Young Men's Communication Needs for the Human Papillomavirus (HPV) Vaccine: A Cross-Cultural, Qualitative Analysis in Scotland, Spain, and the USA.

IF 1.7 3区 心理学 Q3 PSYCHOLOGY, CLINICAL
Carol Gray Brunton, Elaine Carnegie, Janette Pow, Irina Todorova, Dafina Petrova, Rocio Garcia-Retamero, Anne Whittaker
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Abstract

Background: Globally, human papillomavirus (HPV) vaccine uptake rates have declined within a wider context of vaccine hesitancy. Gender-neutral vaccine programmes are increasing and recommended for the prevention of cervical, anogenital, and oropharyngeal cancers affecting both women and men. To address the problem of suboptimal HPV uptake rates for boys and men, we aimed to understand young men's communication needs for HPV messages in a cross-cultural analysis.

Methods: Qualitative methods consisting of 14 focus group discussions were conducted with young men (18-26 years) about the HPV vaccine in three countries with varying HPV vaccine implementation policies at the time. A total of 55 participants were included from Scotland (n=14), Spain (n=25), single-gendered programmes, and the USA (n=16), gender-neutral programme. Analysis was informed by reflexive thematic analysis.

Findings: Four themes were identified: (1) the 'Girl vaccine': primarily seen as a vaccine for girls, despite varying vaccine knowledge and awareness across contexts; (2) vaccine ambivalence: perceptions of men's HPV risks were low and some vaccine worries were evident from US contexts; (3) altruism: a pervasive theme related to young men's roles and responsibilities for HPV transmission within relationships; (4) trusted sources: messages from health care providers/authorities were persistently valued but direct opportunities were often absent.

Conclusion: Public health messaging to increase HPV vaccination for young men should focus on direct appeal to young men's health through specific and targeted HPV messages for cancer and sexual health benefits to increase the personal relevance of the vaccine. It should also focus on indirect appeal through incorporating messages about safe sex in relationships and for herd immunity. Healthcare providers and authorities are trusted sources of information and can influence men's confidence for the HPV vaccine; opportunities for interactions should be optimised.

年轻男性对人乳头瘤病毒(HPV)疫苗的交流需求:苏格兰、西班牙和美国的跨文化定性分析
背景:在全球范围内,人乳头瘤病毒(HPV)疫苗的接种率在疫苗犹豫的更广泛背景下有所下降。正在增加不分性别的疫苗规划,并建议用于预防影响男女的子宫颈癌、肛门生殖器癌和口咽癌。为了解决男孩和男性HPV接种率不理想的问题,我们旨在通过跨文化分析了解年轻男性对HPV信息的交流需求。方法:采用定性方法,对三个国家(18-26岁)的年轻男性(18-26岁)进行了14次关于HPV疫苗的焦点小组讨论,这些国家当时的HPV疫苗实施政策不同。共纳入55名参与者,分别来自苏格兰(n=14)、西班牙(n=25)和美国(n=16),分别为单性别项目和中性项目。分析采用反身性主题分析。发现:确定了四个主题:(1)“女孩疫苗”:主要被视为女孩的疫苗,尽管不同情况下的疫苗知识和认识不同;(2)疫苗矛盾心理:对男性HPV风险的认知较低,从美国的情况来看,一些疫苗担忧是明显的;(3)利他主义:与年轻男性在人际关系中传播HPV的角色和责任相关的普遍主题;(4)可信来源:来自卫生保健提供者/当局的信息一直受到重视,但往往缺乏直接机会。结论:增加年轻男性HPV疫苗接种的公共卫生信息应侧重于通过针对癌症和性健康益处的特定和有针对性的HPV信息直接呼吁年轻男性的健康,以增加疫苗的个人相关性。它还应通过纳入有关关系中的安全性行为和群体免疫的信息,着重于间接呼吁。卫生保健提供者和当局是值得信赖的信息来源,可以影响男性对HPV疫苗的信心;应该优化互动的机会。
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来源期刊
CiteScore
5.20
自引率
3.70%
发文量
97
期刊介绍: The International Journal of Behavioral Medicine (IJBM) is the official scientific journal of the International Society for Behavioral Medicine (ISBM). IJBM seeks to present the best theoretically-driven, evidence-based work in the field of behavioral medicine from around the globe. IJBM embraces multiple theoretical perspectives, research methodologies, groups of interest, and levels of analysis. The journal is interested in research across the broad spectrum of behavioral medicine, including health-behavior relationships, the prevention of illness and the promotion of health, the effects of illness on the self and others, the effectiveness of novel interventions, identification of biobehavioral mechanisms, and the influence of social factors on health. We welcome experimental, non-experimental, quantitative, qualitative, and mixed-methods studies as well as implementation and dissemination research, integrative reviews, and meta-analyses.
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