Using an integrated approach to understand vaccination behavior among young men who have sex with men: Stages of change, the health belief model, and self-efficacy
Using an integrated approach to understand vaccination behavior among young men who have sex with men: Stages of change, the health belief model, and self-efficacy
复制标题
DOI：
10.1023/a:1025444629753
复制
发表时间：
2003-10-01
影响因子：
5.9
通讯作者：
Hergenrather, KC
中科院分区：
文献类型：
--
作者：
Rhodes, SD;Hergenrather, KC
研究继续表明，在美国，大多数男男性行为者（MSM）仍然没有接种甲型肝炎（HAV）疫苗;这种有限的疫苗接种覆盖率是预防疾病的机会。本研究旨在确定信念和态度与动机准备接种甲型肝炎疫苗的男男性接触者，使用一个理论整合的框架。通过酒吧外展的方式，对358名MSM进行问卷调查。准备完成两次剂量系列的MSM认为实际障碍较低，并报告了更多的医疗保健提供者对他们的性取向和风险行为的沟通。他们还认为接种疫苗的好处更大，感染的严重程度更高，完成疫苗系列的自我效能更高。从健康信念模型和社会学习理论的变化阶段和理论为基础的结构之间的关系遵循预测的模式，这表明这些理论可以提供有用的框架，了解MSM之间的疫苗接种准备和干预策略的发展。
Studies continue to show that the majority of men who have sex with men (MSM) in the United States remain unvaccinated against hepatitis A (HAV); such limited vaccination coverage is a missed opportunity for preventing disease. This study sought to identify beliefs and attitudes associated with motivational readiness for vaccination against HAV among MSM, using a theoretically-integrated framework. Questionnaire data were collected from 358 MSM through bar outreach. MSM with increased readiness to complete the two-dose series perceived lower practical barriers and reported greater healthcare provider communication about their sexual orientation and risk behavior. They also perceived higher benefits to vaccination and higher severity of infection, and had higher self-efficacy to complete the vaccine series. Relationships between stages of change and theory-based constructs from the health belief model and the social learning theory follow predicted patterns suggesting that these theories may provide useful frameworks for understanding vaccination readiness and intervention strategy development among MSM.