The Potential Risk Compensation after Receiving HPV Vaccination among Men Who Have Sex with Men in Southwest China: A HAPA-Based Analysis

作者全名："Cao, Zhen; Jiang, Han; He, Wei; Pan, Haiying; Zhang, Cong; Zhong, Xiaoni"

作者地址："[Cao, Zhen; Jiang, Han; He, Wei; Pan, Haiying; Zhang, Cong; Zhong, Xiaoni] Chongqing Med Univ, Sch Publ Hlth, Chongqing 400016, Peoples R China"

通信作者："Zhong, XN (通讯作者)，Chongqing Med Univ, Sch Publ Hlth, Chongqing 400016, Peoples R China."

来源：VACCINES

ESI学科分类：IMMUNOLOGY

WOS号：WOS:001074919400001

JCR分区：Q1

影响因子：5.2

年份：2023

卷号：11

期号：9

开始页：　

结束页：　

文献类型：Article

关键词：men who have sex with men (MSM); HPV vaccination; risk compensation; health action process approach (HAPA)

摘要："Background: men who have sex with men (MSM) are a high-risk group for human papillomavirus (HPV) infection, and the HPV vaccine is effective in preventing it. However, according to risk compensation theory, people may increase sexual risk behaviors after receiving HPV vaccination. Based on the Health Action Process Approach (HAPA), this study investigated the influencing factors to predict intention to reduce condom use (risk compensation intention) among MSM after taking HPV vaccination in southwest China. Methods: we conducted a cross-sectional study among 948 MSM in southwest China using a non-probability sampling method and an electronic questionnaire including sociodemographic characteristics, sexual risk behavior characteristics, HPV-related prevention behavior, and the HAPA scale. Confirmatory factor analysis was performed using a structural equation model. Results: among 948 MSM, the incidence rate of reducing the frequency of condom use was 14.1%. The structural equation model showed that self-efficacy (beta = -0.378, p = 0.020) and positive outcome expectancy (beta = 0.366, p < 0.05) had greater effects on behavioral intention, followed by negative outcome expectancy (beta = -0.296, p < 0.05) and risk perception (beta = -0.232, p < 0.05). Conclusions: risk compensation may not be a major barrier to receiving HPV vaccination among MSM. Nevertheless, the recognition of possible risk compensation is necessary to implement appropriate interventions to reduce the occurrence of risk compensation."

基金机构："The authors thank all the participants and investigators for their help. Furthermore, the authors express their gratitude to Bing Lin, Guiqian Shi, Hui Liu, and Guichuan Lai for comments and suggestions in the process of writing this manuscript."

基金资助正文："The authors thank all the participants and investigators for their help. Furthermore, the authors express their gratitude to Bing Lin, Guiqian Shi, Hui Liu, and Guichuan Lai for comments and suggestions in the process of writing this manuscript."