Mpox Vaccine Hesitancy Among Brazilian Men Who Have Sex with Men: A National Cross-Sectional Study
Background: Mpox is a viral zoonosis that has gained increased attention due to a global outbreak in 2022, significantly impacting men who have sex with men (MSM). Vaccination for this disease poses a public health challenge; because it carries a strong stigma, there may be greater hesitancy in vuln...
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MDPI AG
2024-10-01
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| Series: | Vaccines |
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| Online Access: | https://www.mdpi.com/2076-393X/12/11/1229 |
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| author | Guilherme Reis de Santana Santos Caíque Jordan Nunes Ribeiro José Flávio Cerqueira dos Santos Júnior Valdemar Silva Almeida Rita de Cassia Dias Nascimento Nilo Manoel Pereira Vieira Barreto Anderson Reis de Sousa Márcio Bezerra-Santos Lariane Angel Cepas Ana Paula Morais Fernandes Isabel Amélia Costa Mendes Aires Garcia dos Santos Júnior Maria Luisa Pereira Maronesi Álvaro Francisco Lopes de Sousa |
| author_facet | Guilherme Reis de Santana Santos Caíque Jordan Nunes Ribeiro José Flávio Cerqueira dos Santos Júnior Valdemar Silva Almeida Rita de Cassia Dias Nascimento Nilo Manoel Pereira Vieira Barreto Anderson Reis de Sousa Márcio Bezerra-Santos Lariane Angel Cepas Ana Paula Morais Fernandes Isabel Amélia Costa Mendes Aires Garcia dos Santos Júnior Maria Luisa Pereira Maronesi Álvaro Francisco Lopes de Sousa |
| author_sort | Guilherme Reis de Santana Santos |
| collection | DOAJ |
| description | Background: Mpox is a viral zoonosis that has gained increased attention due to a global outbreak in 2022, significantly impacting men who have sex with men (MSM). Vaccination for this disease poses a public health challenge; because it carries a strong stigma, there may be greater hesitancy in vulnerable groups. Objectives: This study aimed to determine the prevalence and factors associated with Mpox vaccine hesitancy among Brazilian MSM. Methods: A cross-sectional study was conducted between September and December 2022 using an online survey targeted at MSM. Recruitment was carried out through social media and dating apps. The sample consisted of 1449 participants and the analysis involved bivariate logistic regression. Results: The prevalence of Mpox vaccine hesitancy was 7.57%. The significant factors associated with hesitancy were primarily related to sexual practices and attitudes towards Mpox exposure and diagnosis, such as not using “glory holes” (aOR: 19.82; 95% CI: 1.60–245.69), reluctance to undergo pre- and post-exposure testing for Mpox (aOR: 9.54; 95% CI: 5.52–16.48), and not knowing close contacts diagnosed with Mpox (aOR: 4.09; 95% CI: 1.72–9.73). Participants who would not take precautions after diagnosis (aOR: 3.00; 95% CI: 1.27–7.07) and those who would not disclose their serological status (aOR: 1.93; 95% CI: 1.13–3.30) also showed a higher likelihood of vaccine hesitancy. Conclusion: Public health strategies should address these factors to expand knowledge about vaccination barriers, plan educational campaigns with targeted messaging for the MSM population, and provide inclusive healthcare environments to increase vaccine acceptance and reduce Mpox transmission in vulnerable groups. |
| format | Article |
| id | doaj-art-be239dd71b8841a0a5974db866b3d585 |
| institution | Kabale University |
| issn | 2076-393X |
| language | English |
| publishDate | 2024-10-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Vaccines |
| spelling | doaj-art-be239dd71b8841a0a5974db866b3d5852024-11-26T18:24:31ZengMDPI AGVaccines2076-393X2024-10-011211122910.3390/vaccines12111229Mpox Vaccine Hesitancy Among Brazilian Men Who Have Sex with Men: A National Cross-Sectional StudyGuilherme Reis de Santana Santos0Caíque Jordan Nunes Ribeiro1José Flávio Cerqueira dos Santos Júnior2Valdemar Silva Almeida3Rita de Cassia Dias Nascimento4Nilo Manoel Pereira Vieira Barreto5Anderson Reis de Sousa6Márcio Bezerra-Santos7Lariane Angel Cepas8Ana Paula Morais Fernandes9Isabel Amélia Costa Mendes10Aires Garcia dos Santos Júnior11Maria Luisa Pereira Maronesi12Álvaro Francisco Lopes de Sousa13Department of Nursing, Federal University of Sergipe, Lagarto 49400-000, SE, BrazilDepartment of Nursing, Federal University of Sergipe, Lagarto 49400-000, SE, BrazilDepartment of Nursing, Federal University of Sergipe, Lagarto 49400-000, SE, BrazilDepartment of Nursing, Federal University of Sergipe, Lagarto 49400-000, SE, BrazilSchool of Nursing, Federal University of Bahia, Salvador 40170-115, BA, BrazilSchool of Nursing, Federal University of Bahia, Salvador 40170-115, BA, BrazilSchool of Nursing, Federal University of Bahia, Salvador 40170-115, BA, BrazilComplex of Medical Sciences and Nursing, Federal University of Alagoas, Arapiraca 57309-005, AL, BrazilRibeirão Preto College of Nursing, University of São Paulo, Ribeirão Preto 14040-903, SP, BrazilRibeirão Preto College of Nursing, University of São Paulo, Ribeirão Preto 14040-903, SP, BrazilRibeirão Preto College of Nursing, University of São Paulo, Ribeirão Preto 14040-903, SP, BrazilPostgraduate Program in Nursing, Federal University of Mato Grosso do Sul, Três Lagoas 79613-000, MS, BrazilPostgraduate Program in Nursing, Federal University of Mato Grosso do Sul, Três Lagoas 79613-000, MS, BrazilPostgraduate Program in Nursing, Federal University of Mato Grosso do Sul, Três Lagoas 79613-000, MS, BrazilBackground: Mpox is a viral zoonosis that has gained increased attention due to a global outbreak in 2022, significantly impacting men who have sex with men (MSM). Vaccination for this disease poses a public health challenge; because it carries a strong stigma, there may be greater hesitancy in vulnerable groups. Objectives: This study aimed to determine the prevalence and factors associated with Mpox vaccine hesitancy among Brazilian MSM. Methods: A cross-sectional study was conducted between September and December 2022 using an online survey targeted at MSM. Recruitment was carried out through social media and dating apps. The sample consisted of 1449 participants and the analysis involved bivariate logistic regression. Results: The prevalence of Mpox vaccine hesitancy was 7.57%. The significant factors associated with hesitancy were primarily related to sexual practices and attitudes towards Mpox exposure and diagnosis, such as not using “glory holes” (aOR: 19.82; 95% CI: 1.60–245.69), reluctance to undergo pre- and post-exposure testing for Mpox (aOR: 9.54; 95% CI: 5.52–16.48), and not knowing close contacts diagnosed with Mpox (aOR: 4.09; 95% CI: 1.72–9.73). Participants who would not take precautions after diagnosis (aOR: 3.00; 95% CI: 1.27–7.07) and those who would not disclose their serological status (aOR: 1.93; 95% CI: 1.13–3.30) also showed a higher likelihood of vaccine hesitancy. Conclusion: Public health strategies should address these factors to expand knowledge about vaccination barriers, plan educational campaigns with targeted messaging for the MSM population, and provide inclusive healthcare environments to increase vaccine acceptance and reduce Mpox transmission in vulnerable groups.https://www.mdpi.com/2076-393X/12/11/1229mpoxvaccinehesitancymen who have sex with menstigmadiscrimination |
| spellingShingle | Guilherme Reis de Santana Santos Caíque Jordan Nunes Ribeiro José Flávio Cerqueira dos Santos Júnior Valdemar Silva Almeida Rita de Cassia Dias Nascimento Nilo Manoel Pereira Vieira Barreto Anderson Reis de Sousa Márcio Bezerra-Santos Lariane Angel Cepas Ana Paula Morais Fernandes Isabel Amélia Costa Mendes Aires Garcia dos Santos Júnior Maria Luisa Pereira Maronesi Álvaro Francisco Lopes de Sousa Mpox Vaccine Hesitancy Among Brazilian Men Who Have Sex with Men: A National Cross-Sectional Study Vaccines mpox vaccine hesitancy men who have sex with men stigma discrimination |
| title | Mpox Vaccine Hesitancy Among Brazilian Men Who Have Sex with Men: A National Cross-Sectional Study |
| title_full | Mpox Vaccine Hesitancy Among Brazilian Men Who Have Sex with Men: A National Cross-Sectional Study |
| title_fullStr | Mpox Vaccine Hesitancy Among Brazilian Men Who Have Sex with Men: A National Cross-Sectional Study |
| title_full_unstemmed | Mpox Vaccine Hesitancy Among Brazilian Men Who Have Sex with Men: A National Cross-Sectional Study |
| title_short | Mpox Vaccine Hesitancy Among Brazilian Men Who Have Sex with Men: A National Cross-Sectional Study |
| title_sort | mpox vaccine hesitancy among brazilian men who have sex with men a national cross sectional study |
| topic | mpox vaccine hesitancy men who have sex with men stigma discrimination |
| url | https://www.mdpi.com/2076-393X/12/11/1229 |
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