Association of the perceived severity of the human papillomavirus with the preventive intention of HPV infection in male adolescents : a cross-sectional survey

Abstract

Background and objective The human papillomavirus (HPV) infection is usually asymptomatic, may affect both sexes, and is easily transmitted. Providing male adolescents with information about HPV prevention before sexually active state is important. This study was designed to gain a better understanding of the perceptions on HPV severity, knowledge on ways to prevent HPV infection, and influencing factors toward preventive measures in male adolescents. Materials and methods A self-administered questionnaire was completed by students aged 13-17 years from six schools in Seoul and the surrounding metropolitan area, from October to December 2014. A total of 615 male adolescents participated in this cross-sectional survey. Results Only 58 (9.5%) boys had heard of HPV. They perceived HPV infection as a disease more severe in girls. Perceptions of HPV as a sexually transmitted infection (STI) in boys (adjusted odds ratio [AOR] 1.79, 95% confidence interval [CI]: 1.00-3.19, p<0.05) and a cause of cancer in girls (AOR=2.69, 95% CI=1.26-5.84, p<0.05) were associated with the intention to maintain monogamous sexual relationships. Alcohol consumption was associated with the intention of postponing sexual intercourse (AOR=0.53, 95% CI=0.34-0.82, p<0.01) and having a sister was associated with the intention of being vaccinated against HPV (AOR=1.48, 95% CI=1.03-2.13, p<0.05). Conclusions Increasing awareness on the severity of HPV affected the intentions of male adolescents to prevent HPV infection. Efforts should be made to maximize awareness of HPV as a causative agent of cancer and a common STI in both boys and girls. Education materials on the influence of HPV infection and steps to be taken for proactive prevention should be included in school health subjects. Special consideration should be given for the preventive vaccination of male adolescents nationwide.