Addressing the Epidemic of Anal Human Papillomavirus (HPV) Infection via an E-Health Video Designed to Empower Young Men Who Have Sex With Men (YMSM) to Increase HPV Screening and Vaccination, Screening for HIV and Other Sexually Transmitted Infections, and Adoption of Risk Reduction Behaviors

摘要

There is an urgent need to target young men who have sex with men (YMSM) for HIV, STI and HPV prevention and intervention. The study created and evaluated an e-health video as such prevention and intervention, using a convenience sample (N=103) of YMSM, including 62.1% (N=64) White with a mean of 23.53 years (Min = 18, Max = 26, SD = 2.362). Paired t-tests showed that when comparing the pre-versus post-video mean scores there were significant increases post-video for both stage of change and self-efficacy global mean scores---as composites for performing six key risk reduction behaviors. This major finding suggested exposure to the e-health video constituted a brief online intervention associated with significant improvements in both stage of change and self-efficacy for performing risk reduction behaviors.;Backward stepwise regression showed: (1) Higher Pre-Video HPV Knowledge was significantly predicted by not lacking HPV vaccine knowledge as a barrier (beta =-1.031, SEB=0.379, p = 0.008), completion of the 3-series HPV vaccine regimen (beta =1.619, SE B=0.408, p< 0.001), and older age (beta = 0.197, SEB=0.074, p< 0.009) [adjusted R-square = 0.272, 27.2% of variance explained]; (2) Being in a Higher Stage of Change for Receiving an Anal Pap Smear Pre-Video Intervention was significantly predicted by having received an anal pap smear in the past (beta =1.566, SEB=0.240, p< 0.000) [adjusted R-square = 0.303, 30.3% of variance explained]; (3) Being in a Higher Stage of Change for Completing the 3-Time HPV Vaccination Series Pre-Video Intervention was significantly predicted by having higher pre-video global self efficacy (beta =0.404, SEB=0.150, p< 0.008) [adjusted R-square = 0.061, 6.1% of variance explained]; and (4) Achieving a Higher Stage of Change "Change Score" for the 6 Risk Reduction Behaviors from Pre-Video to Post-Video Intervention was significantly predicted by a higher rating of the video (beta = 0.092, SEB=0.044, p< .038) [adjusted R-square value = 0.034, 3.40% of variance explained by model].;Participants rated the e-health video as good in quality, and 78.6% (n=103) would recommend the video to other YMSM. Qualitative data revealed emergent themes for recommending (or not) the video, as well as for improving the video.