Article

Human papillomavirus vaccine intention among college men: what's oral sex got to do with it?

College of Public Health and the Rural Cancer Prevention Center, University of Kentucky, Lexington, Kentucky, USA.
Journal of American College Health (Impact Factor: 1.45). 01/2012; 60(1):8-12. DOI: 10.1080/07448481.2011.552538
Source: PubMed

ABSTRACT To identify associations between engaging in oral sex and perceived risk of oral cancer among college men. Also, to identify associations, and their moderating factors, between oral sex and human papillomavirus (HPV) vaccine acceptance.
Young men were recruited from 2 university campuses in the South (N = 150). Men completed an audio computer-assisted self-administered interview.
With the exception of receiving fellatio, each measure of oral sex behavior was significantly associated with greater perceived risk of oral cancer. Four oral sex behaviors evidenced significant associations with vaccine acceptance. Men engaging in recent oral sex or reporting oral sex behaviors with more than 2 partners were more likely to indicate vaccine intent. African American/black race, communication with parents about sex-related topics, and HPV-related stigma/shame were identified as moderating factors.
Young college men giving or receiving oral sex with multiple partners may be predisposed to HPV vaccination.

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    ABSTRACT: Objective: To examine HPV vaccination rates including initiation and completion of the vaccine series, and barriers to vaccination in a sample of male college students. Participants: Male students between the ages of 18 and 25 who reported being currently or previously sexually active (N = 735). Methods: A cross-sectional web-based survey was administered during October 2012 at a large public university in the northeast United States. Student email addresses were obtained from the university after Institutional Review Board approval. Results: Although condom use was low and number of lifetime sexual partners was high, 93% reported they were not at risk for sexually transmitted infections. The college men in the sample had low HPV vaccine awareness, knowledge, perceived severity, and perceived susceptibility, and 74% of the sample had not obtained the HPV vaccine. Conclusions: There is a disconnect between actual and perceived risks of HPV and barriers to HPV vaccination exist.
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