Factors influencing HPV vaccination willingness among men who have sex with men in China: a structural equation modeling analysis

Pan, Haiying; He, Wei; Lin, Bingqing; Zhong, Xiaoni

doi:10.1080/21645515.2022.2038504

Cited by 11 publications

(13 citation statements)

References 39 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This implies that knowledge and education about CA and HPV vaccines were the primary factors impacting CA vaccine acceptability. The findings of our study are consistent with those of previous studies, 22 , 30 and they also reinforce the importance of promoting CA and HPV vaccine awareness and education in the MSM population. To form a positive attitude toward HPV vaccination, media promotion and the popularization of health science are very effective methods for raising awareness of HPV infection and vaccines among MSM.…”

Section: Discussionsupporting

confidence: 92%

“…In addition, 56.0% (505/902) of MSM in this study stated that they had heard of the HPV vaccine. In other Chinese studies of MSM, HPV vaccine awareness rates varied considerably, from low rates (4.8%-10.2%) 16 , 18 to high rates (69.7%-78.0%), 21 , 22 which may be related to the economic situation of the different study sites. Inadequate knowledge of HPV infection and related diseases will be a great impediment for prevention and early diagnosis.…”

Section: Discussionmentioning

confidence: 82%

“…Another similar study reported that 82.8% (736/889) of MSM from 31 regions in China were willing to be vaccinated against HPV. 22 In a meta-analysis of 78 studies mainly from the US, the average HPV vaccine acceptability among MSM was 63% (range from 30% to 97%). 30 In this study, history of anal intercourse, knowledge of CA, knowledge of the treatments for CA, knowledge of the HPV vaccine/cervical cancer vaccine, and having received education about CA were factors associated with CA vaccine acceptability.…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Awareness and acceptance of HPV vaccination for condyloma acuminata among men who have sex with men in China

Ren

Qiu

et al. 2022

Human Vaccines & Immunotherapeutics

View full text Add to dashboard Cite

The dissemination of the fact that the human papillomavirus (HPV) vaccine can protect females as well as males is greatly beneficial for the control of condyloma acuminata (CA). We aimed to investigate the acceptance of the HPV vaccine for CA among men who have sex with men (MSM) in China. A cross-sectional online survey in the adult MSM population from 31 regions in China was carried out via WeChat in May 2017. Information on demographic characteristics, sexual behaviors, history of HIV and HPV infection, awareness of CA and HPV/CA vaccines, acceptance of CA vaccination, and behavioral intentions for vaccination were collected through a self-administered questionnaire. In total, 902 questionnaires were analyzed; the prevalence of CA was 13.3% (120/902), the HIV positivity rate was 15.1% (136/902), and the coinfection rate of HIV and CA was 3.9% (35/902). In the MSM population, the knowledge of CA and HPV/CA vaccines was poor, but the acceptance rate of the CA vaccine was high (85.1%, 768/902). Data indicated that MSM who had a history of anal intercourse (OR = 1.9), had heard of CA (OR = 2.9), knew the treatments for CA (OR = 2.0), had heard of HPV vaccines/cervical cancer vaccines (OR = 1.9), and received education about CA (OR = 1.9) were associated with the intention to use CA vaccines. With current moderate levels of CA and HPV/CA vaccine awareness, more emphasis should be placed on improving education and other behavioral interventions for high-risk populations such as MSM in China.

show abstract

Section: Discussionsupporting

confidence: 92%

Section: Discussionmentioning

confidence: 82%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Awareness and acceptance of HPV vaccination for condyloma acuminata among men who have sex with men in China

Ren

Qiu

et al. 2022

Human Vaccines & Immunotherapeutics

View full text Add to dashboard Cite

show abstract

“…Previous studies found that people’s willingness to use HPV vaccines was related to their level of education [ 37 ]. In this study, the level of education had no influence on men’s attitude toward the HPV vaccine being administered to males included in the national immunization program.…”

Section: Discussionmentioning

confidence: 99%

Factors Influencing Men’s Attitudes toward HPV Vaccination in Males Included in the Chinese National Immunization Program

et al. 2022

View full text Add to dashboard Cite

Background: Human papillomavirus (HPV) infection is the most common sexually transmitted disease, and it is associated with anogenital warts and oropharyngeal and anogenital cancers. Among female malignant tumors in China, the incidence of cervical cancer ranks second, with only breast cancer being more prevalent. HPV infection and related diseases affects both women and men. HPV vaccination is an optimal prevention strategy in preventing HPV infection and related diseases. The inclusion of the HPV vaccine in the national immunization program is an effective way to increase immunization coverage, reduce the burden of HPV related diseases, and increase national life expectancy. Objective: This study aimed to explore the factors influencing the attitudes of Chinese men toward the inclusion of the HPV vaccine in males included in the national immunization program, thus providing reference for launching the national immunization program policy. Methods: We invited men aged 20 to 45 to participate in an online survey. The participants were requested to complete a questionnaire, including sociodemographic characteristics, sexual behavior characteristics, knowledge of HPV and the HPV vaccine, and attitudes toward the HPV vaccine. A logistic regression model was constructed to analyze the influencing factors of attitudes. Results: A total of 660 males in China participated in this survey, and 80.45% supported the inclusion of HPV vaccines in national immunization programs. Participants earning CNY 100,000–200,000 (dds ratio (OR): 0.63, 95% confidence interval (CI): 0.39–1.00) or ≥200,000 (OR: 0.34, 95% CI: 0.17–0.68) were more likely to disapprove this strategy. Compared with people without a history of HPV infection, those with a history of HPV infection (OR: 1.84, 95% CI: 1.17–2.90) were more likely to approve. Men who had better knowledge of HPV were more likely to approve than men with less knowledge about HPV (OR: 1.44, 95% CI: 1.17–1.79). Compared with participants who did not know when the HPV vaccine should be given, those who knew that the ideal time of vaccination is before an individual becomes sexually active (OR: 1.75, 95% CI: 1.04–2.95) were more likely to approve. Conclusion: One in five men did not support the inclusion of HPV vaccines in national immunization programs, and they are likely to be from higher socioeconomic background and have poor knowledge of HPV. In order to implement comprehensive immunity, targeted actions need to be taken at national and public levels. In addition, when implementing measures, more attention needs to be paid to lower income men, men without a history of HPV infection and with poor knowledge of HPV, as well as young men.

show abstract

“…Corroborating other studies [ 26 , 27 , 35 ], the general perceived benefits of protection and the general perceived barrier of concern about side effects and self-efficacy were significantly associated with COVID-19 vaccination behavior in the present study. The perceived effectiveness and perceived side effects of the vaccines and self-efficacy have clearly been identified as the key determinants of COVID-19 vaccination [ 27 ] and other types of vaccinations, such as seasonal influenza and HPV [ 59 , 60 ]. Considerations on the effectiveness and safety of a vaccine are also important among MSM and should be addressed in COVID-19 vaccination health promotions among MSM.…”

Section: Discussionmentioning

confidence: 99%

Factors of COVID-19 Vaccination among Hong Kong Chinese Men Who Have Sex with Men during Months 5–8 since the Vaccine Rollout—General Factors and Factors Specific to This Population

Ling²,

Ip³

et al. 2022

Vaccines

View full text Add to dashboard Cite

This study investigated an under-researched topic regarding the prevalence of COVID-19 vaccination behavior among Chinese men who have sex with men (MSM) and the associations of this with general and MSM-specific perceptions grounded in the health belief model (HBM) and the theory of planned behaviors (TPB). A total of 400 Chinese MSM were recruited from multiple sources (site recruitment, online recruitment, and peer referral) in Hong Kong from July to October 2021, who then participated in a structured telephone interview. Of all the participants, the prevalence of COVID-19 vaccination (i.e., taking at least one dose of COVID-19 vaccination) was 78.3%. Multivariable logistic regression analyses showed that, after adjusting for background factors, (1) the general and MSM-specific HBM variables of perceived benefits and self-efficacy were positively associated with COVID-19 vaccination behavior; (2) the items or scale of general/MSM-specific perceived barriers and social norms were negatively associated with COVID-19 vaccination behavior; (3) the general perceived severity and MSM-specific perceived susceptibility, perceived severity, and cue to action were not significantly associated with COVID-19 vaccination behavior. The findings suggest that the HBM and social norm construct of the TPB only partially explained the participant’s COVID-19 vaccination behavior. Health promotion may need to focus more on modifying perceptions related to COVID-19 vaccination rather than COVID-19.

show abstract

Factors influencing HPV vaccination willingness among men who have sex with men in China: a structural equation modeling analysis

Cited by 11 publications

References 39 publications

Awareness and acceptance of HPV vaccination for condyloma acuminata among men who have sex with men in China

Awareness and acceptance of HPV vaccination for condyloma acuminata among men who have sex with men in China

Factors Influencing Men’s Attitudes toward HPV Vaccination in Males Included in the Chinese National Immunization Program

Factors of COVID-19 Vaccination among Hong Kong Chinese Men Who Have Sex with Men during Months 5–8 since the Vaccine Rollout—General Factors and Factors Specific to This Population

Contact Info

Product

Resources

About