Factors of COVID-19 Vaccination among Hong Kong Chinese Men Who Have Sex with Men during Months 5–8 since the Vaccine Rollout—General Factors and Factors Specific to This Population

BACKGROUND The outbreak of monkeypox around the world in May 2022 is another health threat for who have sex with men (MSM), which accounts for almost all patients. OBJECTIVE This study aimed to describe the knowledge of Monkeypox, worries about monkeypox, their awareness of prevention strategies, willingness towards monkeypox vaccination and their correlates factors among MSM in China. METHODS Methods: In this regard, we conducted a cross-sectional survey of MSM in southern China from August to September 2022. Multivariate logistic regression was used to explore the correlates willingness of monkeypox vaccination and its correlates. RESULTS Results: Participants (N=1093) ranged in age from 18 to 70 years and mean age was 27.9 years. Over two-thirds 343(68.6%) had anal sex for one to five times in the past three months .999(91.4%) of participants were willing to receive a monkeypox vaccine and 639(89.4%) obtained information about monkeypox through the Internet. In multivariable analysis, considered the vaccine to be safe (aOR=6, 95%CI: 1.402–25.678), agreed that it was necessary for the government to promote smallpox/monkeypox vaccination in China (aOR=6.195, 95%CI: 1.038–36.993), agreed that smallpox/monkeypox vaccine should be given priority to MSM (aOR=8.88, 95% CI:1.742–45.274) and whose friends or sexual partners had received the monkeypox vaccination (aOR=14.305, 95%CI: 2.621–78.070) were more likely to be willing to receive monkeypox vaccine. Participants (729,66.7%) were aware that they were at a high risk of monkeypox infection and agree that vaccine should be given as a priority to MSM (661,60.5%). Those who were married (aOR=0.155, 95% CI: 0.039–0.614), had engaged in anal sex 4–6 times per week in the past three months (aOR=0.279, 95% CI: 0.089–0.875) and who received Jynneos (aOR=0.111, 95% CI: 0.013–0.922) were less likely to take the monkeypox vaccination. CONCLUSIONS Conclusions: There was a relatively high willingness of monkeypox vaccination among MSM in China. The hesitancy of monkeypox vaccination can be effectively addressed by eliminating concerns about the safety of the vaccine and adverse reactions to vaccination, and by increasing the acceptance of monkeypox vaccination of their peers among MSM. CLINICALTRIAL Ethical considerations The study was approved by the Human Research Ethics Committee of Guangxi Medical University under protocol 20220132. Written informed consent was obtained from all participants prior to enrolment in the study.

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How Well the Constructs of Health Belief Model Predict Vaccination Intention: A Systematic Review on COVID-19 Primary Series and Booster Vaccines

Limbu

Gautam

2023

Vaccines

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This systematic review synthesizes the findings of quantitative studies examining the relationships between Health Belief Model (HBM) constructs and COVID-19 vaccination intention. We searched PubMed, Medline, CINAHL, Web of Science, and Scopus using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines and identified 109 eligible studies. The overall vaccination intention rate was 68.19%. Perceived benefits, perceived barriers, and cues to action were the three most frequently demonstrated predictors of vaccination intention for both primary series and booster vaccines. For booster doses, the influence of susceptibility slightly increased, but the impact of severity, self-efficacy, and cues to action on vaccination intention declined. The impact of susceptibility increased, but severity’s effect declined sharply from 2020 to 2022. The influence of barriers slightly declined from 2020 to 2021, but it skyrocketed in 2022. Conversely, the role of self-efficacy dipped in 2022. Susceptibility, severity, and barriers were dominant predictors in Saudi Arabia, but self-efficacy and cues to action had weaker effects in the USA. Susceptibility and severity had a lower impact on students, especially in North America, and barriers had a lower impact on health care workers. However, cues to action and self-efficacy had a dominant influence among parents. The most prevalent modifying variables were age, gender, education, income, and occupation. The results show that HBM is useful in predicting vaccine intention.

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Factors of COVID-19 Vaccination among Hong Kong Chinese Men Who Have Sex with Men during Months 5–8 since the Vaccine Rollout—General Factors and Factors Specific to This Population

Cited by 3 publications

References 60 publications

The Impact of Stigma on Sexual and Gender Minority Communities During the COVID-19 Pandemic

The Impact of Stigma on Sexual and Gender Minority Communities During the COVID-19 Pandemic

Willingness of monkeypox vaccine and its correlates among men who have sex with men in Southern of China: a web-Based online cross-sectional study (Preprint)

How Well the Constructs of Health Belief Model Predict Vaccination Intention: A Systematic Review on COVID-19 Primary Series and Booster Vaccines

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