Factors Related to HPV Vaccination Intention among MSM in China: A Bayesian Network Model

Abstract

(1) Background: Men who have sex with men (MSM) are at high risk of human papillomavirus (HPV) infection, and HPV vaccination is the best strategy to prevent HPV infection. Accepting HPV vaccination is an essential factor affecting vaccine promotion among MSM. We aimed to explore the factors related to HPV vaccination intention among MSM and analyze the potential relationship between these factors. (2) Methods: We adopted a nonprobability sampling method to recruit MSM volunteers. Information collection included general demographics, personal behavioral characteristics, knowledge of HPV/vaccine attitudes, and risk threat perception. Bayesian networks (BNs) were used to analyze the data statistically. (3) Results: The BNs showed that perceived HPV risk and attitudes toward vaccine promotion were directly correlated factors, whereas knowledge of HPV/vaccines, a history of HIV testing, and the number of male sexual partners in the past 6 months were indirectly correlated factors. (4) Conclusions: The results of this study illustrate that MSM have a relatively high propensity to receive HPV vaccines. The proposal that strengthening the propagation of HPV and its relevant vaccines, encouraging MSM to undergo regular corresponding tests, and improving their risk perception of HPV infection can be raised to promote HPV vaccination among MSM.

Acceptance of the Human Papillomavirus Vaccine among General Men and Men with a Same-Sex Orientation and Its Influencing Factors: A Systematic Review and Meta-Analysis

“…Future research should focus on the impact of age on various professional groups’ acceptance of the HPV vaccine. Men with a medical background had a higher willingness to receive the HPV vaccination, suggesting that knowledge of HPV and HPV vaccines could promote vaccination [ 6 , 25 , 65 ]. Previous studies have also found that after information popularization about HPV and its vaccine was carried out for people from other professional backgrounds, there was no difference in HPV vaccine acceptance compared with people from medical backgrounds [ 68 ].…”

Factors Influencing HPV Vaccine Intentions in Malaysian Men Who Have Sex with Men: A Cross-Sectional Study in Malaysia

“…Various factors may influence the acceptance of the HPV vaccine among MSM. These factors include knowledge regarding HPV and the vaccine, awareness of the associated health risks, concerns regarding vaccine safety and efficacy, social and cultural influences, and access to healthcare services [14][15][16][17]. In a meta-analysis examining the acceptability of HPV vaccines among MSM, an overall moderate level of acceptance was observed [18].…”