Effectiveness of a Community-Based Organization—Private Clinic Service Model in Promoting Human Papillomavirus Vaccination among Chinese Men Who Have Sex with Men

Abstract

This study evaluated the effectiveness of the community-based organization (CBO)-private clinic service model in increasing human papillomavirus (HPV) vaccination uptake among unvaccinated men who have sex with men (MSM) in Hong Kong during a 12-month follow-up period. A CBO-private clinic model was implemented to promote HPV vaccination among Chinese MSM. A CBO with good access to MSM approached MSM aged 18–45 years who had never received an HPV vaccination, invited them to receive an online health promotion, and referred them to receive HPV vaccination at gay-friendly private clinics. A baseline survey and a follow-up evaluation at Month 12 were conducted. A total of 350 participants completed the baseline survey. Among 274 participants who were followed up at Month 12, 46 (16.8%) had taken up at least one dose of HPV vaccination. After adjusting for significant baseline characteristics, the perceived susceptibility (AOR:1.25, p = 0.002) and perceived severity (AOR:1.21, p = 0.003) of HPV and HPV-related diseases, perceived benefits (AOR:1.16, p = 0.03), self-efficacy to receive HPV vaccination (AOR:1.37, p = 0.001), and behavioral intention to take up HPV vaccination at baseline (AOR:6.99, p < 0.001) significantly predicted HPV vaccination uptake. The process evaluation of the program was positive. The CBO-private clinic service model was helpful in increasing HPV vaccination uptake among MSM.

Factors Predicting COVID-19 Vaccination Uptake Among Men Who Have Sex With Men in China: An Observational Prospective Cohort Study

“…It is possible that MSM who accessed these services had a lower level of medical distrust (17,18). Previous studies observed a similar association between HIV/STI prevention service utilization and HPV vaccination uptake among MSM (59). Therefore, communitybased organization (CBO) in China has a good position of promoting COVID-19 vaccination among MSM.…”

Would Chinese Men Who Have Sex With Men Take Up Human Papillomavirus (HPV) Screening as an Alternative Prevention Strategy to HPV Vaccination?

“…This was a secondary analysis of a longitudinal study promoting HPV vaccination among MSM in Hong Kong, China which was conducted from August 2019 to April 2021 (32). All participants completed a telephone survey at baseline before receiving online intervention promoting HPV vaccination and completed another telephone survey 12 months after the baseline survey.…”

“…A CBO-private clinic service model promoting HPV vaccination among MSM was implemented in Hong Kong (32). Experienced staff from a CBO with good access to MSM approached MSM aged 18-45 years who had never received HPV vaccination, invited them to join the study, and provided them with online health promotion, and interested MSM were referred to gay-friendly private clinics for HPV vaccination.…”

“…Although a 10% discount from market price (about HK$4,200 or US$542 for 3 doses) was offered to MSM in the service model, only 16.8% of them had taken up HPV vaccination as many MSM still considered the cost to be unaffordable. The online intervention promoting HPV vaccination contained health communication messages about the risk and severity of HPV infection (32), which were associated with higher intention to receive HPV screening among local MSM (29). Such online health promotion might motivate local MSM to receive HPV screening.…”

“…This study was a secondary analysis of the aforementioned CBO-private clinic service model promoting HPV vaccination among MSM in Hong Kong (32). The objective was to evaluate the effectiveness of such service model in increasing utilization of HPV screening within a 12-month follow-up period.…”