Abstract
Purpose
Human papillomavirus (HPV) is the most commonly transmitted sexually transmitted infection. HPV infections have been on the rise among males, especially in the form of oropharyngeal cancer. Despite this, there is a gap in healthcare guidelines to increase HPV vaccine administration among males. In this study, we focus on the Indigenous population of North America and Oceania to determine existing barriers resulting in low HPV vaccination rates among the population.
Method
We surveyed peer-reviewed literature on the awareness of HPV infection among Indigenous males in North America and Oceania. Using keywords HPV plus male, men or boy, and ethnical filters such as Indigenous, Aboriginal or First Nations, we retrieved 54 articles based on titles, of which 15 were included after reading the abstracts.
Results
Reported HPV awareness was generally low in Indigenous males in North America, with no peer-reviewed data from Oceania. The lower understanding by males compared to females was largely attributable to misconceptions about HPV-related diseases, their transmission, and prevention. Lack of awareness and concern toward the risk of contracting HPV infection in Indigenous males suggests an impediment in disseminating health information about this cancer-causing virus.
Conclusion
Culturally sensitive education, with emphasis on Indigenous males, is needed to improve this group’s HPV knowledge. Researchers should also engage meaningfully with Indigenous communities by building rapport to achieve a positive change in attitude.
Similar content being viewed by others
Availability of data and material
Data related to the study are available upon request.
Code availability
Not applicable.
References
Crow JM (2012) HPV: the global burden. Nature 488:S2–S3. https://doi.org/10.1038/488s2a
Gillison ML, Castellsagué X, Chaturvedi A et al (2014) Eurogin roadmap: comparative epidemiology of HPV infection and associated cancers of the head and neck and cervix. Int J Cancer 134(1):497–507. https://doi.org/10.1002/ijc.28201
Giuliano AR, Lee J-H, Fulp W et al (2011) Incidence and clearance of genital human papillomavirus infection in men (HIM): a cohort study. Lancet 377(9769):932–940. https://doi.org/10.1016/S0140-6736(10)62342-2
Giuliano AR, Nyitray AG, Kreimer AR et al (2015) EUROGIN 2014 roadmap: differences in human papillomavirus infection natural history, transmission and human papillomavirus-related cancer incidence by gender and anatomic site of infection. Int J Cancer 136(12):2752–2760. https://doi.org/10.1002/ijc.29082
Gillison ML, Chaturvedi AK, Anderson WF, Fakhry C (2015) Epidemiology of human papillomavirus-positive head and neck squamous cell carcinoma. J Clin Oncol 33(29):3235–3242. https://doi.org/10.1200/JCO.2015.61.6995
Castle PE, Schiffman M, Herrero R et al (2005) A prospective study of age trends in cervical human papillomavirus acquisition and persistence in Guanacaste, Costa Rica. J Infect Dis 191(11):1808–1816. https://doi.org/10.1086/428779
Takla A, Wiese-Posselt M, Harder T et al (2018) Background paper for the recommendation of HPV vaccination for boys in Germany. Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz 61(9):1170–1186. https://doi.org/10.1007/s00103-018-2791-2
Perez S, Fedoruk C, Shapiro GK, Rosberger Z (2016) Giving boys a shot: the HPV vaccine’s portrayal in Canadian newspapers. Health Commun 31(12):1527–1538. https://doi.org/10.1080/10410236.2015.1089466
Lehtinen M, Baussano I, Paavonen J, Vänskä S, Dillner J (2019) Eradication of human papillomavirus and elimination of HPV-related diseases—scientific basis for global public health policies. Expert Rev Vaccines 18(2):153–160. https://doi.org/10.1080/14760584.2019.1568876
Bruni L, Albero G, Serrano B, Mena M, Collado JJ, Gómez D, Muñoz J, Bosch FX, de Sanjosé S (2023) Human papillomavirus and related diseases in the world. Summary report 10 March 2023. In: ICO/IARC Information Centre on HPV and Cancer (HPV Information Centre), 27 July 2023
Lieblong BJ, Montgomery BEE, Su LJ, Nakagawa M (2019) Natural history of human papillomavirus and vaccinations in men: a literature review. Health Sci Rep 2(5):e118. https://doi.org/10.1002/hsr2.118
Rodríguez-Álvarez MI, Gómez-Urquiza JL, Husein-El Ahmed H, Albendín-García L, Gómez-Salgado J, Cañadas-De la Fuente GA (2018) Prevalence and risk factors of human papillomavirus in male patients: a systematic review and meta-analysis. Int J Environ Res Public Health 15(10):2210. https://doi.org/10.3390/ijerph15102210
Keten HS, Ucer H, Dalgaci AF, Isik O, Ercan Ö, Guvenc N (2021) Knowledge, attitude, and behavior of teachers regarding HPV (human papillomavirus) and vaccination. J Cancer Educ 36:584–590. https://doi.org/10.1007/s13187-019-01668-2
Nyongesa MK, Nasambu C, Mapenzi R, Koot HM, Cuijpers P et al (2022) Psychosocial and mental health challenges faced by emerging adults living with HIV and support systems aiding their positive coping: a qualitative study from the Kenyan coast. BMC Public Health 22(1):1–20. https://doi.org/10.1186/s12889-021-12440-x
Truth and Reconciliation Commission of Canada (2015) Honouring the truth, reconciling for the future. http://www.trc.ca/assets/pdf/Executive_Summary_English_Web.pdf
Chakanyuka C, Bacsu JDR, Desroches A, Walker J, O’connell ME, Dame J et al (2022) Appraising Indigenous cultural safety within healthcare: protocol of a scoping review of reviews. J Adv Nurs 78(1):294–299. https://doi.org/10.1111/jan.15096
Davy C, Harfield S, McArthur A, Munn Z, Brown A (2016) Access to primary health care services for Indigenous peoples: a framework synthesis. Int J Equity Health 15:1–9. https://doi.org/10.1186/s12939-016-0450-5
Zehbe I, Wakewich P, King A-D, Morrisseau K, Tuck C (2017) Self-administered versus provider-directed sampling in the Anishinaabek Cervical Cancer Screening Study (ACCSS): a qualitative investigation with Canadian First Nations women. BMJ Open 7(8):e017384. https://doi.org/10.1136/bmjopen-2017-017384
Zehbe I, Wakewich P, Wood B, Sameshima P, Banning Y, Little J (2016) Engaging Canadian first nations women in cervical screening through education. Int J Health Promot Educ 54(5):255–264. https://doi.org/10.1136/bmjopen-2017-017384
Moore SP, Antoni S, Colquhoun A, Healy B, Ellison-Loschmann L, Potter JD et al (2015) Cancer incidence in indigenous people in Australia, New Zealand, Canada, and the USA: a comparative population-based study. Lancet Oncol 16(15):1483–1492. https://doi.org/10.1016/S1470-2045(15)00232-6
Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD et al (2021) The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ 372:n71. https://doi.org/10.1136/bmj.n71
Critical Appraisal Skills Programme (2018) CASP (qualitative) checklist [Online]. https://casp-uk.net/casp-tools-checklists/. Accessed 20 Jul 2023
Brotherton JM, Winch KL, Chappell G, Banks C, Meijer D et al (2019) HPV vaccination coverage and course completion rates for Indigenous Australian adolescents, 2015. Med J Aust 211(1):31–36
Dela Cruz MRI, Tsark JAU, Chen JJ, Albright CL, Braun KL (2017) Human papillomavirus (HPV) vaccination motivators, barriers, and brochure preferences among parents in multicultural Hawai’i: a qualitative study. J Cancer Educ 32(3):613–621. https://doi.org/10.1007/s13187-016-1009-2
Dela Cruz MRI, Tsark JAU, Soon R, Albright CL, Braun KL (2016) Insights in public health. Hawaii J Med Public Health 76(5):203–207
Devries KM, Free C (2010) “I told him not to use condoms”: masculinities, femininities and sexual health of Aboriginal Canadian young people. Sociol Health Illn 32(6):827–842. https://doi.org/10.1111/j.1467-9566.2010.01242.x
DiStefano AS, Hui B, Barrera-Ng A et al (2012) Contextualization of HIV and HPV risk and prevention among Pacific Islander young adults in Southern California. Soc Sci Med 75(4):699–708. https://doi.org/10.1016/j.socscimed.2012.04.011
DiStefano A, Quitugua L, Hui B et al (2013) A community—based participatory research study of HIV and HPV vulnerabilities and prevention in two Pacific Islander communities: ethical challenges and solutions. J Empir Res Hum Res Ethics 8(1):68–78. https://doi.org/10.1525/jer.2013.8.1.68
Henderson RI, Shea-Budgell M, Healy C et al (2018) First nations people’s perspectives on barriers and supports for enhancing HPV vaccination: foundations for sustainable, community-driven strategies. Gynecol Oncol 149(1):93–100. https://doi.org/10.1016/j.ygyno.2017.12.024
Hodge FS, Itty T, Cardoza B, Samuel-Nakamura C (2011) HPV vaccine readiness among American Indian college students. Ethn Dis 21(4):415–420
Hodge FS (2014) American Indian male college students perception and knowledge of human papillomavirus (HPV). J Vaccines Vaccin 5(2):1000222
Itty TL, Hodge FS, Poitra C, Cardoza B (2014) HPV awareness among American Indian young adults: implications for health education. J Cult Divers 21(4):123–129
Kashani BM, Tibbits M, Potter RC, Gofin R, Westman L, Watanabe-Galloway S (2019) Human papillomavirus vaccination trends, barriers, and promotion methods among American Indian/Alaska Native and Non-Hispanic White adolescents in Michigan 2006–2015. J Community Health 44:436–443
Nonzee NJ, Baldwin SB, Cui Y, Singhal R (2018) Disparities in parental human papillomavirus (HPV) vaccine awareness and uptake among adolescents. Vaccine 36(10):1243–1247. https://doi.org/10.1016/j.vaccine.2017.08.046
Soon R, Dela Cruz MRI, Tsark JU, Chen JJ, Braun KL (2015) A Survey of physicians’ attitudes and practices about the human papillomavirus (HPV) vaccine in Hawai’i. Hawaii J Med Public Health 74(7):234–241
Tom A, Robinett H, Buenconsejo-Lum L et al (2016) Promoting and providing HPV vaccination in Hawaii: barriers faced by health providers. J Community Health 41(5):1069–1077. https://doi.org/10.1007/s10900-016-0191-9
Dwojak S, Deschler D, Sargent M, Emerick K, Guadagnolo BA, Petereit D (2015) Knowledge and screening of head and neck cancer among American Indians in South Dakota. Am J Public Health 105(6):1155–1160. https://doi.org/10.2105/AJPH.2014.302177
Mahal BA, Catalano PJ, Haddad RI et al (2019) Incidence and demographic burden of HPV-associated oropharyngeal head and neck cancers in the United States. Cancer Epidemiol Biomarkers Prev 28(10):1660–1667. https://doi.org/10.1158/1055-9965.EPI-19-0038
Stein AP, Saha S, Kraninger JL et al (2015) Prevalence of human papillomavirus in oropharyngeal cancer: a systematic review. Cancer J 21(3):138–146. https://doi.org/10.1097/PPO.0000000000000115
Gabster A, Pascale JM, Cislaghi B et al (2019) High prevalence of sexually transmitted infections, and high-risk sexual behaviors among Indigenous adolescents of the Comarca Ngäbe-Buglé, Panama. Sex Transm Dis 46(12):780–787. https://doi.org/10.1097/OLQ.0000000000001070
Hull B, Hendry A, Dey A, Brotherton J, Macartney K, Beard F (2019) Annual immunisation coverage report 2017. Commun Dis Intell 43:1–49. https://doi.org/10.33321/cdi.2019.43.47
Dey A, Knox S, Brotherton J et al (2014) Evaluation of the National Papillomavirus Vaccination Program FINAL REPORT. https://www.health.gov.au/sites/default/files/evaluation-national-hpv-program.pdf. Accessed 12 Aug 2021
Funding
This work was funded by the Canadian Institutes of Health Research (CIHR) with IZ being the nominated Principal Investigator (CIHR # MOP— 119344).
Author information
Authors and Affiliations
Contributions
IZ conceived the idea and worked on the introduction with SB and RS, conducted literature reviews and drafted results. IZ, SB, and RS reviewed and finalized the manuscript.
Corresponding author
Ethics declarations
Conflict of interest
The author declares no competing interests.
Ethical approval
Not applicable.
Consent to participate
Not applicable.
Consent for publication
Not applicable.
Additional information
Publisher's Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Supplementary Information
Below is the link to the electronic supplementary material.
Rights and permissions
Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.
About this article
Cite this article
Bedi, S., Strachan, R. & Zehbe, I. Awareness of human papillomavirus infection among Indigenous males in North America and Oceania: a Scoping Review. Cancer Causes Control 35, 437–449 (2024). https://doi.org/10.1007/s10552-023-01804-w
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10552-023-01804-w