Addressing the Epidemic of Anal Human Papillomavirus (HPV) Infection via an E-Health Video Designed to Empower Young Men Who Have Sex With Men (YMSM) to Increase HPV Screening and Vaccination, Screening for HIV and Other Sexually Transmitted Infections, a

There is an urgent need to target young men who have sex with men (YMSM) for HIV, STI and HPV prevention and intervention. The study created and evaluated an e-health video as such prevention and intervention, using a convenience sample (N=103) of YMSM, including 62.1% (N=64) White with a mean of 23.53 years (Min = 18, Max = 26, SD = 2.362). Paired t-tests showed that when comparing the pre-versus post-video mean scores there were significant increases post-video for both stage of change and self-efficacy global mean scores---as composites for performing six key risk reduction behaviors. This major finding suggested exposure to the e-health video constituted a brief online intervention associated with significant improvements in both stage of change and self-efficacy for performing risk reduction behaviors.;Backward stepwise regression showed: (1) Higher Pre-Video HPV Knowledge was significantly predicted by not lacking HPV vaccine knowledge as a barrier (beta =-1.031, SEB=0.379, p = 0.008), completion of the 3-series HPV vaccine regimen (beta =1.619, SE B=0.408, p< 0.001), and older age (beta = 0.197, SEB=0.074, p< 0.009) [adjusted R-square = 0.272, 27.2% of variance explained]; (2) Being in a Higher Stage of Change for Receiving an Anal Pap Smear Pre-Video Intervention was significantly predicted by having received an anal pap smear in the past (beta =1.566, SEB=0.240, p< 0.000) [adjusted R-square = 0.303, 30.3% of variance explained]; (3) Being in a Higher Stage of Change for Completing the 3-Time HPV Vaccination Series Pre-Video Intervention was significantly predicted by having higher pre-video global self efficacy (beta =0.404, SEB=0.150, p< 0.008) [adjusted R-square = 0.061, 6.1% of variance explained]; and (4) Achieving a Higher Stage of Change "Change Score" for the 6 Risk Reduction Behaviors from Pre-Video to Post-Video Intervention was significantly predicted by a higher rating of the video (beta = 0.092, SEB=0.044, p< .038) [adjusted R-square value = 0.034, 3.40% of variance explained by model].;Participants rated the e-health video as good in quality, and 78.6% (n=103) would recommend the video to other YMSM. Qualitative data revealed emergent themes for recommending (or not) the video, as well as for improving the video.