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

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. Respondent...

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Main Authors: Fangfang Chen, Peilong Li, Weiming Tang, Huaijin Chen, Jinrui Zhang, Qianqian Qin, Yichen Jin, Lin Ge, Jie Yang, Dongmin Li, Fan Lv, Houlin Tang
Format: Article
Language:English
Published: Taylor & Francis Group 2024-12-01
Series:Emerging Microbes and Infections
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Online Access:https://www.tandfonline.com/doi/10.1080/22221751.2024.2352426
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author Fangfang Chen
Peilong Li
Weiming Tang
Huaijin Chen
Jinrui Zhang
Qianqian Qin
Yichen Jin
Lin Ge
Jie Yang
Dongmin Li
Fan Lv
Houlin Tang
author_facet Fangfang Chen
Peilong Li
Weiming Tang
Huaijin Chen
Jinrui Zhang
Qianqian Qin
Yichen Jin
Lin Ge
Jie Yang
Dongmin Li
Fan Lv
Houlin Tang
author_sort Fangfang Chen
collection DOAJ
description 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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spelling doaj-art-4fdb853199ec4b3e87665517df02af1d2025-08-20T02:21:02ZengTaylor & Francis GroupEmerging Microbes and Infections2222-17512024-12-0113110.1080/22221751.2024.2352426Intentions of healthcare seeking and self-isolation for MPOX among men who have sex with men in China: a national cross-sectional studyFangfang Chen0Peilong Li1Weiming Tang2Huaijin Chen3Jinrui Zhang4Qianqian Qin5Yichen Jin6Lin Ge7Jie Yang8Dongmin Li9Fan Lv10Houlin Tang11National Key Laboratory of Intelligent Tracking and Forecasting for Infectious Diseases, National Center for AIDS/STD Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing, People’s Republic of ChinaNational Key Laboratory of Intelligent Tracking and Forecasting for Infectious Diseases, National Center for AIDS/STD Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing, People’s Republic of ChinaUniversity of North Carolina Project-China, Guangzhou, People’s Republic of ChinaNational Key Laboratory of Intelligent Tracking and Forecasting for Infectious Diseases, National Center for AIDS/STD Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing, People’s Republic of ChinaJiamusi Prefectural Center for Disease Control and Prevention of Heilongjiang Province, Jiamusi, People’s Republic of ChinaNational Key Laboratory of Intelligent Tracking and Forecasting for Infectious Diseases, National Center for AIDS/STD Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing, People’s Republic of ChinaNational Key Laboratory of Intelligent Tracking and Forecasting for Infectious Diseases, National Center for AIDS/STD Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing, People’s Republic of ChinaNational Key Laboratory of Intelligent Tracking and Forecasting for Infectious Diseases, National Center for AIDS/STD Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing, People’s Republic of ChinaShenlan Public Health Counsel Service Center of Tiangjin, Tianjin, People's Republic of ChinaNational Key Laboratory of Intelligent Tracking and Forecasting for Infectious Diseases, National Center for AIDS/STD Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing, People’s Republic of ChinaNational Key Laboratory of Intelligent Tracking and Forecasting for Infectious Diseases, National Center for AIDS/STD Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing, People’s Republic of ChinaNational Key Laboratory of Intelligent Tracking and Forecasting for Infectious Diseases, National Center for AIDS/STD Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing, People’s Republic of ChinaLinking 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.https://www.tandfonline.com/doi/10.1080/22221751.2024.2352426Healthcare seekingself-isolationMPOXintentionmen who have sex with men
spellingShingle Fangfang Chen
Peilong Li
Weiming Tang
Huaijin Chen
Jinrui Zhang
Qianqian Qin
Yichen Jin
Lin Ge
Jie Yang
Dongmin Li
Fan Lv
Houlin Tang
Intentions of healthcare seeking and self-isolation for MPOX among men who have sex with men in China: a national cross-sectional study
Emerging Microbes and Infections
Healthcare seeking
self-isolation
MPOX
intention
men who have sex with men
title Intentions of healthcare seeking and self-isolation for MPOX among men who have sex with men in China: a national cross-sectional study
title_full Intentions of healthcare seeking and self-isolation for MPOX among men who have sex with men in China: a national cross-sectional study
title_fullStr Intentions of healthcare seeking and self-isolation for MPOX among men who have sex with men in China: a national cross-sectional study
title_full_unstemmed Intentions of healthcare seeking and self-isolation for MPOX among men who have sex with men in China: a national cross-sectional study
title_short Intentions of healthcare seeking and self-isolation for MPOX among men who have sex with men in China: a national cross-sectional study
title_sort intentions of healthcare seeking and self isolation for mpox among men who have sex with men in china a national cross sectional study
topic Healthcare seeking
self-isolation
MPOX
intention
men who have sex with men
url https://www.tandfonline.com/doi/10.1080/22221751.2024.2352426
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