u2009&lt;\u2009.001), having anal sex (<jats:italic>P<\/jats:italic>\u2009=\u2009.001) or no knowledge of past HPV status (<jats:italic>P<\/jats:italic>\u2009&lt;\u2009.001) increased likelihood of high self\u2010perceived risk.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Efforts to improve public education regarding the association between HPV and HNC and vaccination efficacy are required to better inform vaccine decision\u2010making among individuals at risk for HPV infection.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ohn.664","type":"journal-article","created":{"date-parts":[[2024,2,8]],"date-time":"2024-02-08T03:24:11Z","timestamp":1707362651000},"page":"1684-1695","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["Associations Between Risk Perception and HPV Knowledge and Vaccine Uptake: Highlighting the LGBTQ+ Population"],"prefix":"10.1002","volume":"170","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-4824-7160","authenticated-orcid":false,"given":"Oluwatobiloba","family":"Ayo\u2010Ajibola","sequence":"first","affiliation":[{"name":"Keck School of Medicine of the University of Southern California Los Angeles California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ryan J.","family":"Davis","sequence":"additional","affiliation":[{"name":"Keck School of Medicine of the University of Southern California Los Angeles California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthew E.","family":"Lin","sequence":"additional","affiliation":[{"name":"Keck School of Medicine of the University of Southern California Los Angeles California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2309-7143","authenticated-orcid":false,"given":"Jonathan D.","family":"West","sequence":"additional","affiliation":[{"name":"Caruso Department of Otolaryngology\u2010Head &amp; Neck Surgery Keck School of Medicine of the University of Southern California Los Angeles USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7388-6373","authenticated-orcid":false,"given":"Niels C.","family":"Kokot","sequence":"additional","affiliation":[{"name":"Caruso Department of Otolaryngology\u2010Head &amp; Neck Surgery Keck School of Medicine of the University of Southern California Los Angeles USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6934-9740","authenticated-orcid":false,"given":"Tamara","family":"Chambers","sequence":"additional","affiliation":[{"name":"Caruso Department of Otolaryngology\u2010Head &amp; Neck Surgery Keck School of Medicine of the University of Southern California Los Angeles USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,2,8]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.oraloncology.2015.03.015"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/hed.22015"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.2011.36.4596"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1093\/jnci\/djv086"},{"key":"e_1_2_8_6_1","unstructured":"JonesJM.LGBT Identification in U.S. Ticks Up to 7.1%. Gallup.com;2022. Accessed July 3 2023.https:\/\/news.gallup.com\/poll\/389792\/lgbt-identification-ticks-up.aspx"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/rmv.2219"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1080\/21645515.2021.2016007"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1136\/sextrans-2015-052032"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12939-016-0304-1"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1080\/00224499.2020.1783505"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10461-007-9299-3"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1473-3099(12)70315-8"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2016.303578"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1177\/15579883221119084"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1470-2045(12)70080-3"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.mm6832a3"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.1089\/lgbt.2016.0103"},{"key":"e_1_2_8_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amepre.2015.08.025"},{"key":"e_1_2_8_20_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph19095694"},{"key":"e_1_2_8_21_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0172964"},{"key":"e_1_2_8_22_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-022-12775-z"},{"key":"e_1_2_8_23_1","doi-asserted-by":"publisher","DOI":"10.3390\/vaccines10040604"},{"key":"e_1_2_8_24_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-023-15847-w"},{"key":"e_1_2_8_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.vaccine.2018.02.043"},{"key":"e_1_2_8_26_1","doi-asserted-by":"publisher","DOI":"10.1097\/OLQ.0000000000001051"},{"key":"e_1_2_8_27_1","unstructured":"LGBT Studies. Accessed November 8 2023.https:\/\/www.reddit.com\/r\/lgbtstudies\/"},{"key":"e_1_2_8_28_1","unstructured":"\/r\/SampleSize: Where your opinions actually matter! Accessed November 8 2023.https:\/\/www.reddit.com\/r\/SampleSize\/"},{"key":"e_1_2_8_29_1","doi-asserted-by":"publisher","DOI":"10.1057\/s41599-021-00906-7"},{"key":"e_1_2_8_30_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph17207418"},{"key":"e_1_2_8_31_1","doi-asserted-by":"publisher","DOI":"10.1089\/heq.2018.0028"},{"key":"e_1_2_8_32_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10900-020-00793-0"},{"key":"e_1_2_8_33_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ypmed.2017.03.014"},{"key":"e_1_2_8_34_1","first-page":"1","article-title":"Human papillomavirus vaccination among adults aged 18\u201026, 2013\u20102018","volume":"354","author":"Boersma P","year":"2020","journal-title":"NCHS Data Brief"},{"key":"e_1_2_8_35_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10900-012-9613-5"},{"key":"e_1_2_8_36_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph182211801"},{"key":"e_1_2_8_37_1","doi-asserted-by":"publisher","DOI":"10.1089\/lgbt.2015.0124"},{"key":"e_1_2_8_38_1","doi-asserted-by":"publisher","DOI":"10.1177\/109019818801500203"},{"key":"e_1_2_8_39_1","doi-asserted-by":"publisher","DOI":"10.1158\/1055-9965.EPI-08-0357"},{"key":"e_1_2_8_40_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.puhe.2013.12.004"},{"key":"e_1_2_8_41_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12160-012-9366-5"},{"key":"e_1_2_8_42_1","doi-asserted-by":"publisher","DOI":"10.1093\/ofid\/ofz291"},{"key":"e_1_2_8_43_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12160-010-9163-y"},{"key":"e_1_2_8_44_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10900-023-01205-9"},{"key":"e_1_2_8_45_1","doi-asserted-by":"publisher","DOI":"10.2196\/25963"},{"key":"e_1_2_8_46_1","doi-asserted-by":"publisher","DOI":"10.1080\/07359683.2017.1375236"},{"key":"e_1_2_8_47_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pvr.2017.04.004"}],"container-title":["Otolaryngology\u2013Head and Neck Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ohn.664","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,20]],"date-time":"2025-10-20T11:04:05Z","timestamp":1760958245000},"score":1,"resource":{"primary":{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/10.1002\/ohn.664"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,2,8]]},"references-count":46,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2024,6]]}},"alternative-id":["10.1002\/ohn.664"],"URL":"https:\/\/doi.org\/10.1002\/ohn.664","archive":["Portico"],"relation":{},"ISSN":["0194-5998","1097-6817"],"issn-type":[{"value":"0194-5998","type":"print"},{"value":"1097-6817","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,2,8]]},"assertion":[{"value":"2023-09-04","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-01-13","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-02-08","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}