School of Public Health, Sun Yat-sen University, Guangzhou, PR China.
School of Public Health (Shenzhen), Sun Yat-sen University, Shenzhen, PR China.
Tumour Virus Res. 2021 Dec;12:200222. doi: 10.1016/j.tvr.2021.200222. Epub 2021 Jun 25.
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').
人乳头瘤病毒（HPV）感染及相关疾病在男男性行为者（MSM）中较为常见。最有效的预防方法是 HPV 疫苗接种。然而，在中国，男性并未被纳入 HPV 疫苗接种计划。我们调查了中国 MSM 接种 HPV 疫苗的意愿及其相关因素。
方法 我们调查了来自中国六个城市的 563 名未接种 HPV 疫苗的 18 岁及以上 MSM。参与者完成了一份关于人口统计学、HPV 和 HPV 疫苗知识及态度、接种 HPV 疫苗意愿、向同龄人推荐 HPV 疫苗的意愿、对 HPV 疫苗接种政府政策的看法的电子问卷。我们使用结构方程模型（SEM）分析了与 HPV 疫苗接种意愿相关的因素。
结果 参与者对 HPV 和 HPV 疫苗的了解程度较低。HPV 和 HPV 疫苗知识的平均得分仅为 1.59（范围 0-11）。参与者在未来 6 个月内接种 HPV 疫苗的意愿处于中等水平（总共有 43.3%，其中“非常高”占 18.1%，“高于平均水平”占 25.2%）。
