Mpox Vaccination Hesitancy and Its Associated Factors among Men Who Have Sex with Men in China: A National Observational Study
More than 400 confirmed mpox cases have been reported in China. The mpox vaccination is crucial to mitigate mpox transmission, especially for at-risk populations. This study aimed to determine mpox vaccination hesitancy and its associated factors in Chinese men who have sex with men (MSM). This nati...
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| Format: | Article |
| Language: | English |
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MDPI AG
2023-08-01
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| Series: | Vaccines |
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| Online Access: | https://www.mdpi.com/2076-393X/11/9/1432 |
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| author | Min Zheng Min Du Guanghong Yang Yongming Yao Xiaohan Qian Yuan Zhi Lin Ma Rui Tao Zhilin Zhu Feng Zhou Siqi Dai Jie Yang Min Liu Jue Liu |
| author_facet | Min Zheng Min Du Guanghong Yang Yongming Yao Xiaohan Qian Yuan Zhi Lin Ma Rui Tao Zhilin Zhu Feng Zhou Siqi Dai Jie Yang Min Liu Jue Liu |
| author_sort | Min Zheng |
| collection | DOAJ |
| description | More than 400 confirmed mpox cases have been reported in China. The mpox vaccination is crucial to mitigate mpox transmission, especially for at-risk populations. This study aimed to determine mpox vaccination hesitancy and its associated factors in Chinese men who have sex with men (MSM). This nationwide cross-sectional study was conducted among 7538 Chinese MSM in 27 MSM social organizations from 21 provinces, municipalities, and autonomous regions of China from 31 July to 4 August 2023. Of them, the rate of mpox vaccination hesitancy was 5.59% (421/7538). The most common reason for mpox vaccination hesitation was concerns of safety and side effects (62.71%, 264/421), followed by concerns of privacy (38.24%, 161/421), thoughts of impossible infection (37.53%, 158/421), no effectiveness in preventing reinfection (30.88%, 130/421), and no worry about infection (12.35%, 52/421). Regarding the concerning characteristics of the vaccines, concerns of vaccine safety ranked first (71.74%, 5408/7538), followed by vaccine effectiveness (14.05%, 1059/7538), vaccine costs (7.35%, 554/7538), and the continuity of vaccine effectiveness (3.91%, 295/7538). The highest odds ratio of mpox vaccination hesitation was seen in MSM who were infected with mpox virus (aOR = 2.38; 95%CI = 1.08, 5.23), followed by those aged ≥60 years (aOR = 2.25; 95%CI = 1.31, 3.88), those who were unemployed (aOR = 1.66; 95%CI = 1.25, 2.19), and those who had an education level of postgraduate and above (aOR = 1.55; 95%CI = 1.01, 2.37). However, MSM who had a higher level of mpox-related knowledge (moderate: aOR = 0.53; 95%CI = 0.36, 0.77; high: aOR = 0.30; 95%CI = 0.23, 0.40) had a lower odds ratio of mpox vaccination hesitation. MSM in China had low hesitancy toward mpox vaccination. The safety and effectiveness of the vaccine and privacy were important aspects of hesitancy. Health education on mpox-related knowledge should be encouraged to promote future vaccination plans. |
| first_indexed | 2024-03-10T21:52:22Z |
| format | Article |
| id | doaj.art-3c161103d13d4c538cf4c5867baa916c |
| institution | Directory Open Access Journal |
| issn | 2076-393X |
| language | English |
| last_indexed | 2024-03-10T21:52:22Z |
| publishDate | 2023-08-01 |
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| series | Vaccines |
| spelling | doaj.art-3c161103d13d4c538cf4c5867baa916c2023-11-19T13:18:53ZengMDPI AGVaccines2076-393X2023-08-01119143210.3390/vaccines11091432Mpox Vaccination Hesitancy and Its Associated Factors among Men Who Have Sex with Men in China: A National Observational StudyMin Zheng0Min Du1Guanghong Yang2Yongming Yao3Xiaohan Qian4Yuan Zhi5Lin Ma6Rui Tao7Zhilin Zhu8Feng Zhou9Siqi Dai10Jie Yang11Min Liu12Jue Liu13Guizhou Provincial Center for Disease Control and Prevention, No.73, Bageyan Road, Yunyan District, Guiyang 550004, ChinaDepartment of Epidemiology and Biostatistics, School of Public Health, Peking University, No.38, Xueyuan Road, Haidian District, Beijing 100191, ChinaGuizhou Provincial Center for Disease Control and Prevention, No.73, Bageyan Road, Yunyan District, Guiyang 550004, ChinaGuizhou Provincial Center for Disease Control and Prevention, No.73, Bageyan Road, Yunyan District, Guiyang 550004, ChinaGuizhou Provincial Center for Disease Control and Prevention, No.73, Bageyan Road, Yunyan District, Guiyang 550004, ChinaGuizhou Provincial Center for Disease Control and Prevention, No.73, Bageyan Road, Yunyan District, Guiyang 550004, ChinaGuizhou Provincial Center for Disease Control and Prevention, No.73, Bageyan Road, Yunyan District, Guiyang 550004, ChinaGuizhou Provincial Center for Disease Control and Prevention, No.73, Bageyan Road, Yunyan District, Guiyang 550004, ChinaGuizhou Provincial Center for Disease Control and Prevention, No.73, Bageyan Road, Yunyan District, Guiyang 550004, ChinaGuizhou Provincial Center for Disease Control and Prevention, No.73, Bageyan Road, Yunyan District, Guiyang 550004, ChinaGuizhou Provincial Center for Disease Control and Prevention, No.73, Bageyan Road, Yunyan District, Guiyang 550004, ChinaTianjin Shenlan Public Health Counselling Service Center, No.43, Tuanjie Ring Road, Hongqiao District, Tianjin 300122, ChinaDepartment of Epidemiology and Biostatistics, School of Public Health, Peking University, No.38, Xueyuan Road, Haidian District, Beijing 100191, ChinaDepartment of Epidemiology and Biostatistics, School of Public Health, Peking University, No.38, Xueyuan Road, Haidian District, Beijing 100191, ChinaMore than 400 confirmed mpox cases have been reported in China. The mpox vaccination is crucial to mitigate mpox transmission, especially for at-risk populations. This study aimed to determine mpox vaccination hesitancy and its associated factors in Chinese men who have sex with men (MSM). This nationwide cross-sectional study was conducted among 7538 Chinese MSM in 27 MSM social organizations from 21 provinces, municipalities, and autonomous regions of China from 31 July to 4 August 2023. Of them, the rate of mpox vaccination hesitancy was 5.59% (421/7538). The most common reason for mpox vaccination hesitation was concerns of safety and side effects (62.71%, 264/421), followed by concerns of privacy (38.24%, 161/421), thoughts of impossible infection (37.53%, 158/421), no effectiveness in preventing reinfection (30.88%, 130/421), and no worry about infection (12.35%, 52/421). Regarding the concerning characteristics of the vaccines, concerns of vaccine safety ranked first (71.74%, 5408/7538), followed by vaccine effectiveness (14.05%, 1059/7538), vaccine costs (7.35%, 554/7538), and the continuity of vaccine effectiveness (3.91%, 295/7538). The highest odds ratio of mpox vaccination hesitation was seen in MSM who were infected with mpox virus (aOR = 2.38; 95%CI = 1.08, 5.23), followed by those aged ≥60 years (aOR = 2.25; 95%CI = 1.31, 3.88), those who were unemployed (aOR = 1.66; 95%CI = 1.25, 2.19), and those who had an education level of postgraduate and above (aOR = 1.55; 95%CI = 1.01, 2.37). However, MSM who had a higher level of mpox-related knowledge (moderate: aOR = 0.53; 95%CI = 0.36, 0.77; high: aOR = 0.30; 95%CI = 0.23, 0.40) had a lower odds ratio of mpox vaccination hesitation. MSM in China had low hesitancy toward mpox vaccination. The safety and effectiveness of the vaccine and privacy were important aspects of hesitancy. Health education on mpox-related knowledge should be encouraged to promote future vaccination plans.https://www.mdpi.com/2076-393X/11/9/1432mpoxvaccinationMSMChinanationwide |
| spellingShingle | Min Zheng Min Du Guanghong Yang Yongming Yao Xiaohan Qian Yuan Zhi Lin Ma Rui Tao Zhilin Zhu Feng Zhou Siqi Dai Jie Yang Min Liu Jue Liu Mpox Vaccination Hesitancy and Its Associated Factors among Men Who Have Sex with Men in China: A National Observational Study Vaccines mpox vaccination MSM China nationwide |
| title | Mpox Vaccination Hesitancy and Its Associated Factors among Men Who Have Sex with Men in China: A National Observational Study |
| title_full | Mpox Vaccination Hesitancy and Its Associated Factors among Men Who Have Sex with Men in China: A National Observational Study |
| title_fullStr | Mpox Vaccination Hesitancy and Its Associated Factors among Men Who Have Sex with Men in China: A National Observational Study |
| title_full_unstemmed | Mpox Vaccination Hesitancy and Its Associated Factors among Men Who Have Sex with Men in China: A National Observational Study |
| title_short | Mpox Vaccination Hesitancy and Its Associated Factors among Men Who Have Sex with Men in China: A National Observational Study |
| title_sort | mpox vaccination hesitancy and its associated factors among men who have sex with men in china a national observational study |
| topic | mpox vaccination MSM China nationwide |
| url | https://www.mdpi.com/2076-393X/11/9/1432 |
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