Mpox risk perception and associated factors among Chinese young men who have sex with men: Results from a large cross‐sectional survey

Jiao, Kedi; Xu, Yutong; Huang, Siwen; Zhang, Yuhang; Zhou, Jingtao; Li, Yan; Xiao, Yongkang; Ma, Wei; He, Lin; Ren, Xianlong; Dai, Zhen; Sun, Jiaruo; Li, Qingyu; Cheng, Feng; Liang, Wannian; Luo, Sitong

doi:10.1002/jmv.29057

Cited by 3 publications

(1 citation statement)

References 41 publications

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“… 37 On the other hand, the low-level knowledge of mpox and low risk perception of mpox among the Chinese population may also weaken the relationship between awareness of vaccine efficacy and vaccine hesitancy. 45 , 46 Therefore, universities and healthcare departments could provide essential information on mpox vaccines and safety knowledge to university students to instill confidence in the vaccines. Importantly, the dissemination process of mpox information gradually enhances the cognitive understanding among university students.…”

Section: Discussionmentioning

confidence: 99%

A cross-sectional investigation of factors influencing mpox vaccine hesitancy for students in Southwest China

Yang,

Jiang

et al. 2024

Human Vaccines & Immunotherapeutics

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From July to September 2023, China reported over 1, 400 confirmed cases of mpox transmitted mainly through sexual contact between males. Meanwhile, the percentage of men who have sex with men at universities in southwestern China is increasing every year, which is likely to lead to a potential spread of mpox on campuses. Vaccination is an effective preventive measure against infectious diseases, this study examined the willingness of university students in Southwest China to receive the mpox vaccine and analyzed the factors influencing their decision. A cross-sectional survey was conducted among 7311 university students from 10 universities in Southwest China between August 13 and September 1, 2023. The survey revealed a hesitancy rate of 56.13% toward the mpox vaccine, with the most common reason being concerns about vaccine safety (1407/4104, 34.29%). Univariate analysis identified 13 variables that significantly differed between the vaccine acceptance and vaccine hesitancy groups. Multivariate logistic regression analyses indicated protective factors for vaccine hesitancy, such as sexually transmitted diseases, previous knowledge about mpox, frequent information about mpox, people can get reinfection of mpox, and worries about mpox endemic in China. Additionally, the confidence and convenience dimensions in the 3Cs model were identified as risk factors for mpox vaccine hesitancy. This study found a high rate of vaccine hesitancy among university students in Southwest China regarding the mpox vaccine. Collaboration between university and healthcare departments is recommended to address mpox vaccine hesitancy among college students, thereby promoting their willingness to receive the mpox vaccine.

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Section: Discussionmentioning

confidence: 99%

A cross-sectional investigation of factors influencing mpox vaccine hesitancy for students in Southwest China

Yang,

Jiang

et al. 2024

Human Vaccines & Immunotherapeutics

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Intentions of healthcare seeking and self-isolation for MPOX among men who have sex with men in China: a national cross-sectional study

Chen,

Li,

Tang

et al. 2024

Emerging Microbes & Infections

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Linking identified MPOX cases to care is essential for MPOX control. This study aims to investigate the intentions of healthcare seeking and self-isolation for MPOX among men who have sex with men (MSM) in China. A cross-sectional online survey was conducted in early August 2023 in China. Respondents were recruited by community-based organizations (CBOs), collecting information on demographics, health status, behavioural and psychological characteristics. Univariate and multivariate logistic regression analyses were performed to examine the predictors of intentions to seek healthcare and self-isolate for MPOX within the MSM population. A total of 7725 participants were recruited, with a median age of 30 years. 92.21% of the participants would seek healthcare for MPOX-like symptoms, but only 52.50% intended to self-isolate if diagnosed. Intentions to seek healthcare were lower among those with MPOX-like symptoms in the past 3 months (standardized prevalence ratio (SPRs) = 0.82, 95% CI: 0.74–0.89) and the willingness to self-isolate was reduced among those diagnosed with MPOX in the past 3 months (SPRs = 0.65, 95% CI: 0.48–0.87). Participants free of sexually transmitted infections (STIs) and those aware of their HIV status were more likely to seek healthcare and self-isolate than those with STIs or unaware of their HIV status. Regular followers of MPOX information and those perceiving a low risk of infection were more inclined to take preventive measures. These findings highlight the need for targeted MPOX prevention strategies for high-risk groups and the importance of addressing barriers in infectious disease prevention response.

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Mpox prevention self-efficacy and associated factors among men who have sex with men in China: a large cross-sectional survey (Preprint)

Cai,

Gao,

Liu

et al. 2024

Preprint

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BACKGROUND Self-efficacy in mpox prevention plays a pivotal role in promoting preventive behaviors by fostering a sense of control and motivation, especially among men who have sex with men (MSM), the population most affected by mpox in many countries. OBJECTIVE This study aims to assess the mpox prevention self-efficacy among MSM in China and identify factors influencing it, using a validated Mpox Prevention Self-Efficacy Scale. METHODS From November 2023 to March 2024, a nationwide cross-sectional study was conducted across six geographic regions in China using a snowball sampling method. The Mpox Prevention Self-Efficacy Scale was assessed for reliability and validity. Univariate and multivariate logistic regression were employed to examine factors associated with mpox prevention self-efficacy among MSM. RESULTS Among the 2,403 participants, the median mpox prevention self-efficacy score was 23.00 (IQR = 5.00). The Mpox Prevention Self-Efficacy Scale demonstrated good internal consistency (α > 0.80) and a strong model fit (χ² (N = 1,225; DF = 5) = 32.080, P < 0.0001; CFI = 0.992; RMSEA = 0.067; SRMR = 0.02). Logistic regression analysis indicated that mpox prevention self-efficacy was significantly associated with mpox-related knowledge (OR 1.107, 95% CI 1.070–1.146), perceived risk awareness (OR 1.338, 95% CI 1.132–1.583), and mpox risk perception (OR 1.154, 95% CI 1.066–1.250). Individuals over 25 years old exhibited lower self-efficacy in mpox prevention (25–34 years: OR = 0.789, 95% CI 0.642–0.970; 35–44 years: OR = 0.572, 95% CI 0.444–0.736; 45 years and older: OR = 0.569, 95% CI 0.394–0.823). CONCLUSIONS These findings underscore the importance of targeted interventions aimed at enhancing self-efficacy in mpox prevention by bolstering knowledge, perceived risk awareness, and risk perception. Such initiatives are particularly crucial for middle-aged and older individuals to counteract the age-related decline in self-efficacy. Strengthening self-efficacy through these efforts is essential for fostering sustained preventive behaviors and promoting mental well-being. Ultimately, these interventions can contribute meaningfully to reducing mpox transmission and improving the overall health of the MSM community.

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Mpox risk perception and associated factors among Chinese young men who have sex with men: Results from a large cross‐sectional survey

Cited by 3 publications

References 41 publications

A cross-sectional investigation of factors influencing mpox vaccine hesitancy for students in Southwest China

A cross-sectional investigation of factors influencing mpox vaccine hesitancy for students in Southwest China

Intentions of healthcare seeking and self-isolation for MPOX among men who have sex with men in China: a national cross-sectional study

Mpox prevention self-efficacy and associated factors among men who have sex with men in China: a large cross-sectional survey (Preprint)

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