Prevention Science

, Volume 15, Issue 3, pp 428–435 | Cite as

Endorsement of Compulsory HIV Vaccination Policy Among Populations at High Risk of HIV Exposure (LA VOICES)

  • Peter A. Newman
  • Sung-Jae Lee
  • Ellen T. Rudy
  • Allison Diamant
  • Naihua Duan
  • Terry Nakazano
  • William E. Cunningham


Compulsory vaccination is a frequently implemented policy option for ensuring comprehensive vaccine coverage. Ongoing controversies around human papillomavirus vaccine dissemination, and suboptimal coverage, suggest the value of assessing acceptability of compulsory vaccinations—particularly among likely target populations—in advance of their public availability to support evidence-informed interventions. With the first HIV vaccine to demonstrate partial efficacy in a large-scale clinical trial, we examined individual characteristics and attitudes associated with support for compulsory HIV vaccination policy among a diverse, representative sample of adults attending probable HIV vaccine dissemination venues in a large urban county. Participants were recruited using three-stage probability sampling from likely venues for future HIV vaccine dissemination. We used Audio-CASI to administer a 60-min structured questionnaire. Items included endorsement of compulsory HIV vaccination policy, sociodemographic characteristics, injecting drug use, vaccine attitudes and perceived HIV risk. Among 1,225 participants (mean age = 36.8 years; 55.6 % males, 37.6 % non-English speaking Hispanic, 78.8 % heterosexual, 25.7 % injection drug users), almost half (48.2 %) endorsed a compulsory HIV vaccination policy. Non-English speaking Hispanics compared to whites, participants with less than high school education, higher positive vaccine attitude scores and higher perceived HIV risk were significantly more likely, and people who inject drugs significantly less likely to endorse compulsory HIV vaccination. Public health interventions to promote positive vaccine attitudes and accurate perceptions of HIV risk among vulnerable populations, and strategies tailored for people who inject drugs, may build support for compulsory HIV vaccination policy and promote broad HIV vaccine coverage.


HIV vaccines Vaccination Policy Vulnerable populations Attitudes 



This study was funded by a grant from NIMH (R01 MH069087). In addition, Dr. Newman received partial support by grants from the Canadian Institutes of Health Research (THA-118570) and the Canada Research Chairs program. Dr. Cunningham received partial support by grants from NIMHD (2P20MD000182), NIA (P30-AG021684), and NCRR (UL 1RR033176). Dr. Lee received partial support from NIH grants MH58107 and 5K01MH085503.


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Copyright information

© Society for Prevention Research 2014

Authors and Affiliations

  • Peter A. Newman
    • 1
  • Sung-Jae Lee
    • 2
  • Ellen T. Rudy
    • 3
  • Allison Diamant
    • 4
  • Naihua Duan
    • 5
  • Terry Nakazano
    • 6
  • William E. Cunningham
    • 7
  1. 1.Factor-Inwentash Faculty of Social WorkUniversity of TorontoTorontoCanada
  2. 2.Department of Psychiatry and Biobehavioral Sciences, UCLA Semel Institute, Center for Community HealthUniversity of CaliforniaLos AngelesUSA
  3. 3.Los Angeles County Department of Health ServicesSexually Transmitted Disease ProgramLos AngelesUSA
  4. 4.Ronald Reagan UCLA Medical CenterUniversity of CaliforniaLos AngelesUSA
  5. 5.Department of PsychiatryColumbia University Medical CenterNew YorkUSA
  6. 6.Division of General Internal Medicine & Health Services Research, UCLA David Geffen School of MedicineUniversity of CaliforniaLos AngelesUSA
  7. 7.Department of Health Policy and Management, UCLA Fielding School of Public HealthUniversity of CaliforniaLos AngelesUSA

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