Assessing the Importance of Theory-Based Correlates of Future HIV Vaccine Intentions Among Black Men Who Have Sex With Men

AIDS Educ Prev. 2024 Oct;36(5):354-369. doi: 10.1521/aeap.2024.36.5.354.

Abstract

In the United States, Black men who have sex with men (BMSM) represent the most vulnerable population for HIV infection. A potential vaccine could ultimately be the most effective HIV prevention strategy. Understanding the factors that may adversely affect HIV vaccine acceptance among BMSM is critical. We conducted two online surveys with BMSM; one recruited 432 respondents, and another recruited 204. Respondents completed a demographic assessment and questions derived from health behavior change theories and the relevant empirical literature. The two surveys yielded similar results. The findings indicate that vaccine uptake self-efficacy, perceived likelihood of important others receiving the vaccine, and susceptibility to HIV were related to intentions to receive a future HIV vaccine. Other potentially important variables include perceived HIV stigma, response efficacy, how much one conceals one's sexual orientation, and perceived HIV discrimination. Future research and health communication campaigns should consider these factors in potential HIV vaccine programs.

Keywords: Black men who have sex with men; HIV vaccine; health behavior theory; vaccine intentions.

MeSH terms

  • AIDS Vaccines*
  • Adolescent
  • Adult
  • Black or African American* / psychology
  • HIV Infections* / ethnology
  • HIV Infections* / prevention & control
  • Health Knowledge, Attitudes, Practice*
  • Humans
  • Intention*
  • Male
  • Middle Aged
  • Patient Acceptance of Health Care / ethnology
  • Patient Acceptance of Health Care / psychology
  • Self Efficacy
  • Sexual Behavior / psychology
  • Sexual and Gender Minorities* / psychology
  • Social Stigma
  • Surveys and Questionnaires
  • United States
  • Young Adult

Substances

  • AIDS Vaccines