813
Views
0
CrossRef citations to date
0
Altmetric
Acceptance & Hesitation

Knowledge, concerns, and vaccine acceptance related to Mpox (Monkeypox) among university students in North and Northeast China: An online cross-sectional study

, , , , , , , , , , , , & show all
Article: 2339922 | Received 18 Jan 2024, Accepted 03 Apr 2024, Published online: 19 Apr 2024

References

  • McCollum AM, Damon IK. Human monkeypox. Clin Infect Dis. 2014;58(2):260–11. doi:10.1093/cid/cit703.
  • Huang Y, Mu L, Wang W. Monkeypox: epidemiology, pathogenesis, treatment and prevention. Signal Transduct Target Ther. 2022;7(1):4261–4282. doi:10.1038/s41392-022-01215-4.
  • Organization WH. 2022-23 Mpox (Monkeypox) outbreak: global trends; 2023. https://worldhealthorg.shinyapps.io/mpx_global/.
  • Benites-Zapata VA, Ulloque-Badaracco JR, Alarcon-Braga EA, Hernandez-Bustamante EA, Mosquera-Rojas MD, Bonilla-Aldana DK, Rodriguez-Morales AJ. Clinical features, hospitalisation and deaths associated with monkeypox: a systematic review and meta-analysis. Ann Clin Microbiol Antimicrob. 2022;21(1):36. doi:10.1186/s12941-022-00527-1.
  • Kumar N, Acharya A, Gendelman HE, Byrareddy SN. The 2022 outbreak and the pathobiology of the monkeypox virus. J Autoimmun. 2022;131:102855. doi:10.1016/j.jaut.2022.102855.
  • Karagoz A, Tombuloglu H, Alsaeed M, Tombuloglu G, AlRubaish AA, Mahmoud A, Smajlović S, Ćordić S, Rabaan AA, Alsuhaimi E, et al. Monkeypox (mpox) virus: classification, origin, transmission, genome organization, antiviral drugs, and molecular diagnosis. J Infect Public Health. 2023;16(4):531–541. doi:10.1016/j.jiph.2023.02.003.
  • Shah S, Fulmali D. Monkeypox: treatment, vaccination, and prevention. Cureus J Med Sci. 2023;15:e33434. doi:10.7759/cureus.33434.
  • Morand A, Delaigue S, Morand JJ. Review of poxvirus: emergence of monkeypox. Médecine et Santé Tropicales. 2017;27(1):29–39. doi:10.1684/mst.2017.0653.
  • Brown K, Leggat PA. Human Monkeypox: current state of knowledge and implications for the future. Trop Med Infect Dis. 2016;1(1):8. doi:10.3390/tropicalmed1010008.
  • Pinto P, Costa MA, Goncalves MFM, Rodrigues AG, Lisboa C. Mpox person-to-person transmission-where have we got so far? A systematic review. Viruses-Basel. 2023;15:1074. doi:10.3390/v15051074.
  • Thornhill JP, Barkati S, Walmsley S, Rockstroh J, Antinori A, Harrison LB, Palich R, Nori A, Reeves I, Habibi MS, et al. Monkeypox virus infection in humans across 16 countries — April–June 2022. N Engl J Med. 2022;387(8):679–691. doi:10.1056/NEJMoa2207323.
  • Guarner J, Del Rio C, Malani PN. Monkeypox in 2022—What clinicians need to know. JAMA. 2022;328(2):139. doi:10.1001/jama.2022.10802.
  • Zhao H, Wang W, Zhao L, Wu C. The first imported case of Monkeypox in the Mainland of China — Chongqing Municipality, China, September 16, 2022. China CDC Wkly. 2022;4:853–4. doi:10.46234/ccdcw2022.175.
  • Chinese Center for Disease Control and Prevention. 2023. https://www.chinacdc.cn/jkzt/crb/qt/szkb_13037/gwjszl_13092/202308/t20230809_268502.html.
  • Endo A, Jung S-M, Miura F. Mpox emergence in Japan: ongoing risk of establishment in Asia. Lancet. 2023;401:1923–1924. doi:10.1016/S0140-6736(23)00766-3.
  • Zhao T, Wu Z. Prevention of a potential mpox outbreak in China. Lancet. 2023;402(10407):1038–1039. doi:10.1016/S0140-6736(23)01793-2.
  • Qin Q, Guo W, Tang W, Mahapatra T, Wang L, Zhang N, Ding Z, Cai C, Cui Y, Sun J, et al. Spatial analysis of the human immunodeficiency virus epidemic among men who have sex with men in China, 2006–2015. Clin Infect Dis. 2017;64(7):956–963. doi:10.1093/cid/cix031.
  • Hu M, Xu C, Wang J. Spatiotemporal analysis of men who have sex with men in Mainland China: social app capture-recapture method. JMIR mHealth and uHealth. 2020;8:e14800. doi:10.2196/14800.
  • Cong L, Ono-Kihara M, Xu G, Ma Q, Pan X, Zhang D, Homma T, Kihara M. The characterisation of sexual behaviour in Chinese male university students who have sex with other men: a cross-sectional study. BMC Public Health. 2008;8(1):250. doi:10.1186/1471-2458-8-250.
  • Fan S, Yang Z, Hou F, Yu M, Luo Z, Liao M, Gong Y, Meng X, Cai Y, Zou H, et al. HIV and syphilis and sexual risk behaviours among men who have sex with men attending university in China: a systematic review and meta-analysis. Sex Health. 2019;16(6):554–565. doi:10.1071/SH18231.
  • Zou H, Xu J, Hu Q, Yu Y, Fu G, Wang Z, Lu L, Zhuang M, Chen X, Fu J, et al. Decreasing age at first anal intercourse among men who have sex with men in China: a multicentre cross‐sectional survey. J Int AIDS Soc. 2016;19(1):20792. doi:10.7448/IAS.19.1.20792.
  • Savinkina A, Chitwood M, Kwon J, Pitzer VEE, Gonsalves G, Paltiel AD. Planning for Mpox on a college campus: a model-based decision-support tool. Ann Intern Med. 2023;176(3):340–347. doi:10.7326/M22-2734.
  • Yang X, Yang X, Jiang W, Luo N, Hu Y, Yang Y, Yang X, Hou L, Zhang J, Hu C, et al. A cross-sectional investigation of factors influencing mpox vaccine hesitancy for students in Southwest China. Hum Vaccines Immunother. 2024;20(1):2309704. doi:10.1080/21645515.2024.2309704.
  • Peng X, Wang B, Li Y, Chen Y, Wu X, Fu L, Sun Y, Liu Q, Lin Y-F, Liang B, et al. Perceptions and worries about monkeypox, and attitudes towards monkeypox vaccination among medical workers in China: a cross-sectional survey. J Infect Public Health. 2023;16(3):346–353. doi:10.1016/j.jiph.2023.01.010.
  • Hong J, Pan B, Jiang H-J, Zhang Q-M, Xu X-W, Jiang H, Ye J-E, Cui Y, Yan X-J, Zhai X-F, et al. The willingness of Chinese healthcare workers to receive monkeypox vaccine and its independent predictors: a cross-sectional survey. J Med Virol. 2023;95(1):e28294. doi:10.1002/jmv.28294.
  • Wang B, Peng X, Li Y, Fu L, Tian T, Liang B, Sun Y, Chen Y, Wu X, Liu Q, et al. Perceptions, precautions, and vaccine acceptance related to monkeypox in the public in China: a cross-sectional survey. J Infect Public Health. 2023;16(2):163–170. doi:10.1016/j.jiph.2022.12.010.
  • Ren F, Liu J, Miao J, Xu Y, Zhang R, Fan J, Lin W. Public awareness, specific knowledge, and worry about mpox (monkeypox): a preliminary community-based study in Shenzhen, China. Front Public Health. 2023;11:1077564. doi:10.3389/fpubh.2023.1077564.
  • Dong C, Yu Z, Zhao Y, Ma X. Knowledge and vaccination intention of monkeypox in China’s general population: a cross-sectional online survey. Travel Med Infect Dis. 2023;52:102533. doi:10.1016/j.tmaid.2022.102533.
  • Chen Y, Li Y, Fu L, Zhou X, Wu X, Wang B, Peng X, Sun Y, Liu Q, Lin Y-F, et al. Knowledge of human Mpox (Monkeypox) and attitude towards Mpox vaccination among male sex workers in China: a cross-sectional study. Vaccines. 2023;11(2):285. doi:10.3390/vaccines11020285.
  • Fu L, Sun Y, Li Y, Wang B, Yang L, Tian T, Wu X, Peng X, Liu Q, Chen Y, et al. Perception of and vaccine readiness towards Mpox among men who have sex with men living with HIV in China: a cross-sectional study. Vaccines. 2023;11(3):528. doi:10.3390/vaccines11030528.
  • Li P, Tang H, Li D, Ge L, Yu M, Lyu F. Current status of monkeypox cognition and related factors among men who have sex with men in China. Chin J Epidemiol. 2023;44:257–262.
  • Zheng M, Qian X, Yuan Z. Monkeypox-related knowledge and influencing factors among men who have sex with men in China: an online cross-sectional survey. China J Public Health. 2022;38:1538–1543.
  • Huang XJ, Lin ZF, Qin J, Yu D, Zhang F, Fang GG, Chen X, He J, Cen P, Li M, et al. Willingness to accept monkeypox vaccine and its correlates among men who have sex with men in Southern China: a web-based online cross-sectional study. Front Public Health. 2024;12:1289918. doi:10.3389/fpubh.2024.1289918.
  • Swed S, Bohsas H, Alibrahim H, Rakab A, Hafez W, Sawaf B, Amir RM, Motawei AS, Aljabali A, Shoib S, et al. Monkeypox post-COVID-19: knowledge, worrying, and vaccine adoption in the Arabic general population. Vaccines. 2023;11(4):759. doi:10.3390/vaccines11040759.
  • Sahin TK, Erul E, Aksun MS, Sonmezer MC, Unal S, Akova M. Knowledge anD attitudes of Turkish physicians towards human Monkeypox disease and related vaccination: a cross-sectional study. Vaccines. 2023;11:19. doi:10.3390/vaccines11010019.
  • Alkhaldi G, Aljuraiban GS, Alhurishi S, De Souza R, Lamahewa K, Lau R, Alshaikh F. Perceptions towards COVID-19 and adoption of preventive measures among the public in Saudi Arabia: a cross sectional study. BMC Public Health. 2021;21(1):1251. doi:10.1186/s12889-021-11223-8.
  • Kumar N, Ahmed F, Raza MS, Rajpoot PL, Rehman W, Khatri SA, Mohammed M, Muhammad S, Ahmad R. Monkeypox cross-sectional survey of knowledge, attitudes, practices, and willingness to vaccinate among university students in Pakistan. Vaccines. 2023;11:97. doi:10.3390/vaccines11010097.
  • Alshahrani NZ, Mitra S, Alkuwaiti AA, Alhumam MN, Altmimi SMB, Alamri MHM, Albalawi ZAS, Almorgi MW, Alharbi HKD, Alshahrani SM, et al. Medical students’ perception regarding the re-emerging Monkeypox virus: an institution-based cross-sectional study from Saudi Arabia. Cureus J Med Sci. 2022;14:e28060. doi:10.7759/cureus.28060.
  • Ahmed S, Hassan MM, Khan F, Sultan A, Shah MS. The Mpox disease: awareness and apprehensions among the medical undergraduates and nursing staff. J Pure Appl Microbiol. 2022;16:3155–3167. doi:10.22207/JPAM.16.SPL1.09.
  • Jairoun AA, Al-Hemyari SS, Abdulla NM, El-Dahiyat F, Shahwan M, Hassan N, Jairoun O, Alyousef NG, Sharif S, Jaber AAS, et al. Awareness and preparedness of human monkeypox outbreak among university student: time to worry or one to ignore? J Infect Public Health. 2022;15(10):1065–1071. doi:10.1016/j.jiph.2022.08.015.
  • Ahmed SK, Abdulqadir SO, Omar RM, Abdullah AJ, Rahman HA, Hussein SH, Mohammed Amin HI, Chandran D, Sharma AK, Dhama K, et al. Knowledge, attitude and worry in the Kurdistan region of Iraq during the Mpox (Monkeypox) outbreak in 2022: an online cross-sectional study. Vaccines. 2023;11(3):610. doi:10.3390/vaccines11030610.
  • Chong YY, Chien WT, Cheng HY, Chow KM, Kassianos AP, Karekla M, Gloster A. The role of illness perceptions, coping, and self-efficacy on adherence to precautionary measures for COVID-19. Int J Environ Res Public Health. 2020;17(18):6540. doi:10.3390/ijerph17186540.
  • Madhumathi J, Sinha R, Veeraraghavan B, Walia K. Use of “social media”—an option for spreading awareness in infection prevention. Curr Treat Options Infect Dis. 2021;13(1):14–31. doi:10.1007/s40506-020-00244-3.
  • Swed S, Alibrahim H, Bohsas H, Aljabali A, Almoshantaf MB, Sawaf B, Shoib S, Patwary MM, Albazee E, Lee KY, et al. Monkeypox in Syria: highlighting an awareness issue. IJID Reg. 2023;7:271–276. doi:10.1016/j.ijregi.2023.04.008.
  • Ibrahim AM, Zaghamir DEF. Knowledge and attitudes towards mpox and effect of intervention among college of applied medical sciences students. Libyan J Med. 2023;18(1):2222448. doi:10.1080/19932820.2023.2222448.
  • Lounis M, Riad A. Monkeypox (MPOX)-related knowledge and vaccination hesitancy in non-endemic countries: concise literature review. Vaccines. 2023;11(2):229. doi:10.3390/vaccines11020229.
  • Organization WH. Ten Threats to global health in 2019; 2021. https://www.who.int/news-room/spotlight/ten-threats-to-global-health-in-2019.
  • See KC. Vaccination for monkeypox virus infection in humans: a review of key considerations. Vaccines. 2022;10(8):1342. doi:10.3390/vaccines10081342.
  • Choi Y, Jeon E-B, Kim T, Choi SJ, Moon SM, Song K-H, Kim HB, Kim ES. Case report and literature review of occupational transmission of Monkeypox Virus to healthcare workers, South Korea. Emerg Infect Dis. 2023;29:997–1001. doi:10.3201/eid2905.230028.
  • Organization WH. Smallpox; 2022. https://www.who.int/health-topics/smallpox#tab=tab_1.
  • Sallam M, Al-Mahzoum K, Dardas LA, Al-Tammemi AB, Al-Majali L, Al-Naimat H, Jardaneh L, AlHadidi F, Al-Salahat K, Al-Ajlouni E, et al. Knowledge of human Monkeypox and its relation to conspiracy beliefs among students in Jordanian Health Schools: filling the knowledge gap on emerging Zoonotic Viruses. Medicina (Kaunas). 2022;58(7):924. doi:10.3390/medicina58070924.
  • Zeidan RK, Shukla A, Hussein A, AlZubaidi H, Temsah M-H, AlHajjaj MS, Al-Bluwi N, Awad M, Alsayed HAH, Saheb Sharif-Askari N, et al. Assessment of knowledge, perceptions, and attitudes during the global Mpox outbreak in June 2022: a cross-sectional study from the United Arab Emirates. Int J Public Health. 2023;68:1606080. doi:10.3389/ijph.2023.1606080.
  • Bronfman N, Repetto P, Cordón P, Castañeda J, Cisternas P. GendeR differences on psychosocial factors affecting COVID-19 preventive behaviors. Sustainability. 2021;13(11):6148. doi:10.3390/su13116148.
  • Barber SJ, Kim H, Isaacowitz D, Isaacowitz D. COVID-19 worries and behavior changes in older and younger men and women. J Gerontol B. 2021;76(2):17–23. doi:10.1093/geronb/gbaa068.
  • Fischer F, Bronfman NC, Cisternas PC, Repetto PB, Castañeda JV. Natural disaster preparedness in a multi-hazard environment: characterizing the sociodemographic profile of those better (worse) prepared. PLOS ONE. 2019;14:e0214249. doi:10.1371/journal.pone.0214249.
  • Bateman Julie M, Edwards B. Gender and evacuation: a closer look at why women are more likely to evacuate for Hurricanes. Nat Hazard Rev. 2002;3(3):107–117. doi:10.1061/(ASCE)1527-6988(2002)3:3(107).
  • Magadmi RM, Kamel FO. Beliefs and barriers associated with COVID-19 vaccination among the general population in Saudi Arabia. BMC Public Health. 2021;21(1):1–8. doi:10.1186/s12889-021-11501-5.
  • Lepelletier D, Pozzetto B, Chauvin F, Chidiac C. High council public Hlth Natl W. Management of patients with monkeypox virus infection and contacts in the community and in healthcare settings: a French position paper. Clin Microbiol Infec. 2022;28(12):1572–1577. doi:10.1016/j.cmi.2022.08.018.