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Integrating Behavioral Theory to Understand Hepatitis B Vaccination Among Men Who Have Sex With Men

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Objective: To identify beliefs and attitudes associated with motivational readiness for vaccination against hepatitis B vaccination among at-risk men who have sex with men (MSM), using a theoretically integrated framework. Methods: Data were collected from 358 MSM. Results: MSM with increased readiness to complete the 3-dose series perceived lower practical barriers and greater benefits to vaccination, perceived higher severity of infection, and had higher self-efficacy to complete the vaccine series. Conclusions: Relationships between stages of change and theory-based constructs from the health belief model and the social learning theory follow predicted patterns suggesting that these theories may provide useful frameworks for understanding vaccination readiness and intervention strategy development among MSM.

Keywords: behavior change theory; gay; hepatitis; homosexual; vaccination

Document Type: Research Article


Affiliations: 1: Section on Social Sciences and Health Policy, Department of Public Health Sciences, Wake Forest University Health Sciences, Winston-Salem, NC. 2: Department of Health Behavior, School of Public Health, University of Alabama at Birmingham, Birmingham, AL. 3: Department of Counseling/Human and Organizational Studies, George Washington University, Washington, DC.

Publication date: July 1, 2003

More about this publication?
  • The American Journal of Health Behavior seeks to improve the quality of life through multidisciplinary health efforts in fostering a better understanding of the multidimensional nature of both individuals and social systems as they relate to health behaviors.

    The Journal aims to provide a comprehensive understanding of the impact of personal attributes, personality characteristics, behavior patterns, social structure, and processes on health maintenance, health restoration, and health improvement; to disseminate knowledge of holistic, multidisciplinary approaches to designing and implementing effective health programs; and to showcase health behavior analysis skills that have been proven to affect health improvement and recovery.

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