Human Papillomavirus associated prevention: knowledge, attitudes, and perceived risks among men who have sex with men and transgender women in Pakistan: a qualitative study.

The Advisory Committee on Immunization Practices recommends vaccinating all MSM up through age of 26 years due to the increased risk of anal cancer in this key population [ 21 ] A recent meta-analysis [ 22 ] has reported the average HPV vaccine acceptability among MSM of 63% with the highest from China (97%) [ 23 ] and the lowest from Australia (30%) [ 24 ], however an increasing trend of vaccine uptake is being reported by others over time [ 25 ].

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