Using an extended information-motivation-behavioral skills model to explain HPV vaccination intention among men who have sex with men only and men who have sex with men and women

作者全名："Shi, Guiqian; Lin, Bing; Pan, Haiying; He, Wei; Zhong, Xiaoni"

作者地址："[Shi, Guiqian; Lin, Bing; Pan, Haiying; He, Wei; Zhong, Xiaoni] Chongqing Med Univ, Res Ctr Med & Social Dev, Sch Publ Hlth, 1 Yixueyuan Rd, Chongqing 400016, Peoples R China"

通信作者："Zhong, XN (通讯作者)，Chongqing Med Univ, Res Ctr Med & Social Dev, Sch Publ Hlth, 1 Yixueyuan Rd, Chongqing 400016, Peoples R China."

来源：HUMAN VACCINES & IMMUNOTHERAPEUTICS

ESI学科分类：IMMUNOLOGY

WOS号：WOS:001184003000001

JCR分区：Q2

影响因子：4.1

年份：2024

卷号：20

期号：1

开始页：　

结束页：　

文献类型：Article

关键词：Human papillomavirus vaccine; men who have sex with men and women; intention; information-motivation-behavior skills model; multi-group structural equation modeling

摘要："Men who have sex with men and women (MSMW) have been reported to differ in psychosocial and sexual behavior patterns from men who have sex with men only (MSMO). However, results regarding the differences in HPV vaccination intention/behavior were inconclusive. We compared HPV vaccination intention between MSMO and MSMW and analyzed the differences in potentially associated factors in China. MSM participants were recruited online using a snowball sampling method. Cross-sectional data were collected via a questionnaire based on the extended information-motivation-behavioral skills model. Structural equation modeling was conducted to examine the relationship between the variables, followed by multi-group analysis to test differences between groups. Of 914 MSM, 77.68% were MSMO and 22.32% were MSMW. MSMW had a higher rate of reluctance to vaccinate than MSMO (23.53% vs. 16.20%, p = .016). Differences between the two groups were statistically significant in risky sexual behavior, behavioral skills, and promotional attitude. In both groups, promotional attitude was the most significant predictor of vaccination intention. Vaccination intention was directly influenced by motivation and indirectly by risky sexual behavior in MSMO, but not significantly in MSMW. Additionally, the direct effect of information on behavioral skills in MSMW was significantly greater than that in MSMO, but we did not find any effect of behavioral skills on vaccination intention. MSMW had lower vaccination intention than MSMO. MSMO may be influenced by risky sexual behavior and motivation, positively impacting their vaccination intention, unlike MSMW. Targeted strategies could help promote HPV vaccination, especially in MSMW."

基金机构：National Key Project for Infectious Diseases of the Ministry of Science and Technology of China [2018ZX10721102-005]

基金资助正文："This research was supported by the National Key Project for Infectious Diseases of the Ministry of Science and Technology of China, grant number 2018ZX10721102-005."