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

Chan, Paul S.; Fang, Yuan; Chidgey, Andrew; Fong, Francois; Ip, Mary; Wang, Zixin

doi:10.3389/fmed.2022.904873

Cited by 4 publications

(3 citation statements)

References 33 publications

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“…Men who have sex with men (MSM) are at a high risk of infecting HPV ( 38 ). Men should be vaccinated to protect themselves and their future sexual partners.…”

Section: Discussionmentioning

confidence: 99%

“…After controlling for confounders such as age, household income, literacy, and self-efficacy, the results revealed that the association between the FHS-SF and vaccination was statistically significant (χ 2 = 47.81, P < 0.001) in a non-linear fashion (χ 2 = 9.96, P = 0.0016). When the FHS-SF value was lower than P50 (38), the hindering effect on HPV vaccination was significant, and the negative effect weakened or disappeared as the family health level increased (Figure 2).…”

Section: Trends In the Influence Of Family Health On Vaccinationmentioning

confidence: 99%

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A national cross-sectional study on the influencing factors of low HPV vaccination coverage in mainland China

Yin

Zhang²,

Wang³

et al. 2023

Front. Public Health

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BackgroundHPV vaccine can block the infection of high-risk human papillomavirus and is an important measure to effectively reduce the incidence of cervical cancer and precancerous lesions. However, the HPV vaccination rate is still low in China. There are many factors. Therefore, it is important to study the influencing factors to provide basis for promoting the formulation of vaccination strategies.MethodsThis study used a multi-stage sampling method to conduct a face-to-face questionnaire survey on women in different regions of China. The new general self-efficacy scale was used to measure the self-efficacy of the respondents. The short form of family health scale measured their family health. The t-test and binary Logistic regression analysis were used to screen the influencing factors of HPV vaccination. Restricted cubic spline model was used to analyze the influence trend of self-efficacy and family health on HPV vaccination rate.Results(1) The HPV vaccination rate was low, especially in the ≤18 group. The place of residence, capita household income/month, individual self-efficacy and family health had a significant impact on HPV vaccination. (2) The restricted cubic spline model showed that self-efficacy positively promoted HPV vaccination, the correlation strength was statistically significant (χ2 =27.64, P<0.001) and non-linear (χ2 = 12.49, P = 0.0004); The poor family health hindered HPV vaccination, and the association strength was statistically significant (χ2 = 47.81, P < 0.001) and non-linear (χ2 = 9.96, P = 0.0016).ConclusionIt is necessary to strengthen the health education of HPV vaccination knowledge in the population to eliminate the hesitancy of vaccination. Free HPV vaccination strategies should be developed and encourage people of appropriate age to receive as early as possible. Self-efficacy and family health should be enhanced to increase HPV vaccination rate, so as to achieve the goal of reducing the incidence of cervical cancer and protecting women's health.

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“…Men who have sex with men (MSM) are at a high risk of infecting HPV ( 38 ). Men should be vaccinated to protect themselves and their future sexual partners.…”

Section: Discussionmentioning

confidence: 99%

Section: Trends In the Influence Of Family Health On Vaccinationmentioning

confidence: 99%

A national cross-sectional study on the influencing factors of low HPV vaccination coverage in mainland China

Yin

Zhang²,

Wang³

et al. 2023

Front. Public Health

View full text Add to dashboard Cite

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“…Other factors at the individual level also included some modifiable factors, such as perceived benefits, perceived barriers, perceived severity, and perceived susceptibility. Previous studies showed that interventions targeting modifiable factors (e.g., perceived benefits and perceived barriers) are effective in increasing vaccination uptake [ 59 , 60 , 61 ]. Factors at the interpersonal level included the influences of others (e.g., relatives/friends/spouses/health professionals).…”

Section: Discussionmentioning

confidence: 99%

Parental Acceptance, Parental Hesitancy, and Uptake of Seasonal Influenza Vaccination among Children Aged 6–59 Months: A Systematic Review and Meta-Analysis

et al. 2023

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This systematic review and meta-analysis summarises the literature on parental acceptance, parental hesitancy, uptake, and the associated factors of seasonal influenza vaccination (SIV) among children aged 6–59 months. Studies were sourced from the following platforms: PubMed, Web of Science, MEDLINE, and EMBASE databases. A random-effects model was used to evaluate the prevalence and 95% confidence intervals (CI) of parental acceptance, parental hesitancy, and SIV uptake in the last flu season and lifetime among children. A total of 36 studies were included for analysis. The overall prevalence was 64% for parental acceptance (95% CI: 51–75%), 34% for parental hesitancy (95% CI: 22–48%), 41% for SIV uptake in the last flu season (95% CI: 33–50%), and 46% for SIV uptake in a lifetime (95% CI: 20–74%). Associated factors of parental acceptance/hesitancy and uptake included the age of the children or parents, parental education level, household income level, ethnicity, and other modifiable factors, including perceived benefits, perceived barriers, perceived severity, perceived susceptibility, and cues to action related to SIV. Meta-regression analyses revealed regional differences in parental acceptance (Americas: 79% vs. Asia: 60%). The results provided implications informing us of the development of intervention programs targeting parents to improve SIV coverage among young children.

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An Online Intervention Promoting HIV Testing Service Utilization Among Chinese men who have sex with men During the COVID-19 Pandemic: A quasi-experimental Study

et al. 2023

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The COVID-19 pandemic created disruptions in HIV testing service utilization among men who have sex with men (MSM). The present study was to evaluate the effectiveness of an online health promotion program implemented by a community-based organization (CBO) in increasing the uptake of any type of HIV testing and home-based HIV self-testing (HIVST) over a six-month follow-up period. Participants of an observational prospective cohort study conducted during the same period served as the comparison group. This study was conducted between September 2020 and December 2021. Participants were Chinese-speaking adult MSM who were HIV-negative/unknown sero-status recruited through multiple sources in Hong Kong, China. Participants in the intervention group were exposed to the following health promotion components: (1) viewing an online video promoting HIVST, (2) visiting the project webpage, and (3) having access to a chargeable HIVST service implemented by the CBO. Among 400 and 412 participants in the intervention group and the comparison group, 349 (87.3%) and 298 (72.3%) completed follow-up evaluation at Month 6. Multiple imputation was used to replace missing values. At Month 6, participants in the intervention group reported significantly higher uptake of any type of HIV testing (57.0% versus 49.0%, adjusted odds ratios [AOR]: 1.43, p = .03) and HIVST (25.8% versus 14.8%, AOR: 2.04, p = .001), as compared to those in the comparison group. Process evaluation of the health promotion components for the intervention group was positive. Promoting HIVST is a potentially useful strategy to increase HIV testing service utilization among Chinese MSM during the pandemic.

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

Cited by 4 publications

References 33 publications

A national cross-sectional study on the influencing factors of low HPV vaccination coverage in mainland China

A national cross-sectional study on the influencing factors of low HPV vaccination coverage in mainland China

Parental Acceptance, Parental Hesitancy, and Uptake of Seasonal Influenza Vaccination among Children Aged 6–59 Months: A Systematic Review and Meta-Analysis

An Online Intervention Promoting HIV Testing Service Utilization Among Chinese men who have sex with men During the COVID-19 Pandemic: A quasi-experimental Study

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