Hepatitis A vaccination among young African American men who have sex with men in the deep south: psychosocial predictors


Rhodes, SD; Yee, LJ; Hergenrather, KC; (2003) Hepatitis A vaccination among young African American men who have sex with men in the deep south: psychosocial predictors. Journal of the National Medical Association, 95 (4 Suppl). 31S-36S. ISSN 0027-9684

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Abstract

Despite recommendations for vaccination against hepatitis A (HAV) of men who have sex with men (MSM), most remain unvaccinated. This study was designed to identify attitudes and beliefs associated with vaccination against HAV using a conventional outreach sample of African American MSM in Birmingham, Alabama. Of 107 participants, nearly 34% reported being vaccinated against HAV. Over half of the participants reported 10 or more different lifetime male sexual partners, and a third reported having had intercourse with females, as well as, males within the past 5 years. About 10% of the participants reported condom use over half of the time during oral intercourse, and 50% of the participants reported using a condom over half the time during anal intercourse. In multivariable analysis, predictors of HAV vaccination were a decreased perception of the practical barriers to HAV vaccination (odds ratio [OR], 0.05; 95% confidence interval [CI]: 0.01-0.18, P = 0.002); increased health provider communication (OR, 9.89; 95% CI: 2.74-35.65, P = 0.02); and increased perceived personal self-efficacy to complete the two-dose series (OR, 7.31; 95% CI: 2.38-22.45, P = 0.02). Our findings underscore the need to increase vaccination through innovative approaches to reduce perceived barriers to vaccination while increasing provider-patient communication and self-efficacy to complete the vaccine series.

Item Type: Article
Keywords: Adult, Alabama, Blacks/*psychology, Communication, Health Promotion, Hepatitis A/ethnology/*prevention & control, Hepatitis A Vaccines/*administration & dosage, Homosexuality, Male/*ethnology, Human, *Knowledge, Attitudes, Practice, Male, Multivariate Analysis, Questionnaires, *Risk-Taking, Socioeconomic Factors, Support, Non-U.S. Gov't, Vaccination/*utilization, Adult, Alabama, Blacks, psychology, Communication, Health Promotion, Hepatitis A, ethnology, prevention & control, Hepatitis A Vaccines, administration & dosage, Homosexuality, Male, ethnology, Human, Knowledge, Attitudes, Practice, Male, Multivariate Analysis, Questionnaires, Risk-Taking, Socioeconomic Factors, Support, Non-U.S. Gov't, Vaccination, utilization
Faculty and Department: Faculty of Epidemiology and Population Health > Dept of Infectious Disease Epidemiology
Research Centre: Vaccine Centre
PubMed ID: 12749607
URI: http://researchonline.lshtm.ac.uk/id/eprint/16067

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