Correlates of Acceptance of a Hypothetical Gonorrhea Vaccine by Incarcerated Women

Abstract

In Brief Objectives: This study sought to identify correlates of acceptance of a hypothetical Neisseria gonorrhea (GC) vaccine in a high-risk sample of incarcerated women. Goals: The goal of this study was to inform efforts to promote acceptance of STI vaccines in development. Study Design: This study consisted of a cross-sectional survey using a structured questionnaire. Results: The majority (79%) of incarcerated women surveyed would accept GC vaccine. In multivariate analyses that controlled for demographics, significant health belief model psychosocial correlates of higher acceptance were perceived severity of infection (OR = 3.33) and vulnerability to infection (OR = 2.85). Fear of vaccination was significantly correlated with lower acceptance (OR = 0.42). Conclusions: Incarcerated women's willingness to accept a hypothetical GC vaccine is explained by components of the health belief model and a component of the theory of reasoned action. A survey of incarcerated women drinkers found that almost 80% would accept a vaccine against gonorrhea. Hypothetical vaccine acceptance correlated with elements of the health belief model and fear.

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