Behavioral intention to perform risk compensation behaviors after receiving HPV vaccination among men who have sex with men in China
Men who have sex with men (MSM) are recommended to take up human papillomavirus (HPV) vaccination. There are concerns that MSM would increase sexual risk behaviors after taking up HPV vaccination, a phenomenon known as risk compensation. This study investigated the prevalence of and factors associat...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Taylor & Francis Group
2019-08-01
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| Series: | Human Vaccines & Immunotherapeutics |
| Subjects: | |
| Online Access: | http://dx.doi.org/10.1080/21645515.2019.1622975 |
| _version_ | 1797633721133694976 |
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| author | Terence Wu Shuyu Qu Yuan Fang Mary Ip Zixin Wang |
| author_facet | Terence Wu Shuyu Qu Yuan Fang Mary Ip Zixin Wang |
| author_sort | Terence Wu |
| collection | DOAJ |
| description | Men who have sex with men (MSM) are recommended to take up human papillomavirus (HPV) vaccination. There are concerns that MSM would increase sexual risk behaviors after taking up HPV vaccination, a phenomenon known as risk compensation. This study investigated the prevalence of and factors associated with behavioral intention to reduce the frequency of condom use with men after receiving the HPV vaccination. The study was based on the baseline sample of an ongoing randomized controlled trial promoting HPV vaccination among MSM in Hong Kong. Hong Kong Chinese-speaking MSM who have never vaccinated against HPV were recruited from multiple sources. A total of 624 participants completed the baseline survey during July to December 2017. The prevalence of behavior intention to reduce the frequency of condom use with regular and non-regular male sex partners after receiving HPV vaccination was 6.9% and 4.0%; 8.0% of them intended to reduce condom use with either type of male partners after receiving the HPV vaccination. Adjusting for significant background variables (education level and condomless anal intercourse with men in the last six months), two constructs of the pre-intentional phase of Health Action Process Approach model were significantly associated with the dependent variable in the expected direction. They were (1) positive outcome expectancies of condomless anal intercourse after receiving HPV vaccination (adjusted odds ratios [AOR]: 1.29, 95% confidence interval [CI]: 1.12, 1.48, p < 0.001) and (2) perceived self-efficacy of consistent condom use after receiving HPV vaccination (AOR: 0.83, 95% CI: 0.70, 0.92, p = 0.001). Risk compensation may not be a major concern when promoting HPV vaccination among MSM. The results should be assuring health-care providers and policymakers. |
| first_indexed | 2024-03-11T11:57:50Z |
| format | Article |
| id | doaj.art-75a74f907f134d18a874e3990ecd79b4 |
| institution | Directory Open Access Journal |
| issn | 2164-5515 2164-554X |
| language | English |
| last_indexed | 2024-03-11T11:57:50Z |
| publishDate | 2019-08-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | Human Vaccines & Immunotherapeutics |
| spelling | doaj.art-75a74f907f134d18a874e3990ecd79b42023-11-08T11:55:19ZengTaylor & Francis GroupHuman Vaccines & Immunotherapeutics2164-55152164-554X2019-08-01157-81737174410.1080/21645515.2019.16229751622975Behavioral intention to perform risk compensation behaviors after receiving HPV vaccination among men who have sex with men in ChinaTerence Wu0Shuyu Qu1Yuan Fang2Mary Ip3Zixin Wang4The Chinese University of Hong KongShanghai University of Traditional Chinese MedicineThe Chinese University of Hong KongThe Chinese University of Hong KongThe Chinese University of Hong KongMen who have sex with men (MSM) are recommended to take up human papillomavirus (HPV) vaccination. There are concerns that MSM would increase sexual risk behaviors after taking up HPV vaccination, a phenomenon known as risk compensation. This study investigated the prevalence of and factors associated with behavioral intention to reduce the frequency of condom use with men after receiving the HPV vaccination. The study was based on the baseline sample of an ongoing randomized controlled trial promoting HPV vaccination among MSM in Hong Kong. Hong Kong Chinese-speaking MSM who have never vaccinated against HPV were recruited from multiple sources. A total of 624 participants completed the baseline survey during July to December 2017. The prevalence of behavior intention to reduce the frequency of condom use with regular and non-regular male sex partners after receiving HPV vaccination was 6.9% and 4.0%; 8.0% of them intended to reduce condom use with either type of male partners after receiving the HPV vaccination. Adjusting for significant background variables (education level and condomless anal intercourse with men in the last six months), two constructs of the pre-intentional phase of Health Action Process Approach model were significantly associated with the dependent variable in the expected direction. They were (1) positive outcome expectancies of condomless anal intercourse after receiving HPV vaccination (adjusted odds ratios [AOR]: 1.29, 95% confidence interval [CI]: 1.12, 1.48, p < 0.001) and (2) perceived self-efficacy of consistent condom use after receiving HPV vaccination (AOR: 0.83, 95% CI: 0.70, 0.92, p = 0.001). Risk compensation may not be a major concern when promoting HPV vaccination among MSM. The results should be assuring health-care providers and policymakers.http://dx.doi.org/10.1080/21645515.2019.1622975risk compensationhpv vaccinationmen who have sex with menpre-intentional phase of health action process approachchina |
| spellingShingle | Terence Wu Shuyu Qu Yuan Fang Mary Ip Zixin Wang Behavioral intention to perform risk compensation behaviors after receiving HPV vaccination among men who have sex with men in China Human Vaccines & Immunotherapeutics risk compensation hpv vaccination men who have sex with men pre-intentional phase of health action process approach china |
| title | Behavioral intention to perform risk compensation behaviors after receiving HPV vaccination among men who have sex with men in China |
| title_full | Behavioral intention to perform risk compensation behaviors after receiving HPV vaccination among men who have sex with men in China |
| title_fullStr | Behavioral intention to perform risk compensation behaviors after receiving HPV vaccination among men who have sex with men in China |
| title_full_unstemmed | Behavioral intention to perform risk compensation behaviors after receiving HPV vaccination among men who have sex with men in China |
| title_short | Behavioral intention to perform risk compensation behaviors after receiving HPV vaccination among men who have sex with men in China |
| title_sort | behavioral intention to perform risk compensation behaviors after receiving hpv vaccination among men who have sex with men in china |
| topic | risk compensation hpv vaccination men who have sex with men pre-intentional phase of health action process approach china |
| url | http://dx.doi.org/10.1080/21645515.2019.1622975 |
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