PDF(Pubmed)
Abstract：
Men aged 27 to 45 are eligible for human papillomavirus (HPV) vaccination as of 2019, yet relatively little is known about whether they have received or intend to receive it. We conducted a cross-sectional, online survey among fathers aged 27 to 45 between March and April 2022, to assess associations between HPV vaccination awareness, behaviors, intentions, and psychosocial constructs from the Health Belief Model. We examined the characteristics of those who had (a) heard of the HPV vaccine, (b) already received ≥ 1 dose, and (c) intentions for future vaccination among those who had never been vaccinated. Among 400 men who completed the survey, 32% were not aware of the HPV vaccine. Among those who were aware, 41% had received ≥ 1 dose. Sixty-three percent of unvaccinated men reported that they intended to get vaccinated in the future. Multivariable logistic regression analyses revealed that age and race/ethnicity were associated with having been vaccinated previously. Among the unvaccinated, multivariable logistic regression analyses revealed that those with a higher perceived risk of HPV-associated cancer had 3.73 greater odds of reporting they would seek vaccination compared to those with lower perceived risk (95% confidence interval [CI] = [1.28, 12.3]). We did not find perceived benefits, barriers, or decision self-efficacy to be related to future vaccine intentions. Since recommendations for this group include shared clinical decision-making, public health efforts should focus on raising awareness of vaccine eligibility, emphasizing risk factors for HPV-associated cancers so that individuals have an accurate perception of risk, and encouraging conversation between men and their providers.
摘要：
截至2019年，27至45岁的男性有资格接受人乳头瘤病毒（HPV）疫苗接种，但对他们是否已经接受或打算接受疫苗接种知之甚少。我们做了一个横断面,2022年3月至4月在27至45岁的父亲中进行的在线调查，以评估HPV疫苗接种意识之间的关联，行为,意图,和来自健康信念模型的社会心理建构。我们检查了那些听说过HPV疫苗的人的特征，(b)已接受≥1剂，以及(c)从未接种过疫苗的人今后接种疫苗的意向。在完成调查的400名男性中，32％的人不知道HPV疫苗。在那些知道的人中，41%的人接受了≥1次剂量。63％的未接种疫苗的男性报告说他们打算在将来接种疫苗。多变量逻辑回归分析显示，年龄和种族/民族与以前接种过疫苗有关。在未接种疫苗的人群中，多变量逻辑回归分析显示，与那些具有较低的感知风险的人相比，具有较高的HPV相关癌症风险的人有3.73更多的机会报告他们寻求疫苗接种（95％置信区间[CI]=[1.28,12.3]）。我们没有发现明显的好处，障碍,或决策自我效能与未来的疫苗意图有关。由于该小组的建议包括共同的临床决策，公共卫生工作应侧重于提高对疫苗合格性的认识，强调HPV相关癌症的危险因素，以便个体对风险有准确的认识，鼓励男人和他们的提供者之间的对话。
