Psychosocial correlates of HPV vaccine acceptability in college males: A cross-sectional exploratory study
Psychosocial correlates of HPV vaccine acceptability in college males: A cross-sectional exploratory study
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大学男性 HPV 疫苗可接受性的心理社会相关性：一项横断面探索性研究
DOI：
10.1016/j.pvr.2017.11.001
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发表时间：
2017
影响因子：
3.2
通讯作者：
Z. Rosberger
中科院分区：
文献类型：
--
作者：
Ovidiu Tatar;S. Perez;Anila Naz;G. Shapiro;Z. Rosberger
背景：大多数大学男性没有接种人乳头瘤病毒（HPV）疫苗，感染HPV的风险很高。大多数关于大学男性HPV疫苗可接受性的相关研究都将疫苗可接受性评估为二元结果，例如接种疫苗或未接种疫苗，而没有考虑到一些学生甚至可能不知道HPV疫苗可以接种给男性。我们的目的是评估大学男性HPV可接受性的社会心理相关因素，基于HPV决策的多个阶段。方法采用在线问卷收集2013年9月至2014年4月在加拿大三所大学就读的18-26岁男性大学生的数据。疫苗可接受性评估采用六阶段决策预防采用过程模型（PAPM）。我们寻求有关社会人口统计学、健康行为、HPV疫苗的益处和障碍、担忧、易感性、与HPV感染相关的严重程度和社会规范的信息。HPV和HPV疫苗知识用有效的量表进行测量。采用双变量和多变量logistic回归评估HPV疫苗可接受性的社会心理相关因素。计算实际、感知HPV和HPV疫苗知识得分。结果最终样本量为428例。大多数男大学生都不知道HPV疫苗可以接种给男性，他们没有接种HPV疫苗，或者没有决定是否接种HPV疫苗。HPV疫苗接受度较高的显著相关因素是：HPV知识增加，与卫生保健提供者讨论HPV疫苗，以及社会规范。处于排他性关系与HPV疫苗接受度较低显著相关。学生对HPV和HPV疫苗的实际知识知知度较低，与他们对自己HPV知识的认知呈正相关。结论：我们对处于HPV疫苗决策早期阶段的大学男性HPV疫苗可接受性的社会心理相关因素进行了微调分析。需要采取干预措施来提高大学男性的HPV和HPV疫苗知识。
BackgroundMost college males are not immunized against the human papillomavirus (HPV) and are at high risk of HPV infection. Most research of correlates of HPV vaccine acceptability in college males has assessed vaccine acceptability as a binary outcome, e.g., vaccinated or not vaccinated, without considering that some students may not even be aware that the HPV vaccine can be given to males. Our objective was to evaluate the psychosocial correlates of HPV acceptability in college males, based on multiple stages of HPV decision-making.MethodsWe used an online questionnaire to collect data from college men aged 18–26 enrolled at three Canadian universities between September 2013 and April 2014. Vaccine acceptability assessment was informed by the six-stage decision-making Precaution Adoption Process Model (PAPM). We sought information on socio-demographics, health behaviors, HPV vaccine benefits and barriers, worry, susceptibility, severity related to HPV infection and social norms. HPV and HPV vaccine knowledge was measured with validated scales. Psychosocial correlates of HPV vaccine acceptability were assessed with bivariate and multivariate multinomial logistic regression. Actual and perceived HPV and HPV vaccine knowledge scores were calculated.ResultsThe final sample size was 428. Most male college students wereunawarethat the HPV vaccine could be given to males,unengagedorundecidedabout getting the HPV vaccine. Significant correlates of higher HPV vaccine acceptability were: increased HPV knowledge, having discussed the HPV vaccine with a healthcare provider, and social norms. Being in an exclusive sexual relationship was significantly associated with lower HPV vaccine acceptability. Students' actual HPV and HPV vaccine knowledge was low and positively correlated to their perception about their HPV knowledge.ConclusionsWe provided a fine-tuned analysis of psychosocial correlates of HPV vaccine acceptability in college males who are in the early stages of HPV vaccine decision-making. Interventions are needed to increase HPV and HPV vaccine knowledge in college males.