Model of Factors Explaining Human Papillomavirus Vaccination Intention of Men Who Have Sex with Men in Thailand: A Cross-Sectional Study.

Human papillomavirus is a leading cause of sexually transmitted infections worldwide, particularly affecting men who have sex with men. While vaccination remains the most effective strategy for preventing human papillomavirus, limited evidence exists regarding the factors influencing vaccine intenti...

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Publicado en:Pacific Rim International Journal of Nursing Research Vol. 30; no. 1; pp. 42 - 58
Autores principales: Injumpa, Chotravee, Lertwatthanawilat, Wanchai, Klunklin, Pimpaporn, Unahalekhaka, Akeau
Formato: research tables/charts Journal Article
Publicado: Thailand Nursing & Midwifery Council Jan-Mar2026
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jan-Mar2026
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      pub: Thailand Nursing & Midwifery Council
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        10.60099/prijnr.2026.275627
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        atl: Model of Factors Explaining Human Papillomavirus Vaccination Intention of Men Who Have Sex with Men in Thailand: A Cross-Sectional Study.
      aug:
        au:
          Injumpa, Chotravee
          Lertwatthanawilat, Wanchai
          Klunklin, Pimpaporn
          Unahalekhaka, Akeau
        affil: RN, PhD (Candidate), Faculty of Nursing, Chiang Mai University, Chiang Mai Thailand
      sug:
        subj:
          Papillomavirus Infections Prevention and Control
          Papillomavirus Vaccine Administration and Dosage
          Intention
          Men Who Have Sex With Men Psychosocial Factors
          Ajzen's Theory of Planned Behavior Utilization
          Human
          Thailand
          Cross Sectional Studies
          Descriptive Research
          Conceptual Framework
          Male
          Adult
          Middle Age
          Purposive Sample
          Scales
          Structural Equation Modeling
          Data Analysis Software
          Chi Square Test
          Descriptive Statistics
          Random Sample
          Pearson's Correlation Coefficient
          Peer Group
          Health Knowledge Evaluation
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Male
      ab: Human papillomavirus is a leading cause of sexually transmitted infections worldwide, particularly affecting men who have sex with men. While vaccination remains the most effective strategy for preventing human papillomavirus, limited evidence exists regarding the factors influencing vaccine intention in this population. This descriptive, cross-sectional study developed and tested a model of factors explaining human papillomavirus vaccination intention using the extended Theory of Planned Behavior, which included attitude, subjective norms, perceived behavioral control, sexual risk behaviors, and human papillomavirus knowledge. The participants were 331 men who have sex with men residing in four provinces across four regions of Thailand, via multi-stage random sampling. Data were collected using online questionnaires, including the Demographic Data Form, the Attitude toward the Behavior Subscale, the Subjective Norm Subscale, the Perceived Behavioral Control Subscale, the Sexual Risk Behavior Questionnaire, the Mid-Adult Human Papillomavirus Vaccine Knowledge Scale, and the Behavioral Intention Subscale. Data were analyzed using descriptive statistics, Pearson's product-moment correlation, and structural equation modeling. The findings showed that the participants had a high intention to receive the human papillomavirus vaccination. Attitude, subjective norms, and perceived behavioral control collectively explained intention, accounting for 39.5% of the variance. Subjective norms have a strong influence on intention, both directly and indirectly, through attitude and perceived behavioral control. Sexual risk behaviors and knowledge of human papillomavirus did not significantly influence vaccination intention. The findings can be applied to develop programs to promote human papillomavirus vaccination intention by reinforcing positive attitudes, supporting subjective norms such as peer groups, and enhancing perceived behavioral control over human papillomavirus vaccination. However, this intervention must be tested before it can be used in practice.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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