Perceptions of HPV, Genital Warts, and Penile/Anal Cancer and High-Risk Sexual Behaviors Among Men Who Have Sex with Men in Hong Kong
The prevalence of HIV and HPV is high among men who have sex with men (MSM) in China. It is unclear whether cognitive and affective responses related to HPV and HPV-related diseases are negatively associated with HIV-related risk behaviors among MSM. This cross-sectional study interviewed 449 adult...
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| Veröffentlicht in: | Archives of sexual behavior 2014-05, Vol.43 (4), p.789-800 |
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| creator | Lau, Joseph T. F. Wang, Zixin Lau, Mason Lai, Coco H. Y. |
| description | The prevalence of HIV and HPV is high among men who have sex with men (MSM) in China. It is unclear whether cognitive and affective responses related to HPV and HPV-related diseases are negatively associated with HIV-related risk behaviors among MSM. This cross-sectional study interviewed 449 adult Chinese MSM in Hong Kong. The prevalence of unprotected anal intercourse (UAI) and having had anal sex with more than one man in the last 6 months (multiple male sex partnerships) was 39.0 and 71.3 %, respectively. After adjusting for four significant background variables (education level, cohabitation with a man, exposure to HIV prevention materials, and HIV voluntary counseling and testing), variables negatively associated with UAI and/or multiple male sex partnerships included (1) correct HPV-related knowledge (AOR = 0.48–0.66), (2) perceived susceptibility (AOR = 0.32–0.55) and perceived severity (AOR = 0.12–0.60) related to HPV and HPV-related diseases, and (3) fear towards contracting genital warts and penile/anal cancer (AOR = 0.40–0.55). Perceived high chance of contracting HPV was positively associated with multiple partnerships (AOR = 4.74). It is possible to reduce HIV-related risk behaviors by increasing levels of knowledge, cognitions, and fear related to HPV and related diseases. It is important to integrate prevention of HIV with prevention of sexually transmitted infections. Such interventions are warranted. |
| doi_str_mv | 10.1007/s10508-013-0172-3 |
| format | Article |
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After adjusting for four significant background variables (education level, cohabitation with a man, exposure to HIV prevention materials, and HIV voluntary counseling and testing), variables negatively associated with UAI and/or multiple male sex partnerships included (1) correct HPV-related knowledge (AOR = 0.48–0.66), (2) perceived susceptibility (AOR = 0.32–0.55) and perceived severity (AOR = 0.12–0.60) related to HPV and HPV-related diseases, and (3) fear towards contracting genital warts and penile/anal cancer (AOR = 0.40–0.55). Perceived high chance of contracting HPV was positively associated with multiple partnerships (AOR = 4.74). It is possible to reduce HIV-related risk behaviors by increasing levels of knowledge, cognitions, and fear related to HPV and related diseases. It is important to integrate prevention of HIV with prevention of sexually transmitted infections. Such interventions are warranted.</description><identifier>ISSN: 0004-0002</identifier><identifier>EISSN: 1573-2800</identifier><identifier>DOI: 10.1007/s10508-013-0172-3</identifier><identifier>PMID: 23982568</identifier><identifier>CODEN: ASXBA8</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>Acquired Immune Deficiency Syndrome ; Adolescent ; Adult ; Anus Neoplasms - virology ; Behavioral Science and Psychology ; Cancer ; Condylomata Acuminata - epidemiology ; Cross-Sectional Studies ; Diseases ; Gays & lesbians ; Genital cancers ; Genitals ; HIV ; HIV Infections - epidemiology ; HIV Infections - prevention & control ; HIV Infections - psychology ; Homosexuality ; Homosexuality, Male - psychology ; Hong Kong ; Hong Kong - epidemiology ; Human immunodeficiency virus ; Human papillomavirus ; Humans ; Male ; Males ; Middle Aged ; Original Paper ; Penile Neoplasms - virology ; Perceptions ; Prevalence ; Prevention ; Psychology ; Public Health ; Risk ; Risk-Taking ; Sexual Behavior ; Sexual Behavior - psychology ; Sexual Behavior - statistics & numerical data ; Sexual Partners ; Sexually Transmitted Diseases - epidemiology ; Sexually Transmitted Diseases - prevention & control ; Sexually Transmitted Diseases - psychology ; Social Sciences ; Young Adult</subject><ispartof>Archives of sexual behavior, 2014-05, Vol.43 (4), p.789-800</ispartof><rights>Springer Science+Business Media New York 2013</rights><rights>Springer Science+Business Media New York 2014</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c438t-465b65e9d74c87f35bc73575056090c03a2625dfefd4a1dadb8f2de0fbe9e5c63</citedby><cites>FETCH-LOGICAL-c438t-465b65e9d74c87f35bc73575056090c03a2625dfefd4a1dadb8f2de0fbe9e5c63</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s10508-013-0172-3$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s10508-013-0172-3$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27924,27925,33775,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23982568$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lau, Joseph T. F.</creatorcontrib><creatorcontrib>Wang, Zixin</creatorcontrib><creatorcontrib>Lau, Mason</creatorcontrib><creatorcontrib>Lai, Coco H. Y.</creatorcontrib><title>Perceptions of HPV, Genital Warts, and Penile/Anal Cancer and High-Risk Sexual Behaviors Among Men Who Have Sex with Men in Hong Kong</title><title>Archives of sexual behavior</title><addtitle>Arch Sex Behav</addtitle><addtitle>Arch Sex Behav</addtitle><description>The prevalence of HIV and HPV is high among men who have sex with men (MSM) in China. It is unclear whether cognitive and affective responses related to HPV and HPV-related diseases are negatively associated with HIV-related risk behaviors among MSM. This cross-sectional study interviewed 449 adult Chinese MSM in Hong Kong. The prevalence of unprotected anal intercourse (UAI) and having had anal sex with more than one man in the last 6 months (multiple male sex partnerships) was 39.0 and 71.3 %, respectively. After adjusting for four significant background variables (education level, cohabitation with a man, exposure to HIV prevention materials, and HIV voluntary counseling and testing), variables negatively associated with UAI and/or multiple male sex partnerships included (1) correct HPV-related knowledge (AOR = 0.48–0.66), (2) perceived susceptibility (AOR = 0.32–0.55) and perceived severity (AOR = 0.12–0.60) related to HPV and HPV-related diseases, and (3) fear towards contracting genital warts and penile/anal cancer (AOR = 0.40–0.55). Perceived high chance of contracting HPV was positively associated with multiple partnerships (AOR = 4.74). It is possible to reduce HIV-related risk behaviors by increasing levels of knowledge, cognitions, and fear related to HPV and related diseases. It is important to integrate prevention of HIV with prevention of sexually transmitted infections. Such interventions are warranted.</description><subject>Acquired Immune Deficiency Syndrome</subject><subject>Adolescent</subject><subject>Adult</subject><subject>Anus Neoplasms - virology</subject><subject>Behavioral Science and Psychology</subject><subject>Cancer</subject><subject>Condylomata Acuminata - epidemiology</subject><subject>Cross-Sectional Studies</subject><subject>Diseases</subject><subject>Gays & lesbians</subject><subject>Genital cancers</subject><subject>Genitals</subject><subject>HIV</subject><subject>HIV Infections - epidemiology</subject><subject>HIV Infections - prevention & control</subject><subject>HIV Infections - psychology</subject><subject>Homosexuality</subject><subject>Homosexuality, Male - psychology</subject><subject>Hong Kong</subject><subject>Hong Kong - epidemiology</subject><subject>Human immunodeficiency virus</subject><subject>Human papillomavirus</subject><subject>Humans</subject><subject>Male</subject><subject>Males</subject><subject>Middle Aged</subject><subject>Original Paper</subject><subject>Penile Neoplasms - virology</subject><subject>Perceptions</subject><subject>Prevalence</subject><subject>Prevention</subject><subject>Psychology</subject><subject>Public Health</subject><subject>Risk</subject><subject>Risk-Taking</subject><subject>Sexual Behavior</subject><subject>Sexual Behavior - psychology</subject><subject>Sexual Behavior - statistics & numerical data</subject><subject>Sexual Partners</subject><subject>Sexually Transmitted Diseases - epidemiology</subject><subject>Sexually Transmitted Diseases - prevention & control</subject><subject>Sexually Transmitted Diseases - psychology</subject><subject>Social Sciences</subject><subject>Young Adult</subject><issn>0004-0002</issn><issn>1573-2800</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><sourceid>QXPDG</sourceid><sourceid>BHHNA</sourceid><recordid>eNqNkc1u1DAUhS0EosPAA7BBlth00bTXdpyf5TAqDWoRI_66jBznZsYlYw92UuABeG-cmYIQEoKFr61zv3ts-RDylMEpA8jPAgMJRQJMxJXzRNwjMyZzkfAC4D6ZAUCaxMKPyKMQbuIpz1L5kBxxURZcZsWMfF-h17gbjLOBuo5Wq48n9AKtGVRPr5UfwglVtqWrKPV4trBRXiqr0e_lyqw3yVsTPtF3-HWMvRe4UbfG-UAXW2fX9DVaer1xtFK3ODH0ixk2e9VYWk3EZSyPyYNO9QGf3O1z8uHl-ftllVy9uXi1XFwlOhXFkKSZbDKJZZunusg7IRudC5lLkBmUoEEonnHZdti1qWKtapui4y1C12CJUmdiTo4PvjvvPo8Yhnprgsa-VxbdGGqWFcAkF5z_G5W8LIXgUP4PygQvZMTn5Pkf6I0bffzUPQVSpoxNz2QHSnsXgseu3nmzVf5bzaCekq8Pydcx-XpKvp6cn905j80W218TP6OOAD8AIbbsGv1vV__V9Qc9obWL</recordid><startdate>20140501</startdate><enddate>20140501</enddate><creator>Lau, Joseph T. 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F.</au><au>Wang, Zixin</au><au>Lau, Mason</au><au>Lai, Coco H. Y.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Perceptions of HPV, Genital Warts, and Penile/Anal Cancer and High-Risk Sexual Behaviors Among Men Who Have Sex with Men in Hong Kong</atitle><jtitle>Archives of sexual behavior</jtitle><stitle>Arch Sex Behav</stitle><addtitle>Arch Sex Behav</addtitle><date>2014-05-01</date><risdate>2014</risdate><volume>43</volume><issue>4</issue><spage>789</spage><epage>800</epage><pages>789-800</pages><issn>0004-0002</issn><eissn>1573-2800</eissn><coden>ASXBA8</coden><abstract>The prevalence of HIV and HPV is high among men who have sex with men (MSM) in China. It is unclear whether cognitive and affective responses related to HPV and HPV-related diseases are negatively associated with HIV-related risk behaviors among MSM. This cross-sectional study interviewed 449 adult Chinese MSM in Hong Kong. The prevalence of unprotected anal intercourse (UAI) and having had anal sex with more than one man in the last 6 months (multiple male sex partnerships) was 39.0 and 71.3 %, respectively. After adjusting for four significant background variables (education level, cohabitation with a man, exposure to HIV prevention materials, and HIV voluntary counseling and testing), variables negatively associated with UAI and/or multiple male sex partnerships included (1) correct HPV-related knowledge (AOR = 0.48–0.66), (2) perceived susceptibility (AOR = 0.32–0.55) and perceived severity (AOR = 0.12–0.60) related to HPV and HPV-related diseases, and (3) fear towards contracting genital warts and penile/anal cancer (AOR = 0.40–0.55). Perceived high chance of contracting HPV was positively associated with multiple partnerships (AOR = 4.74). It is possible to reduce HIV-related risk behaviors by increasing levels of knowledge, cognitions, and fear related to HPV and related diseases. It is important to integrate prevention of HIV with prevention of sexually transmitted infections. Such interventions are warranted.</abstract><cop>New York</cop><pub>Springer US</pub><pmid>23982568</pmid><doi>10.1007/s10508-013-0172-3</doi><tpages>12</tpages></addata></record> |
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| subjects | Acquired Immune Deficiency Syndrome Adolescent Adult Anus Neoplasms - virology Behavioral Science and Psychology Cancer Condylomata Acuminata - epidemiology Cross-Sectional Studies Diseases Gays & lesbians Genital cancers Genitals HIV HIV Infections - epidemiology HIV Infections - prevention & control HIV Infections - psychology Homosexuality Homosexuality, Male - psychology Hong Kong Hong Kong - epidemiology Human immunodeficiency virus Human papillomavirus Humans Male Males Middle Aged Original Paper Penile Neoplasms - virology Perceptions Prevalence Prevention Psychology Public Health Risk Risk-Taking Sexual Behavior Sexual Behavior - psychology Sexual Behavior - statistics & numerical data Sexual Partners Sexually Transmitted Diseases - epidemiology Sexually Transmitted Diseases - prevention & control Sexually Transmitted Diseases - psychology Social Sciences Young Adult |
| title | Perceptions of HPV, Genital Warts, and Penile/Anal Cancer and High-Risk Sexual Behaviors Among Men Who Have Sex with Men in Hong Kong |
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