Wheldon Christopher W, Daley Ellen M, Buhi Eric R, Baldwin Julie A, Nyitray Alan G, Giuliano Anna R
Department of Community & Family Health, University of South Florida, 13210 Bruce B. Downs Blvd., MDC56, Tampa, FL 33612-3805, USA.
Division of Health Promotion and Behavioral Science, Graduate School of Public Health, San Diego State University, 5500 Campanile Drive, San Diego, CA 92182-4162.
Health Educ J. 2017 Feb;76(1):52-65. doi: 10.1177/0017896916647988. Epub 2016 May 31.
Routine HPV vaccination is recommended for all men who have sex with men (MSM) in the United States until age 26. Despite this recommendation, vaccine uptake remains low. The purpose of the present study was to (1) describe salient beliefs related to HPV vaccination among young men who have sex with men; (2) determine factors that underlie these beliefs; (3) describe a model for HPV vaccine decision-making.
Qualitative descriptive study.
Central Florida, USA.
Semi-structured interviews (N=22).
The majority of respondents had heard of the HPV vaccine, but generally perceived it as a women's health issue. The salient behavioral beliefs about HPV vaccination described physical (such as lowering risk and promoting overall health) and psychological benefits (such as protecting sex partners and providing peace of mind). There was some concern regarding the risks of vaccination including contracting HPV from the vaccine, not knowing if it would be effective, and side effects. Normative influences on decision-making were minimal. Availability, cost, and convenience were among the most salient external control factors discussed. Issues surrounding disclosure of sexual orientation, as well as the competence and sensitivity of healthcare providers in dealing with issues of sexuality, were key factors in HPV-related beliefs.
Addressing the specific beliefs and concerns expressed by MSM can help to improve the effectiveness of health education interventions promoting vaccination.
在美国，建议所有男男性行为者（MSM）在26岁之前常规接种人乳头瘤病毒（HPV）疫苗。尽管有此建议，但疫苗接种率仍然很低。本研究的目的是：（1）描述男男性行为青年中与HPV疫苗接种相关的显著信念；（2）确定这些信念背后的因素；（3）描述HPV疫苗决策模型。
定性描述性研究。
美国佛罗里达州中部。
半结构化访谈（N = 22）。
大多数受访者听说过HPV疫苗，但普遍认为这是一个女性健康问题。关于HPV疫苗接种的显著行为信念描述了身体方面（如降低风险和促进整体健康）和心理方面的益处（如保护性伴侣和安心）。对疫苗接种风险存在一些担忧，包括从疫苗中感染HPV、不知道疫苗是否有效以及副作用。对决策的规范性影响很小。可获得性、成本和便利性是讨论最多的最显著的外部控制因素。围绕性取向披露的问题，以及医疗保健提供者在处理性问题方面的能力和敏感性，是与HPV相关信念的关键因素。
解决男男性行为者表达的具体信念和担忧有助于提高促进疫苗接种的健康教育干预措施的有效性。
