Evaluation of Mpox Knowledge, Stigma, and Willingness to Vaccinate for Mpox: Cross-Sectional Web-Based Survey Among Sexual and Gender Minorities
| Autor(a) principal: | |
|---|---|
| Data de Publicação: | 2023 |
| Outros Autores: | , , , , , , , , , |
| Tipo de documento: | Artigo |
| Idioma: | eng |
| Título da fonte: | Repositório Institucional da FIOCRUZ (ARCA) |
| Texto Completo: | https://www.arca.fiocruz.br/handle/icict/59897 |
Resumo: | Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil. |
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Torres, Thiago SilvaSilva, Mayara Secco TorresCoutinho, CarolinaHoagland, BrendaJalil, Emilia MoreiraCardoso, Sandra WagnerMoreira, JulioMagalhaes, Monica AvelarLuz, Paula MendesVeloso, Valdiléa G.Grinsztejn, Beatriz2023-08-04T11:30:30Z2023-08-04T11:30:30Z2023TORRES, Thiago Silva et al. Evaluation of Mpox Knowledge, Stigma, and Willingness to Vaccinate for Mpox: Cross-Sectional Web-Based Survey Among Sexual and Gender Minorities. JMIR Public Health and Surveillance, v. 9, p. 1-15, 2023.2369-2960https://www.arca.fiocruz.br/handle/icict/5989710.2196/46489engJMIR PublicationsEvaluation of Mpox Knowledge, Stigma, and Willingness to Vaccinate for Mpox: Cross-Sectional Web-Based Survey Among Sexual and Gender Minoritiesinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleFundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil.Grupo Arco-Íris. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto de Comunicação e Informação Científica e Tecnológica em Saúde. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil.Background: The 2022 multicountry mpox outbreak positioned the condition as a public health emergency of international concern. By May 2023, Brazil ranked second globally in the cumulative number of mpox cases and deaths. The higher incidence of mpox among gay and other men who have sex with men in the current mpox outbreak deepens the stigma and discrimination against sexual and gender minorities (SGM). This might worsen the structural barriers impacting access to health services, which ultimately leads to undertesting and underreporting of cases. There are no data available on mpox knowledge and stigma in Latin America. Objective: We aimed to evaluate mpox knowledge, stigma, and willingness to vaccinate for mpox among SGM, and to describe sociodemographic and behavioral characteristics according to self-reported mpox diagnosis. Methods: A cross-sectional, internet-based survey was conducted in a convenience sample of adults (aged >18 years) living in Brazil recruited through advertisements on dating apps, social media, referral institutions for infectious diseases websites, and mass media (October-November 2022). We compared participants’ characteristics according to self-reported mpox diagnosis using chi-square test or Fisher exact test for qualitative variables and Kruskal-Wallis test for quantitative variables. Results: We enrolled 6236 participants: 5685 (91.2%) were cisgender men; 6032 (96.7%) were gay, bisexual, or pansexual; 3877 (62.2%) were White; 4902 (78.7%) had tertiary education; and 4070 (65.2%) reported low or middle income. Most participants (n=5258, 84.4%) agreed or strongly agreed that “LGBTQIA+ individuals are being discriminated and stigmatized due to mpox.” Mpox awareness was 96.9% (n=6044), and 5008 (95.1%) were willing to get vaccinated for mpox. Overall, 324 (5.2%) reported an mpox diagnosis. Among these, 318 (98.1%) reported lesions, 178 (56%) local pain, and 316 (99.4%) sought health care. Among participants not reporting a diagnosis, 288 (4.9%) had a suspicious lesion, but only 158 (54.9%) of these had sought health care. Compared to participants with no diagnosis, those reporting an mpox diagnosis were younger (P<.001), reported more sex partners (P<.001), and changes in sexual behavior after mpox onset (P=.002). Moreover, participants diagnosed with mpox reported more frequently being tested for HIV in the prior 3 months (P<.001), living with HIV (P<.001), currently using HIV pre-exposure prophylaxis (P<.001), and previous sexually transmitted infection diagnosis (P<.001). Conclusions: Our results point to high mpox knowledge and willingness to vaccinate among SGM in Brazil. Participants self-reporting mpox diagnosis more frequently reported to be living with HIV, STI diagnosis, and current pre-exposure prophylaxis use, highlighting the importance of an mpox assessment that includes comprehensive sexual health screenings. Efforts to decrease stigma related to mpox among SGM are necessary to avoid mpox underdiagnosis.Sexual and gender minoritiesMpoxBrazilLatin America and CaribbeanCommunityLGBTGayLesbianMinorityMinoritiesSurveyEmergencyStigmaDiscriminationLatin AmericaSociodemographicBehavioralDiagnosisApplicationSocial mediaInfectionGenderMSMMonkeypoxInfectious diseaseAwarenessPatient educationHealth knowledgePatient knowledgeKnowledge translationAccess to careViralinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da FIOCRUZ (ARCA)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZLICENSElicense.txtlicense.txttext/plain; charset=utf-82991https://www.arca.fiocruz.br/bitstream/icict/59897/1/license.txt5a560609d32a3863062d77ff32785d58MD51ORIGINALva_Torres_Thiago Silva_etal_ICICT_2023.pdfva_Torres_Thiago Silva_etal_ICICT_2023.pdfapplication/pdf1151063https://www.arca.fiocruz.br/bitstream/icict/59897/2/va_Torres_Thiago%20Silva_etal_ICICT_2023.pdf7ead586ecd0ae611ce5541990a090e9fMD52icict/598972023-10-27 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| dc.title.en_US.fl_str_mv |
Evaluation of Mpox Knowledge, Stigma, and Willingness to Vaccinate for Mpox: Cross-Sectional Web-Based Survey Among Sexual and Gender Minorities |
| title |
Evaluation of Mpox Knowledge, Stigma, and Willingness to Vaccinate for Mpox: Cross-Sectional Web-Based Survey Among Sexual and Gender Minorities |
| spellingShingle |
Evaluation of Mpox Knowledge, Stigma, and Willingness to Vaccinate for Mpox: Cross-Sectional Web-Based Survey Among Sexual and Gender Minorities Torres, Thiago Silva Sexual and gender minorities Mpox Brazil Latin America and Caribbean Community LGBT Gay Lesbian Minority Minorities Survey Emergency Stigma Discrimination Latin America Sociodemographic Behavioral Diagnosis Application Social media Infection Gender MSM Monkeypox Infectious disease Awareness Patient education Health knowledge Patient knowledge Knowledge translation Access to care Viral |
| title_short |
Evaluation of Mpox Knowledge, Stigma, and Willingness to Vaccinate for Mpox: Cross-Sectional Web-Based Survey Among Sexual and Gender Minorities |
| title_full |
Evaluation of Mpox Knowledge, Stigma, and Willingness to Vaccinate for Mpox: Cross-Sectional Web-Based Survey Among Sexual and Gender Minorities |
| title_fullStr |
Evaluation of Mpox Knowledge, Stigma, and Willingness to Vaccinate for Mpox: Cross-Sectional Web-Based Survey Among Sexual and Gender Minorities |
| title_full_unstemmed |
Evaluation of Mpox Knowledge, Stigma, and Willingness to Vaccinate for Mpox: Cross-Sectional Web-Based Survey Among Sexual and Gender Minorities |
| title_sort |
Evaluation of Mpox Knowledge, Stigma, and Willingness to Vaccinate for Mpox: Cross-Sectional Web-Based Survey Among Sexual and Gender Minorities |
| author |
Torres, Thiago Silva |
| author_facet |
Torres, Thiago Silva Silva, Mayara Secco Torres Coutinho, Carolina Hoagland, Brenda Jalil, Emilia Moreira Cardoso, Sandra Wagner Moreira, Julio Magalhaes, Monica Avelar Luz, Paula Mendes Veloso, Valdiléa G. Grinsztejn, Beatriz |
| author_role |
author |
| author2 |
Silva, Mayara Secco Torres Coutinho, Carolina Hoagland, Brenda Jalil, Emilia Moreira Cardoso, Sandra Wagner Moreira, Julio Magalhaes, Monica Avelar Luz, Paula Mendes Veloso, Valdiléa G. Grinsztejn, Beatriz |
| author2_role |
author author author author author author author author author author |
| dc.contributor.author.fl_str_mv |
Torres, Thiago Silva Silva, Mayara Secco Torres Coutinho, Carolina Hoagland, Brenda Jalil, Emilia Moreira Cardoso, Sandra Wagner Moreira, Julio Magalhaes, Monica Avelar Luz, Paula Mendes Veloso, Valdiléa G. Grinsztejn, Beatriz |
| dc.subject.en.en_US.fl_str_mv |
Sexual and gender minorities Mpox Brazil Latin America and Caribbean Community LGBT Gay Lesbian Minority Minorities Survey Emergency Stigma Discrimination Latin America Sociodemographic Behavioral Diagnosis Application Social media Infection Gender MSM Monkeypox Infectious disease Awareness Patient education Health knowledge Patient knowledge Knowledge translation Access to care Viral |
| topic |
Sexual and gender minorities Mpox Brazil Latin America and Caribbean Community LGBT Gay Lesbian Minority Minorities Survey Emergency Stigma Discrimination Latin America Sociodemographic Behavioral Diagnosis Application Social media Infection Gender MSM Monkeypox Infectious disease Awareness Patient education Health knowledge Patient knowledge Knowledge translation Access to care Viral |
| description |
Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil. |
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2023 |
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2023-08-04T11:30:30Z |
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2023-08-04T11:30:30Z |
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2023 |
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info:eu-repo/semantics/publishedVersion |
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info:eu-repo/semantics/article |
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article |
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publishedVersion |
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TORRES, Thiago Silva et al. Evaluation of Mpox Knowledge, Stigma, and Willingness to Vaccinate for Mpox: Cross-Sectional Web-Based Survey Among Sexual and Gender Minorities. JMIR Public Health and Surveillance, v. 9, p. 1-15, 2023. |
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https://www.arca.fiocruz.br/handle/icict/59897 |
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2369-2960 |
| dc.identifier.doi.none.fl_str_mv |
10.2196/46489 |
| identifier_str_mv |
TORRES, Thiago Silva et al. Evaluation of Mpox Knowledge, Stigma, and Willingness to Vaccinate for Mpox: Cross-Sectional Web-Based Survey Among Sexual and Gender Minorities. JMIR Public Health and Surveillance, v. 9, p. 1-15, 2023. 2369-2960 10.2196/46489 |
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JMIR Publications |
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JMIR Publications |
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