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Mpox (monkeypox) knowledge, concern, willingness to change behaviour, and seek vaccination: Results of a national cross-sectional survey

引用

Sexual Health 2023年第5期20卷 403-410页

作者： Macgibbon J. Cornelisse V.J. Smith A.K.J. Broady T.R. Hammoud M.A. Bavinton B.R. Heath-Paynter D. Vaughan M. Wright E.J. Holt M. Centre for Social Research in Health UNSW Sydney Sydney NSW Australia Kirby Institute UNSW Sydney Sydney NSW Australia NSW Health Sydney NSW Australia Health Equity Matters Sydney NSW Australia ACON Sydney NSW Australia Department of Infectious Diseases Alfred Hospital and Central Clinical School Monash University Melbourne VIC Australia Burnet Institute Melbourne VIC Australia The Peter Doherty Institute of Infection and Immunity Melbourne VIC Australia

Background: In mid-2022, a global mpox (formerly 'monkeypox') outbreak affecting predominantly gay and bisexual men emerged in non-endemic countries. Australia had never previously recorded mpox cases and there was no prior research on knowledge or attitudes to mpox among gay and bisexual men across Australia. Methods: We conducted a national, online cross-sectional survey between August 2022 and September 2022. Participants were recruited through community organisation promotions, online advertising, and direct email invitations. Eligible participants were gay, bisexual or queer; identified as male (cisgender or transgender) or non-binary; aged 16 years or older; and lived in Australia. The main outcome measures were: knowledge and concern about mpox; recognition of mpox symptoms and transmission routes; vaccination history; acceptability of behavioural changes to reduce mpox risk, and willingness to be vaccinated. Results: Of 2287 participants, most participants were male (2189/2287; 95.7%) and gay (1894/2287; 82.8%). Nearly all had heard about mpox (2255/2287; 98.6%), and the majority were concerned about acquiring it (1461/2287; 64.4%). Most of the 2268 participants not previously diagnosed with mpox correctly identified skin lesions (2087; 92%), rash (1977; 87.2%), and fever (1647; 72.6%) as potential symptoms, and prolonged and brief skin-To-skin contact as potential ways to acquire mpox (2124, 93.7%; and 1860, 82%, respectively). The most acceptable behavioural changes were reducing or avoiding attendance at sex parties (1494; 65.9%) and sex-on-premises venues (1503; 66.4%), and having fewer sexual partners (1466; 64.6%). Most unvaccinated and undiagnosed participants were willing to be vaccinated (1457/1733; 84.1%). Conclusions: People at risk of mpox should be supported to adopt acceptable risk reduction strategies during outbreaks and to seek vaccination. © 2023 CSIRO. All rights reserved.

关键词： attitudes Australia gay and bisexual men men who have sex with men monkeypox mpox sexual behaviour sexual practice sexually transmissible infection vaccination vaccine

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