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Fu L, Sun Y, Li Y, Wang B, Yang L, Tian T, Wu X, Peng X, Liu Q, Chen Y, Lin YF, Li H, Meng X, Zou H. Perception of and Vaccine Readiness towards Mpox among Men Who Have Sex with Men Living with HIV in China: A Cross-Sectional Study. Vaccines (Basel) 2023; 11:vaccines11030528. [PMID: 36992114 DOI: 10.3390/vaccines11030528] [Citation(s) in RCA: 15] [Impact Index Per Article: 15.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/23/2023] [Revised: 02/17/2023] [Accepted: 02/21/2023] [Indexed: 03/31/2023] Open
Abstract
BACKGROUND Men who have sex with men (MSM) living with HIV make up the majority of cases in the current Mpox outbreak. We aimed to investigate the perception of and vaccine readiness towards Mpox among MSM living with HIV in China. METHODS This cross-sectional online study was conducted from 10 August to 9 September 2022. Participants responded to survey questions about their socio-demographic information, HIV status, sexual behaviors, knowledge of Mpox, and attitudes towards Mpox vaccines. RESULTS A total of 577 MSM living with HIV participated in the study. A total of 37.6% expressed concerns about the Mpox epidemic in China, and 56.8% were willing to get the Mpox vaccine. Men who had > four sexual partners in the previous three months (aOR = 1.9 95% CI: 1.2-2.8 Ref: 0), had close contact with > four individuals in a day (3.1, 1.5-6.5 Ref: 0-3), were worried about the Mpox epidemic in China (1.6, 1.1-2.3 Ref: No), and believed that Mpox vaccines are safe (6.6, 2.7-16.4 Ref: No or not sure) and effective (1.9, 1.1-3.3 Ref: No) for people living with HIV were more likely to be willing to get the Mpox vaccine. MSM living with HIV with a high school education or below (0.5, 0.3-0.9 Ref: Postgraduate diploma), and sometimes (0.5, 0.3-0.8 Ref: Often), seldom, or never (0.5, 0.3-0.9 Ref: Often) followed news about Mpox were unwilling to get the Mpox vaccine. CONCLUSION The ongoing Mpox pandemic has not attracted widespread concerns among MSM living with HIV in China. Having more sexual partners and close contacts, worrying about the Mpox epidemic, and believing in the vaccine's safety and efficacy were predictors of their willingness to get the Mpox vaccine. Efforts should be made to raise awareness of the potential risk of Mpox in this at-risk population. Public health strategies should fully address predictors of vaccination willingness.
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Affiliation(s)
- Leiwen Fu
- School of Public Health (Shenzhen), Sun Yat-sen University, Shenzhen 518107, China
| | - Yinghui Sun
- School of Public Health (Shenzhen), Sun Yat-sen University, Shenzhen 518107, China
| | - Yuwei Li
- School of Public Health (Shenzhen), Sun Yat-sen University, Shenzhen 518107, China
| | - Bingyi Wang
- School of Public Health (Shenzhen), Sun Yat-sen University, Shenzhen 518107, China
| | - Luoyao Yang
- School of Public Health (Shenzhen), Sun Yat-sen University, Shenzhen 518107, China
| | - Tian Tian
- School of Public Health (Shenzhen), Sun Yat-sen University, Shenzhen 518107, China
| | - Xinsheng Wu
- School of Public Health (Shenzhen), Sun Yat-sen University, Shenzhen 518107, China
| | - Xin Peng
- School of Public Health (Shenzhen), Sun Yat-sen University, Shenzhen 518107, China
| | - Qi Liu
- School of Public Health (Shenzhen), Sun Yat-sen University, Shenzhen 518107, China
| | - Yuanyi Chen
- School of Public Health (Shenzhen), Sun Yat-sen University, Shenzhen 518107, China
| | - Yi-Fan Lin
- School of Public Health (Shenzhen), Sun Yat-sen University, Shenzhen 518107, China
| | - Hui Li
- Center for Disease Control and Prevention, Shizhong District, Jinan 250004, China
| | - Xiaojun Meng
- Wuxi Municipal Center for Disease Control and Prevention, Wuxi 214023, China
| | - Huachun Zou
- School of Public Health (Shenzhen), Sun Yat-sen University, Shenzhen 518107, China
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Wang B, Peng X, Li Y, Fu L, Tian T, Liang B, Sun Y, Chen Y, Wu X, Liu Q, Lin YF, Meng X, Zou H. Perceptions, precautions, and vaccine acceptance related to monkeypox in the public in China: A cross-sectional survey. J Infect Public Health 2023; 16:163-170. [PMID: 36535136 PMCID: PMC9743792 DOI: 10.1016/j.jiph.2022.12.010] [Citation(s) in RCA: 22] [Impact Index Per Article: 22.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/07/2022] [Revised: 12/06/2022] [Accepted: 12/07/2022] [Indexed: 12/14/2022] Open
Abstract
BACKGROUND The World Health Organization declared monkeypox as a Public Health Emergency of International Concern. A cross-sectional online survey was conducted to understand beliefs, attitudes, perceived preventive measures, and vaccination acceptance related to monkeypox in the public in China. METHODS Between August 30 and September 15, 2022, we recruited adults through an online survey platform. Demographic characteristics, perceptions, common knowledge, concerns, attitudes, willingness to adopt preventive measures (including hygiene practices, social distancing, and travel avoidance), and vaccination acceptance related to monkeypox were collected. Logistic regression was used to assess correlates of concerns about monkeypox, willingness to adopt preventive measures, and vaccination acceptance. RESULTS 2135 participants were recruited (median age: 31.4 years). 62.7% were concerned about monkeypox. 33.2% were more concerned about monkeypox compared to COVID-19. Males (aOR 0.61, 95%CI 0.50-0.74), accessing monkeypox information from the Internet (0.77, 0.61-0.98), and willingness to adopt monkeypox vaccine (2.9, 2.38-3.53) were associated with concerns about monkeypox. Most participants were willing to adopt precautions (76.3% hygiene practices, 68.2% social distancing, 85.9% travel avoidance). Individuals who were concerned about monkeypox (hygiene practices: 2.09, 1.69-2.59; social distancing: 1.78, 1.46-2.16; travel avoidance: 1.74, 1.34-2.26) and had better knowledge about monkeypox (hygiene practices: 1.85, 1.48-2.31; social distancing: 2.17, 1.77-2.66; travel avoidance: 1.74, 1.34-2.26) were more likely to adopt precautions. 68.8% were willing to adopt monkeypox vaccine. Participants with older age (aged 40-49: 0.57, 0.38-0.85; aged 50 +: 0.50, 0.31-0.81), and higher income (¥6000-10,000: 0.61, 0.39-0.95; ≥¥10,000: 0.48, 0.30-0.77) were less likely to adopt the monkeypox vaccine. Being concerned more about monkeypox compared to COVID-19 (1.63, 1.31-2.02), and having better knowledge about monkeypox (1.34, 1.09-1.66) were associated with willingness to adopt vaccination. CONCLUSIONS Compared with COVID-19, monkeypox attracted significantly less attention in the public in China, who currently have insufficient monkeypox knowledge. Interventions aimed at improving monkeypox knowledge and precautions among different groups of individuals in China are needed.
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Affiliation(s)
- Bingyi Wang
- School of Public Health (Shenzhen), Sun Yat-sen University, Shenzhen, China
| | - Xin Peng
- School of Public Health (Shenzhen), Sun Yat-sen University, Shenzhen, China
| | - Yuwei Li
- School of Public Health (Shenzhen), Sun Yat-sen University, Shenzhen, China
| | - Leiwen Fu
- School of Public Health (Shenzhen), Sun Yat-sen University, Shenzhen, China
| | - Tian Tian
- School of Public Health (Shenzhen), Sun Yat-sen University, Shenzhen, China
| | - Bingyu Liang
- Guangxi Key Laboratory of AIDS Prevention and Treatment, School of Public Health, Guangxi Medical University, Nanning 530021, Guangxi, China
| | - Yinghui Sun
- School of Public Health (Shenzhen), Sun Yat-sen University, Shenzhen, China
| | - Yuanyi Chen
- School of Public Health (Shenzhen), Sun Yat-sen University, Shenzhen, China
| | - Xinsheng Wu
- School of Public Health (Shenzhen), Sun Yat-sen University, Shenzhen, China
| | - Qi Liu
- School of Public Health (Shenzhen), Sun Yat-sen University, Shenzhen, China
| | - Yi-Fan Lin
- School of Public Health (Shenzhen), Sun Yat-sen University, Shenzhen, China
| | - Xiaojun Meng
- Wuxi Municipal Center for Disease Control and Prevention, Wuxi, China
| | - Huachun Zou
- School of Public Health (Shenzhen), Sun Yat-sen University, Shenzhen, China; Kirby Institute, University of New South Wales, Sydney, Australia.
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Liu S, Zhu J, Liu Y, Wilbanks D, Jackson JC, Mu Y. Perception of strong social norms during the COVID-19 pandemic is linked to positive psychological outcomes. BMC Public Health 2022; 22:1403. [PMID: 35869459 PMCID: PMC9305059 DOI: 10.1186/s12889-022-13744-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/05/2022] [Accepted: 06/27/2022] [Indexed: 11/10/2022] Open
Abstract
Social norms can coordinate individuals and groups during collective threats. Pandemic-related social norms (e.g., wearing masks, social distancing) emerged to curb the spread of COVID-19. However, little is known about the psychological consequences of the emerging norms. We conducted three experiments cross-culturally, during the early period of the COVID-19 pandemic in China (Study 1), the recovery period in China (Study 2), and the severe period in the United States and Canada (Study 3). Across the three studies, we first distinguished the opposite effects of social norms and risk perception on individuals’ psychological characteristics during the COVID-19 pandemic and further revealed that individuals who perceived stronger pandemic norms reported a lower level of COVID-19 risk perception, which in turn would be associated with fewer negative emotions, lower pressure, more positive emotions, higher levels of trusts, and more confidence in fighting against COVID-19. Our findings show that perceived tighter social norms are linked to beneficial psychological outcomes. This research helps governments, institutions, and individuals understand the mechanism and benefits of social norms during the pandemic, thereby facilitating policy formulation and better responses to social crises.
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Lee JR, Segal C, Howitt J, Lawrence SO, Grima J, Eagle K, Woo K, Byers P, Klein-Rogers E, Milewicz D, Mussa F, Soderlund T, Cotter N, Case M, Trotter D, Shalhub S. A mixed method approach to understanding the impact of COVID-19 on patients with or at risk for aortic dissection. Semin Vasc Surg 2022; 35:100-109. [PMID: 35501037 PMCID: PMC8864810 DOI: 10.1053/j.semvascsurg.2022.02.006] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/22/2021] [Revised: 02/10/2022] [Accepted: 02/10/2022] [Indexed: 01/18/2023]
Abstract
Aortic dissection (AD) is a life-threatening rare disease that occurs as a spontaneous tear in the wall of the aorta. Survivors of AD go on to have a chronic disease process that requires lifelong follow-up and management. Although the COVID-19 pandemic has strained health systems and impacted practice in the United States, the effects of these impacts on people living with or at risk for AD is not well understood. This mixed methods project examined the experiences of people in the AD community during the COVID-19 pandemic between March and October 2020. Results reveal that the AD community lacked clear guidance on the role aortic health status plays in COVID-19 risk and experienced significant disruptions in aortic healthcare. At the same time, the new expansion in access to medical care with telehealth conferred unforeseen benefits in the form of reduced barriers for access to specialized aortic health care.
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Affiliation(s)
- Jenney R. Lee
- Department of Urology, University of Washington, Seattle, WA,Corresponding author: Department of Urology, University of Washington School of Medicine, 1959 N.E. Pacific Street, Box 356510, Seattle, WA 98195, United States
| | - Courtney Segal
- Department of Health Services, University of Washington, Seattle, WA
| | - Jake Howitt
- Aortic Dissection Collaborative Advisory Group, Seattle, WA
| | - Sarah O. Lawrence
- Division of Vascular Surgery, Department of Surgery, University of Washington School of Medicine; 1959 N.E. Pacific Street, Box 356410, Seattle, WA 98195
| | | | - Kim Eagle
- University of Michigan, Ann Arbor, MI,International Registry of Acute Aortic Dissections
| | - Karen Woo
- University of California Los Angeles, Los Angeles, CA
| | - Peter Byers
- Department of Pathology, University of Washington, Seattle, WA
| | | | - Dianna Milewicz
- Department of Internal Medicine McGovern Medical School, The University of Texas Health Science Center, Houston, TX
| | - Firas Mussa
- Imperial College, Imperial NHS Healthcare, London, UK
| | - Timo Soderlund
- Aortic Dissection Collaborative Advisory Group, Seattle, WA
| | | | - Melanie Case
- Aortic Dissection Collaborative Advisory Group, Seattle, WA
| | - Debra Trotter
- Aortic Dissection Collaborative Advisory Group, Seattle, WA
| | - Sherene Shalhub
- Division of Vascular Surgery, Department of Surgery, University of Washington School of Medicine; 1959 N.E. Pacific Street, Box 356410, Seattle, WA 98195
| | - Aortic Dissection Collaborative#CaseMelanie1CotterNovelett E.BA1DavidCarmen C.1FasanoMark1GoldenbergRichardMD, PhD1HowittJake1SöderlundTimo T.1TrotterDebra1RabinAsafMD2Boehler-TatmanMattieBA3RussoMelissa L.MD3DrudiLaura MarieMD, CM, MSc, FRCSC4MarksLaura L.5YousifMaisoon D.MSc6HoffstaetterTabea7TaubenfeldElla7VemulapalliSreekanthMD8CamposChrisanne S.PhD9RuscheLindsey9PenaRobert C.F.MD, MEng.10MussaFiras F.MD, MS, FACS11MacCarrickGretchenMS, CGC12GoldsboroughEarlIIIBS12SamuelChristeen12XuLillian12MouawadNicolas J.MD, MPH, MBA13YassaEanas S.MD, FACS, FSVS14TengXiaoyiMD15PolitanoAmaniMD, MS16TeindlJesse17BloomLara18GluckRebeccaMS, PA-C18O'NealMeredith Ford19GrimaJosephinePhD20MascialeEileenMA20OtaTakeyoshiMD, PhD21WrightKatelyn22HakimAlan J.MB, BChir, MA, FRCP(UK)23OwensGarethMSc (Oxon)24ArnaoutakisGeorge J.MD25JudelsonDejahMD26D'OriaMarioMD27del Rio-SolaLurdesMD, PhD27AjalatMark28ChauMarvin28TalutisStephanie D.MD, MPH28WooKarenMD, PhD28WohlauerMax V.MD29YiJeniann A.MD, MS29EagleKim A.MD30BowmanMarion A. HofmannMD, PhD30Kline-RogersEvaMS, NP30KimHyeinMD31HenoudClaudineHBSc32DamrauerScottMD33KrolEmiliaMD, FACS34AfifiRana O.MD35CecchiAlana C.MS35DrakeMadeline35EstreraAnthonyMD35HebertAvery MBSA35MilewiczDianna M.MD, PhD35PrakashSiddharth K.MD, PhD35RobertsAaron W.MD, MS35SandhuHarleenMD, MPH35Smith-WashingtonAkili35TanakaAkikoMD, PhD35WatsonJacobBS35AhmadMyraBA36AlbrightCatherine M.MD, MS36BurkeChristopher R.MD36ByersPeter H.MD36KennedyL'OrealDNP, NM, ARNP36LawrenceSarah O.MA36LeeJenney R.MA36MedinaJonathanDNP, ARNP36NishathThamannaMSPH36PhamJulieBS36SegalCourtney36ShalhubShereneMD, MPH36SotoMichaelMPH36CatalanLinellRN, BSN37PattersonMegan37IlonzoNicoleMD38Aortic Dissection Collaborative Patient and Family AdvisorsBaruch Padeh Medical Center, IsraelBrown UniversityCentre Hospitalier de l'Université de MontréalCook Medical, Inc.Dalhousie Medical SchoolDonald and Barbara Zucker School of Medicine at Hofstra/NorthwellDuke UniversityGenetic Aortic Disorders Association Canada (GADA Canada)George Washington UniversityImperial College-LondonJohns Hopkins UniversityMcLaren Health SystemMichigan State University/Spectrum Health Heart and Vascular InstituteMinneapolis Heart InstituteOregon Health & Sciences UniversitySkinny Genes FoundationThe Ehlers-Danlos SocietyThe John Ritter Foundation for Aortic HealthThe Marfan FoundationThe University of ChicagoThe VEDS MovementThe Wellington Hospital (UK)THINK AORTAUF HealthUmass Memorial HealthUniversity Hospital of Trieste ASUGI (Italy)University Hospital of Valladolid (Spain)University of California, Los AngelesUniversity of ColoradoUniversity of MichiganUniversity of OklahomaUniversity of OttawaUniversity of PennsylvaniaUniversity of South CarolinaUniversity of Texas Health Science Center at HoustonUniversity of WashingtonVascular CuresWeill Cornell Medicine
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How News Agencies' Twitter Posts on COVID-19 Vaccines Attract Audiences' Twitter Engagement: A Content Analysis. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19052716. [PMID: 35270408 PMCID: PMC8910090 DOI: 10.3390/ijerph19052716] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 02/05/2022] [Revised: 02/22/2022] [Accepted: 02/24/2022] [Indexed: 01/23/2023]
Abstract
As the most important global news distributors, the big three international news agencies’ reports about COVID-19 vaccines have a great influence on people’s understanding of them. Based on the health belief model (HBM), we examined which constructs in the HBM were related to audiences’ Twitter engagement and the differences among the agencies. We content-analyzed 1162 COVID-19 vaccine-related tweets from three international news agencies’ Twitter accounts (@AFPespanol, @AP, @Reuters) from 2 December 2020 to 31 January 2021. The results showed that the most-used HBM construct was barriers, followed by benefits, susceptibility, cues to action, severity, and self-efficacy. About half of the tweets used a positive tone and nearly half of the tweets used a neutral tone, while only 3.1% of the tweets used a negative tone. Reuters used a significantly more negative tone, more neutral tone, and less positive tone than was expected. AFP used a significantly more positive tone and less neutral tone than was expected. The effectiveness of utilizing HBM constructs for vaccination promotion strongly depends on the audience context. The use of HBM constructs for vaccination was generally effective for Reuters but seems to have backfired for AFP.
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Davis TC, Curtis LM, Wolf MS, Vanchiere JA, Bhuiyan MAN, Horswell R, Batio S, Arnold CL. COVID-19 Knowledge, Beliefs, and Behavior Among Patients in a Safety-Net Health System. J Community Health 2022; 47:437-445. [PMID: 35118553 PMCID: PMC8812349 DOI: 10.1007/s10900-021-01059-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/07/2021] [Indexed: 11/27/2022]
Abstract
Examine COVID-19 knowledge, concerns, behaviors, stress, and sources of information among patients in a safety-net health system in Louisiana. Research assistants surveyed participants via structured telephone interviews from April to October 2020. The data presented in this study were obtained in the pre-vaccine availability period. Of 623 adult participants, 73.5% were female, 54.7% Black, and 44.8% lived in rural small towns; mean age was 48.69. Half (50.5%) had spoken to a healthcare provider about the virus, 25.8% had been tested for COVID-19; 11.4% tested positive. Small town residents were less likely to be tested than those in cities (21.1% vs 29.3%, p = 0.05). Knowledge of COVID-19 symptoms and ways to prevent the disease increased from (87.9% in the spring to 98.9% in the fall, p < 0.001). Participants indicating that the virus had 'changed their daily routine a lot' decreased from 56.9% to 39.3% (p < 0.001). The main source of COVID-19 information was TV, which increased over time, 66.1-83.6% (p < 0.001). Use of websites (34.2%) did not increase. Black adults were more likely than white adults (80.7% vs 65.6%, p < 0.001) to rely on TV for COVID-19 information. Participants under 30 were more likely to get COVID-19 information from websites and social media (58.2% and 35.8% respectively). This study provides information related to the understanding of COVID-19 in rural and underserved communities that can guide clinical and public health strategies.
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Affiliation(s)
- Terry C. Davis
- Department of Medicine, Louisiana State University Health Shreveport, 1501 Kings Highway, P.O. Box 33932, Shreveport, LA 71130-3932 USA
| | - Laura M. Curtis
- Division of General Internal Medicine and Geriatrics, Northwestern Medicine, Feinberg School of Medicine, Chicago, USA
| | - Michael S. Wolf
- Division of General Internal Medicine and Geriatrics, Northwestern Medicine, Feinberg School of Medicine, Chicago, USA
| | - John A. Vanchiere
- Center for Emerging Viral Threats, Louisiana State University Health Shreveport, Shreveport, USA
| | | | | | - Stephanie Batio
- Division of General Internal Medicine and Geriatrics, Northwestern Medicine, Feinberg School of Medicine, Chicago, USA
| | - Connie L. Arnold
- Department of Medicine and Feist-Weiller Cancer Center, Louisiana State University Health Shreveport, Shreveport, USA
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