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- Title
Risk Awareness as a Key Determinant of Early Vaccine Uptake in the Mpox Vaccination Campaign in an Italian Region: A Cross-Sectional Analysis.
- Authors
Del Duca, Giulia; Tavelli, Alessandro; Mastrorosa, Ilaria; Aguglia, Camilla; Lanini, Simone; Brita, Anna Clelia; Gagliardini, Roberta; Vita, Serena; Vergori, Alessandra; Paulicelli, Jessica; Natalini, Giorgia; D'Urso, Angela; Piselli, Pierluca; Gallì, Paola; Mondillo, Vanessa; Mastroianni, Claudio; Tamburrini, Enrica; Sarmati, Loredana; Stingone, Christof; Lichtner, Miriam
- Abstract
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.
- Subjects
LAZIO (Italy); ITALY; MONKEYPOX vaccines; RISK perception; VACCINATION status; HEALTH attitudes; BISEXUALITY
- Publication
Vaccines, 2023, Vol 11, Issue 12, p1761
- ISSN
2076-393X
- Publication type
Article
- DOI
10.3390/vaccines11121761