Disparities in HPV Vaccination Access for Men Highlighted in Sweden

Sweden faces significant inequalities in HPV vaccination access for young men compared to women.

Key Points

  • • Only four regions in Sweden offer free HPV vaccines to men, while women have access since 2012.
  • • Men represent one-third of HPV-related cancer cases, yet vaccination rates are significantly lower for men.
  • • The Public Health Agency recommends universal vaccination for all up to 27 years old, but access varies by region.
  • • Rising HPV-related cancer cases among men emphasize the need for equitable vaccination access.

In Sweden, a significant inequity in the access to free Human Papillomavirus (HPV) vaccinations for young men compared to women has come to light, sparking concerns about public health and cancer prevention. Currently, only four regions in Sweden offer free HPV vaccinations to men, while young women have been receiving these vaccinations at no cost since 2012.

The Public Health Agency of Sweden indicates that men account for one-third of HPV-related cancer cases, which include cancers of the penis, anus, mouth, and throat. Despite this, many young men are facing financial barriers, needing to pay up to 6,000 SEK for the vaccine, which is a significant deterrent. The agency has recommended vaccinating all individuals up to 27 years old, yet a stark contrast exists in vaccination rates—only about 10% of men aged 18-27 are vaccinated, compared to 67% of women in the same age group.

The urgency of addressing this inequity is underscored by the rising incidence of HPV-related cancers among men, which has reached approximately 550 cases annually, with an unsettling increase in oral and throat cancers. In response to these statistics, the chief of the vaccination program, Tina Crafoord, has highlighted the cost-effectiveness of offering the vaccine to all young men, urging more regions to adopt this practice.

While four regions have already started providing vaccinations for free to young men, seven others are in the process of revising their guidelines to follow suit. The ongoing advocacy from health officials and organizations, including a 2024 survey from RFSL Ungdom revealing these vaccination disparities, has paved the way for increased public discourse on the necessity for equitable vaccination policies in Sweden.

As health authorities continue to evaluate their strategies, the call for local governments to provide equal access to the HPV vaccine for young men intensifies, with many awaiting the implementation process to stretch across all regions by July. The issue remains a pressing concern for public health advocates in Sweden, emphasizing that equitable health access is essential for all citizens.