Risk Awareness as a Key Determinant of Early Vaccine Uptake in the Mpox Vaccination Campaign in an Italian Region: A Cross-Sectional Analysis

Background: we aim to investigate attitudes toward vaccination by analyzing empirical factors associated with vaccine acceptance in the Lazio region mpox vaccination (MpoxVax) campaign in Italy. Methods: all subjects who accessed MpoxVax and signed the informed consent were prospectively enrolled in...

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Main Authors: Giulia Del Duca, Alessandro Tavelli, Ilaria Mastrorosa, Camilla Aguglia, Simone Lanini, Anna Clelia Brita, Roberta Gagliardini, Serena Vita, Alessandra Vergori, Jessica Paulicelli, Giorgia Natalini, Angela D’Urso, Pierluca Piselli, Paola Gallì, Vanessa Mondillo, Claudio Mastroianni, Enrica Tamburrini, Loredana Sarmati, Christof Stingone, Miriam Lichtner, Emanuele Nicastri, Massimo Farinella, Filippo Leserri, Andrea Siddu, Fabrizio Maggi, Antonella d’Arminio Monforte, Francesco Vairo, Alessandra Barca, Francesco Vaia, Enrico Girardi, Valentina Mazzotta, Andrea Antinori
Format: Article
Language:English
Published: MDPI AG 2023-11-01
Series:Vaccines
Subjects:
Online Access:https://www.mdpi.com/2076-393X/11/12/1761
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author Giulia Del Duca
Alessandro Tavelli
Ilaria Mastrorosa
Camilla Aguglia
Simone Lanini
Anna Clelia Brita
Roberta Gagliardini
Serena Vita
Alessandra Vergori
Jessica Paulicelli
Giorgia Natalini
Angela D’Urso
Pierluca Piselli
Paola Gallì
Vanessa Mondillo
Claudio Mastroianni
Enrica Tamburrini
Loredana Sarmati
Christof Stingone
Miriam Lichtner
Emanuele Nicastri
Massimo Farinella
Filippo Leserri
Andrea Siddu
Fabrizio Maggi
Antonella d’Arminio Monforte
Francesco Vairo
Alessandra Barca
Francesco Vaia
Enrico Girardi
Valentina Mazzotta
Andrea Antinori
author_facet Giulia Del Duca
Alessandro Tavelli
Ilaria Mastrorosa
Camilla Aguglia
Simone Lanini
Anna Clelia Brita
Roberta Gagliardini
Serena Vita
Alessandra Vergori
Jessica Paulicelli
Giorgia Natalini
Angela D’Urso
Pierluca Piselli
Paola Gallì
Vanessa Mondillo
Claudio Mastroianni
Enrica Tamburrini
Loredana Sarmati
Christof Stingone
Miriam Lichtner
Emanuele Nicastri
Massimo Farinella
Filippo Leserri
Andrea Siddu
Fabrizio Maggi
Antonella d’Arminio Monforte
Francesco Vairo
Alessandra Barca
Francesco Vaia
Enrico Girardi
Valentina Mazzotta
Andrea Antinori
author_sort Giulia Del Duca
collection DOAJ
description Background: we aim to investigate attitudes toward vaccination by analyzing empirical factors associated with vaccine acceptance in the Lazio region mpox vaccination (MpoxVax) campaign in Italy. Methods: all subjects who accessed MpoxVax and signed the informed consent were prospectively enrolled in the MPOX-VAC Study and were asked to fill out an anonymous survey. Two endpoints were selected: ‘delayed acceptance’ and ‘early acceptance’, defined as access for vaccination >60 and ≤30 days from the vaccination campaign starting (VCS), respectively. Results: over the study period, 1717 individuals underwent vaccination: 129 (7%) > 60 [1588 (92.5%) ≤ 60] and 676 (60%) ≤ 30 days from VCS. A bisexual orientation, a lower education level and a worse perceived physical and mental health were associated with delayed access to vaccination. Being pre-exposure prophylaxis (PrEP) users and, marginally, HIV positive; having a high perceived risk for mpox infection; and reporting high-risk behaviors like the use of recreational drugs/chems, sex under the influence of drugs and/or alcohol and having a higher number of principal sexual partners, were associated with early access to vaccination. Conclusions: according to our data, risk awareness was a major determinant of early MpoxVax acceptance. Conversely, worse perceived health status and a low educational level were critical factors associated with delayed vaccination.
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spelling doaj.art-3c4210a3b212446c9fcb380abf783c8c2024-03-25T15:57:51ZengMDPI AGVaccines2076-393X2023-11-011112176110.3390/vaccines11121761Risk Awareness as a Key Determinant of Early Vaccine Uptake in the Mpox Vaccination Campaign in an Italian Region: A Cross-Sectional AnalysisGiulia Del Duca0Alessandro Tavelli1Ilaria Mastrorosa2Camilla Aguglia3Simone Lanini4Anna Clelia Brita5Roberta Gagliardini6Serena Vita7Alessandra Vergori8Jessica Paulicelli9Giorgia Natalini10Angela D’Urso11Pierluca Piselli12Paola Gallì13Vanessa Mondillo14Claudio Mastroianni15Enrica Tamburrini16Loredana Sarmati17Christof Stingone18Miriam Lichtner19Emanuele Nicastri20Massimo Farinella21Filippo Leserri22Andrea Siddu23Fabrizio Maggi24Antonella d’Arminio Monforte25Francesco Vairo26Alessandra Barca27Francesco Vaia28Enrico Girardi29Valentina Mazzotta30Andrea Antinori31Clinical Infectious Diseases Department, National Institute for Infectious Diseases Lazzaro Spallanzani IRCCS, 00149 Rome, ItalyIcona Foundation, 20142 Milan, ItalyClinical Infectious Diseases Department, National Institute for Infectious Diseases Lazzaro Spallanzani IRCCS, 00149 Rome, ItalyClinical Infectious Diseases Department, National Institute for Infectious Diseases Lazzaro Spallanzani IRCCS, 00149 Rome, ItalyClinical Infectious Diseases Department, National Institute for Infectious Diseases Lazzaro Spallanzani IRCCS, 00149 Rome, ItalyClinical Infectious Diseases Department, National Institute for Infectious Diseases Lazzaro Spallanzani IRCCS, 00149 Rome, ItalyClinical Infectious Diseases Department, National Institute for Infectious Diseases Lazzaro Spallanzani IRCCS, 00149 Rome, ItalyClinical Infectious Diseases Department, National Institute for Infectious Diseases Lazzaro Spallanzani IRCCS, 00149 Rome, ItalyClinical Infectious Diseases Department, National Institute for Infectious Diseases Lazzaro Spallanzani IRCCS, 00149 Rome, ItalyClinical Infectious Diseases Department, National Institute for Infectious Diseases Lazzaro Spallanzani IRCCS, 00149 Rome, ItalyClinical Infectious Diseases Department, National Institute for Infectious Diseases Lazzaro Spallanzani IRCCS, 00149 Rome, ItalyClinical Infectious Diseases Department, National Institute for Infectious Diseases Lazzaro Spallanzani IRCCS, 00149 Rome, ItalyDepartment of Epidemiology, National Institute for Infectious Diseases Lazzaro Spallanzani IRCCS, 00149 Rome, ItalyHealth Direction, National Institute for Infectious Diseases Lazzaro Spallanzani IRCCS, 00149 Rome, ItalyHealth Direction, National Institute for Infectious Diseases Lazzaro Spallanzani IRCCS, 00149 Rome, ItalyDepartment of Public Health and Infectious Diseases, Sapienza University, AOU Policlinico Umberto 1, 00161 Rome, ItalyFondazione Policlinico A. Gemelli, Catholic University of the Sacred Heart, 00168 Rome, ItalyDepartment of System Medicine, University of Rome Tor Vergata, 00133 Rome, ItalySTI/HIV Unit, San Gallicano IRCCS Dermatological Institute, 00144 Rome, ItalyNeuroscience Mental Health and Sense Organs Department, Sapienza University of Rome, Polo Pontino, 04100 Latina, ItalyClinical Infectious Diseases Department, National Institute for Infectious Diseases Lazzaro Spallanzani IRCCS, 00149 Rome, ItalyCircolo di Cultura Omosessuale Mario Mieli, 00146 Rome, ItalyPlus Roma, 00182 Rome, ItalyGeneral Directorate of Prevention, Ministry of Health, 00197 Rome, ItalyLaboratory of Virology, National Institute for Infectious Diseases Lazzaro Spallanzani IRCCS, 00149 Rome, ItalyIcona Foundation, 20142 Milan, ItalyDepartment of Epidemiology, National Institute for Infectious Diseases Lazzaro Spallanzani IRCCS, 00149 Rome, ItalyUnit of Health Promotion and Prevention, Directorate of Health and Integration, Lazio Region, 00145 Rome, ItalyGeneral Directorate of Prevention, Ministry of Health, 00197 Rome, ItalyScientific Direction, National Institute for Infectious Diseases Lazzaro Spallanzani IRCCS, 00149 Rome, ItalyClinical Infectious Diseases Department, National Institute for Infectious Diseases Lazzaro Spallanzani IRCCS, 00149 Rome, ItalyClinical Infectious Diseases Department, National Institute for Infectious Diseases Lazzaro Spallanzani IRCCS, 00149 Rome, ItalyBackground: we aim to investigate attitudes toward vaccination by analyzing empirical factors associated with vaccine acceptance in the Lazio region mpox vaccination (MpoxVax) campaign in Italy. Methods: all subjects who accessed MpoxVax and signed the informed consent were prospectively enrolled in the MPOX-VAC Study and were asked to fill out an anonymous survey. Two endpoints were selected: ‘delayed acceptance’ and ‘early acceptance’, defined as access for vaccination >60 and ≤30 days from the vaccination campaign starting (VCS), respectively. Results: over the study period, 1717 individuals underwent vaccination: 129 (7%) > 60 [1588 (92.5%) ≤ 60] and 676 (60%) ≤ 30 days from VCS. A bisexual orientation, a lower education level and a worse perceived physical and mental health were associated with delayed access to vaccination. Being pre-exposure prophylaxis (PrEP) users and, marginally, HIV positive; having a high perceived risk for mpox infection; and reporting high-risk behaviors like the use of recreational drugs/chems, sex under the influence of drugs and/or alcohol and having a higher number of principal sexual partners, were associated with early access to vaccination. Conclusions: according to our data, risk awareness was a major determinant of early MpoxVax acceptance. Conversely, worse perceived health status and a low educational level were critical factors associated with delayed vaccination.https://www.mdpi.com/2076-393X/11/12/1761mpox infectionmpox vaccinationrisk awarenessvaccine acceptancevaccine hesitancyhealth-related quality of life
spellingShingle Giulia Del Duca
Alessandro Tavelli
Ilaria Mastrorosa
Camilla Aguglia
Simone Lanini
Anna Clelia Brita
Roberta Gagliardini
Serena Vita
Alessandra Vergori
Jessica Paulicelli
Giorgia Natalini
Angela D’Urso
Pierluca Piselli
Paola Gallì
Vanessa Mondillo
Claudio Mastroianni
Enrica Tamburrini
Loredana Sarmati
Christof Stingone
Miriam Lichtner
Emanuele Nicastri
Massimo Farinella
Filippo Leserri
Andrea Siddu
Fabrizio Maggi
Antonella d’Arminio Monforte
Francesco Vairo
Alessandra Barca
Francesco Vaia
Enrico Girardi
Valentina Mazzotta
Andrea Antinori
Risk Awareness as a Key Determinant of Early Vaccine Uptake in the Mpox Vaccination Campaign in an Italian Region: A Cross-Sectional Analysis
Vaccines
mpox infection
mpox vaccination
risk awareness
vaccine acceptance
vaccine hesitancy
health-related quality of life
title Risk Awareness as a Key Determinant of Early Vaccine Uptake in the Mpox Vaccination Campaign in an Italian Region: A Cross-Sectional Analysis
title_full Risk Awareness as a Key Determinant of Early Vaccine Uptake in the Mpox Vaccination Campaign in an Italian Region: A Cross-Sectional Analysis
title_fullStr Risk Awareness as a Key Determinant of Early Vaccine Uptake in the Mpox Vaccination Campaign in an Italian Region: A Cross-Sectional Analysis
title_full_unstemmed Risk Awareness as a Key Determinant of Early Vaccine Uptake in the Mpox Vaccination Campaign in an Italian Region: A Cross-Sectional Analysis
title_short Risk Awareness as a Key Determinant of Early Vaccine Uptake in the Mpox Vaccination Campaign in an Italian Region: A Cross-Sectional Analysis
title_sort risk awareness as a key determinant of early vaccine uptake in the mpox vaccination campaign in an italian region a cross sectional analysis
topic mpox infection
mpox vaccination
risk awareness
vaccine acceptance
vaccine hesitancy
health-related quality of life
url https://www.mdpi.com/2076-393X/11/12/1761
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