Using protection motivation theory to explain the intention to initiate human papillomavirus vaccination among men who have sex with men in China

Elsevier

Available online 25 June 2021, 200222

Tumour Virus ResearchHighlights•

Low level of knowledge and intention to initiate HPV vaccination among MSM in China.

Most variables of The Protection Motivation Theory were associated factors.

Tailored intervention should be applied among MSM in China.

Promotion of publicity and subsidization should be also considered.

AbstractBackground

Human papillomavirus (HPV) infection and related diseases are common among men who have sex with men (MSM). The most effective prevention is HPV.vaccination. In China, however, men are not included in the HPV vaccination plan. We investigated the intention to initiate HPV vaccination and associated factors among MSM in China. Methods We surveyed 563 unvaccinated MSM aged 18 or older from six cities in China. Participants completed an electronic questionnaire about demographics, knowledge of and attitude towards HPV and HPV vaccine, intention to initiate HPV vaccination, willingness to recommend HPV vaccine to peers, feeling about government policy about HPV vaccination. We used the structural equation modeling (SEM) to analyze factors associated with HPV vaccine intention. Results The knowledge of HPV and HPV vaccine among participants was low. The mean score of knowledge about HPV and HPV vaccine was only 1.59 (range 0-11). The intention to initiate HPV vaccination within 6 months among participants was moderate (43.3% in total, 18.1% for 'very high' and 25.2% for 'above average').

© 2021 The Author(s). Published by Elsevier B.V.

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