中国东北5个城市男男性行为人群猴痘认知、风险感知和猴痘疫苗接种意愿调查

李玲玲; 韩孟杰; 吕繁; 汤后林; 杨杰; 张维; 张金瑞; 孙彩东; 崔彦娇; 郑扬; 陈方方

Abstract

李玲玲,韩孟杰,吕繁,汤后林,杨杰,张维,张金瑞,孙彩东,崔彦娇,郑扬,陈方方.中国东北5个城市男男性行为人群猴痘认知、风险感知和猴痘疫苗接种意愿调查[J].Chinese journal of Epidemiology,2024,45(1):128-133

中国东北5个城市男男性行为人群猴痘认知、风险感知和猴痘疫苗接种意愿调查

Survey on monkeypox knowledge awareness， risk perception and vaccination intention in men who have sex with men in five cities in northeast China

Received:July 28, 2023

DOI：10.3760/cma.j.cn112338-20230728-00047

KeyWord: 男男性行为人群猴痘知识知晓风险感知疫苗接种意愿

English Key Word: Men who have sex with men Monkeypox Knowledge awareness Risk perception Vaccine intention

FundProject:中国现场流行病学培训项目

Author Name	Affiliation	E-mail
Li Lingling	Chinese Field Epidemiology Training Program, Chinese Center for Disease Control and Prevention, Beijing 100050 China Panjin Prefectural Center for Disease Control and Prevention of Liaoning Province, Panjin 124010, China
Han Mengjie	National Center for AIDS/STD Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 102206, China
Lyu Fan	National Center for AIDS/STD Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 102206, China
Tang Houlin	National Center for AIDS/STD Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 102206, China
Yang Jie	Shenlan Public Health Counsel Service Center of Tiangjin, Tianjin 300122, China
Zhang Wei	Panjin Prefectural Center for Health Supervision of Liaoning Province, Panjin 124010, China
Zhang Jinrui	Chinese Field Epidemiology Training Program, Chinese Center for Disease Control and Prevention, Beijing 100050 China Jiamusi Prefectural Center for Disease Control and Prevention of Heilongjiang Province, Jiamusi 154007, China
Sun Caidong	Panjin Prefectural Center for Disease Control and Prevention of Liaoning Province, Panjin 124010, China
Cui Yanjiao	Panjin Prefectural Center for Disease Control and Prevention of Liaoning Province, Panjin 124010, China
Zheng Yang	Panjin Prefectural Center for Disease Control and Prevention of Liaoning Province, Panjin 124010, China
Chen Fangfang	National Center for AIDS/STD Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 102206, China	chenfang629@163.com

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Abstract:

目的了解我国东北5个城市MSM对猴痘认知、风险感知和猴痘疫苗接种意愿。方法采用电子问卷，于2023年6月28日至7月8日在东北5个城市（沈阳市、盘锦市、长春市、哈尔滨市和佳木斯市）通过方便抽样开展横断面调查。调查对象由当地CDC和MSM社会组织的工作人员招募。估计样本量为220人。收集信息包括调查对象的人口学特征、猴痘相关知识知晓、对猴痘疫情关注程度猴痘感染风险感知和猴痘疫苗接种意愿。采用logistic回归模型分析调查对象猴痘疫苗接种意愿的相关因素。结果 MSM调查对象共355人，对猴痘疫苗有接种意愿的比例为63.9%（227/355），猴痘知识得分为（3.7±1.5）分、猴痘知识知晓率为55.5%（197/355）。高中及以上文化程度（aOR=1.93，95%CI：1.01~3.69）、猴痘知识得分较高（aOR=1.19，95%CI：1.02~1.40）、担心自身感染猴痘病毒（aOR=1.82，95%CI：1.15~2.88）的调查对象对猴痘疫苗的接种意愿更高。调查对象有猴痘疫苗接种意愿的主要原因包括有效预防猴痘感染（86.3%，196/227）和避免感染后影响容貌（62.1%，141/227）；无猴痘疫苗接种意愿的主要原因包括担心猴痘疫苗不安全（53.1%，68/128）、担心接种疫苗对艾滋病疾病进展（46.1%，59/128）和艾滋病抗病毒治疗效果（44.5%，57/128）有影响。结论东北5个城市MSM的猴痘知识知晓率和疫苗接种意愿仍有待提高。有必要持续加强MSM对猴痘认知和疫情防范意识，强调MSM保持安全性行为，提高对猴痘感染的自我评估和风险感知能力，减少疫苗犹豫，提高猴痘疫苗接种意愿。

English Abstract:

Objective To understand the monkeypox knowledge awareness, risk perception and vaccination intention in men who have sex with men (MSM) in five cities in northeast China. Methods A cross-sectional study was conducted by using electronic questionnaire in MSM selected by convenience sampling in five cities in northeast China (Shenyang, Panjin, Changchun, Harbin and Jiamusi) from June 28 to July 8, 2023 by local centers for disease control and prevention and MSM communities. The sample size was estimated to be 220. Information about their demographics, monkeypox-related knowledge awareness, perceived concern about epidemic risk perception, and monkeypox vaccination intention were collected. Logistic regression model was used to analyze related factors for MSM's monkeypox vaccination intention. Results In 355 MSM, 63.9% (227/355) had monkeypox vaccination intentions, and 55.5% (197/355) had high awareness of monkeypox related knowledge with a mean knowledge awareness score of 3.7±1.5. MSM with education level of high-school and above (aOR=1.93, 95%CI:1.01-3.69), higher knowledge awareness score (aOR=1.19, 95%CI:1.02-1.40) and higher risk perception of monkeypox infection (aOR=1.82, 95%CI:1.15-2.88), were more willing to receive monkeypox vaccination. The main reasons for willingness to receive monkeypox vaccine were preventing monkeypox (86.3%, 196/227) and worrying about appearance being affected (62.1%, 141/227). The main reasons for unwillingness for the vaccination included concerns about vaccine safety (53.1%, 68/128), clinical progression of AIDS being affected (46.1%, 59/128) and efficacy of antiretroviral therapy being affected (44.5%, 57/128). Conclusions The levels of knowledge awareness and vaccine intentions still need to be improved among MSM in five cities of northeast China. It is necessary to improve the awareness of monkeypox and intention of monkeypox vaccination, promote protected sex behavior and self-assessment of infection risk, reduce vaccine hesitancy and increase monkeypox vaccination intention in MSM in 5 cities in northeast China.

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