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

Zhang, Kechun; Chan, Paul; Chen, Siyu; Fang, Yuan; Cao, He; Chen, Hongbiao; Hu, Tian; Chen, Yaqi; Zhou, Xiaofeng; Wang, Zixin

doi:10.3389/fmed.2022.838973

Cited by 11 publications

(15 citation statements)

References 54 publications

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“…Assuming the participation rate of valid households to be 55–60%, we needed to screen about 4000 households in order to recruit 400 eligible participants. The same approach for sample size planning was used in published studies [ 34 , 35 , 36 , 37 ].…”

Section: Methodsmentioning

confidence: 99%

Governmental Incentives, Satisfaction with Health Promotional Materials, and COVID-19 Vaccination Uptake among Community-Dwelling Older Adults in Hong Kong: A Random Telephone Survey

Wang

Fang

et al. 2022

Vaccines

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COVID-19 vaccination is proven to be effective and safe for older adults. This study investigated the impacts of incentives and health promotional materials provided by the government on the completion of the primary COVID-19 vaccination series among older adults in Hong Kong. Participants were Chinese-speaking community-dwelling adults aged ≥65 years. Telephone numbers were randomly selected from up-to-date Hong Kong telephone directories. A total of 440 participants completed the telephone interview. Logistic regression models were fitted. Among the participants, 58.4% had completed the primary COVID-19 vaccination series. Most participants believed that incentives provided by the government had almost no impact on increasing their motivation to receive COVID-19 vaccination, and less than half thought that vaccination promotional materials produced by the government could address their concerns and help them make decisions. After adjustment for significant background characteristics, we found perceived higher impacts of the incentives and belief that vaccination promotional materials produced by the government could address their concern and were helpful for them to make decisions to be associated with a higher rate of completion of primary COVID-19 vaccination series. Perceptions supporting COVID-19 vaccination and less decisional conflict regarding the choice of vaccine were also positively associated with the dependent variable. Government should develop incentives and health promotional materials tailored to the needs of older adults.

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Section: Methodsmentioning

confidence: 99%

Governmental Incentives, Satisfaction with Health Promotional Materials, and COVID-19 Vaccination Uptake among Community-Dwelling Older Adults in Hong Kong: A Random Telephone Survey

Wang

Fang

et al. 2022

Vaccines

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“…Sexualized drug use was defined as the use of any of the following psychoactive substances [i.e., ketamine, methamphetamine, cocaine, cannabis, ecstasy, Dormicum/Halcion/Erimin 5/non-prescription hypnotic drugs, heroin, codeine from cough suppressants, amyl nitrates (poppers), γ-hydroxybutyrate (G water), and Foxy] before or during sexual intercourse ( 19 , 26 ). The measurements of these sexual risk behaviors were also adapted from previous studies targeting Chinese MSM ( 27 – 29 ). Four variables were created by comparing the presence of such behaviors at follow-up vs. baseline (response categories: 1 = no such behavior either at baseline or follow-up, 2 = with such behavior at baseline only, 3 = with such behavior both at baseline and follow-up, and 4 = with such behavior at follow-up only).…”

Section: Methodsmentioning

confidence: 99%

Changes in HIV Testing Utilization Among Chinese Men Who Have Sex With Men During the COVID-19 Pandemic in Shenzhen, China: An Observational Prospective Cohort Study

et al. 2022

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BackgroundThe Coronavirus Diseases 2019 (COVID-19) directly affects HIV prevention and sexual health services utilization among men who have sex with men (MSM). This study investigated changes in human immunodeficiency virus (HIV) testing utilization among MSM before and after the COVID-19 pandemic received initial control in Shenzhen, China.MethodsThis study was a sub-analysis of a prospective observational cohort study conducted among MSM in Shenzhen, China between August 2020 and May 2021. Participants were recruited through outreaching in gay venues, online recruitment, and peer referral. Participants completed a baseline online survey between August and September 2020 and a follow-up online survey between April and May 2021. This study was based on 412 MSM who reported to be HIV-negative/unknown sero-status at baseline, 297 (72.1%) of them completed the follow-up online survey. Multilevel logistic regression models (level 1: sources of recruitment; level 2: individual participants) were fitted.ResultsWhen comparing follow-up data with baseline data, a significant increase was observed in the uptake of any type of HIV testing (77.9% at Month 6 vs. 59.2% at baseline, p < 0.001). After adjusting for age group, education level, current employment status and monthly personal income, two predisposing factors were associated with higher uptake of HIV testing during the follow-up period. They were: (1) condomless anal intercourse with male non-regular male sex partners at follow-up only (AOR: 5.29, 95%CI: 1.27, 22.01) and (2) sanitizing before and after sex at baseline (AOR: 1.26, 95%CI: 1.02, 1.47). Regarding enabling factors, utilization of HIV testing (AOR: 3.90, 95%CI: 2.27, 6.69) and STI testing (AOR: 2.43, 95%CI: 1.20, 4.93) 6 months prior to the baseline survey was associated with higher uptake of HIV testing during the follow-up period. Having the experience that HIV testing service providers reduced service hours during the follow-up period was also positively associated with the dependent variable (AOR: 3.45, 95%CI: 1.26, 9.41).ConclusionsHIV testing utilization among MSM might rebound to the level before the COVID-19 outbreak after the pandemic received initial control in China. This study offered a comprehensive overview to identify potential reasons that can influence the uptake of HIV testing among Chinese MSM.

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“…[18][19][20] Moreover, one study showed that baseline COVID-19 preventative behaviors during sex among MSM in China, such as asking partners about their symptoms, washing their hands before and after sex, and sanitizing before and after sex, were associated with COVID-19 vaccine receipt. 21 The co-occurrence of behaviors presents an important opportunity for multipronged interventions, which aim to reduce several risk behaviors concurrently. [22][23][24] There is also evidence to suggest that the number of risk behaviors in which youth engage increases with age, pointing to the need for early intervention.…”

Section: Discussionmentioning

confidence: 99%

“…Other studies have shown that the perception of risk taking may have shifted because of the pandemic, where individuals perceive a heightened sense of risk, 17 and researchers have documented changes in specific behaviors undertaken, such as the increased adoptions of sexting, virtual sex, and pornography use or a rise in the co-occurrence of drug use and sex during the pandemic 18–20 . Moreover, one study showed that baseline COVID-19 preventative behaviors during sex among MSM in China, such as asking partners about their symptoms, washing their hands before and after sex, and sanitizing before and after sex, were associated with COVID-19 vaccine receipt 21 …”

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confidence: 99%

Are prior sexual risk behaviors associated with adherence to COVID-19 preventative behaviors among young Black men?

et al. 2023

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Background Behavioral clustering is a phenomenon in which several risk or protective behaviors co-occur in an individual. We sought to determine if prior sexual risk behaviors among young Black men who have sex with women (MSW) could predict subsequent non-adherence to COVID-19 prevention behaviors. Methods Young Black MSW aged 15-24 previously enrolled in a community-based Chlamydia trachomatis (Ct) screening program were enrolled in a sub-study between May-June 2020 and asked about adherence to four COVID-19 recommended non-pharmaceutical prevention behaviors (hand washing, mask wearing, social distancing, and following stay at home orders). Data from the original study was used to elicit the follow pre-pandemic behaviors including: having multiple sex partners, inconsistent condom use, prior STI testing behaviors and substance use. Wilcoxon rank sum tests were used to assess the association between historic risk behaviors and COVID-19 behavior score. Results There were 109 men included in the analysis, with a mean age of 20.5 years (S.D. 2.0). Inconsistent condom use, multiple sex partners, and prior HIV/STI testing status were not associated with fewer COVID-19 preventive behaviors but men who used any non-prescription drugs (p = 0.001) or marijuana only (p = 0.028) had a lower median COVID-19 preventative score compared to those who did not engage in those activities. Conclusion While none of the sexual risk behavior variables were associated, self-reported non-prescription drug and marijuana use were both significant predictors of lower adherence to COVID-19 preventative behaviors among young Black men. Young men who use drugs may need additional support to promote COVID-19 preventative behavior uptake.

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

Cited by 11 publications

References 54 publications

Governmental Incentives, Satisfaction with Health Promotional Materials, and COVID-19 Vaccination Uptake among Community-Dwelling Older Adults in Hong Kong: A Random Telephone Survey

Governmental Incentives, Satisfaction with Health Promotional Materials, and COVID-19 Vaccination Uptake among Community-Dwelling Older Adults in Hong Kong: A Random Telephone Survey

Changes in HIV Testing Utilization Among Chinese Men Who Have Sex With Men During the COVID-19 Pandemic in Shenzhen, China: An Observational Prospective Cohort Study

Are prior sexual risk behaviors associated with adherence to COVID-19 preventative behaviors among young Black men?

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