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Behavioral intention to perform risk compensation behaviors after receiving HPV vaccination among men who have sex with men in China.
Wu, Terence; Qu, Shuyu; Fang, Yuan; Ip, Mary; Wang, Zixin.
Afiliação
  • Wu T; a JC School of Public Health and Primary Care, Faculty of Medicine, The Chinese University of Hong Kong , Hong Kong , China.
  • Qu S; b School of Public Health, Shanghai University of Traditional Chinese Medicine , Shanghai , China.
  • Fang Y; a JC School of Public Health and Primary Care, Faculty of Medicine, The Chinese University of Hong Kong , Hong Kong , China.
  • Ip M; a JC School of Public Health and Primary Care, Faculty of Medicine, The Chinese University of Hong Kong , Hong Kong , China.
  • Wang Z; a JC School of Public Health and Primary Care, Faculty of Medicine, The Chinese University of Hong Kong , Hong Kong , China.
Hum Vaccin Immunother ; 15(7-8): 1737-1744, 2019.
Article em En | MEDLINE | ID: mdl-31157598
ABSTRACT
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.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Assunção de Riscos / Comportamento Sexual / Homossexualidade Masculina / Intenção / Vacinas contra Papillomavirus Tipo de estudo: Clinical_trials / Etiology_studies / Prognostic_studies / Qualitative_research / Risk_factors_studies Limite: Adolescent / Adult / Humans / Male País/Região como assunto: Asia Idioma: En Revista: Hum Vaccin Immunother Ano de publicação: 2019 Tipo de documento: Article País de afiliação: China

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Assunção de Riscos / Comportamento Sexual / Homossexualidade Masculina / Intenção / Vacinas contra Papillomavirus Tipo de estudo: Clinical_trials / Etiology_studies / Prognostic_studies / Qualitative_research / Risk_factors_studies Limite: Adolescent / Adult / Humans / Male País/Região como assunto: Asia Idioma: En Revista: Hum Vaccin Immunother Ano de publicação: 2019 Tipo de documento: Article País de afiliação: China
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