Carpino Thomas R, Atkins Kaitlyn, Abara Winston, Edwards O Winslow, Lansky Amy, DiNenno Elizabeth, Hannah Marissa, Delaney Kevin P, Murray Sarah M, Sanchez Travis, Baral Stefan
Johns Hopkins University School of Public Health, Baltimore, Maryland.
U.S. Centers for Disease Control and Prevention, Atlanta, Georgia.
AJPM Focus. 2024 Aug 22;3(6):100267. doi: 10.1016/j.focus.2024.100267. eCollection 2024 Dec.
This research aims to characterize disparities in mpox- and vaccine-related knowledge in gay, bisexual, and other men who have sex with men in the U.S.
The authors conducted a study using the American Men's Internet Survey, which includes 823 cisgender (defined as their gender identity matching their sex assigned at birth) males aged ≥15 years from August 5 to 15, 2022. The authors evaluated sociodemographic and behavioral factors associated with mpox knowledge, including race/ethnicity, region, age group, and HIV pre-exposure prophylaxis use using chi-square tests.
The authors identified knowledge gaps, with many participants unsure about whether individuals need 2 doses of the vaccine (34.4%) and whether the vaccine confers immediate protection (27.2%). The authors observed racial and regional disparities (<0.01), with 24.4% of non-Hispanic Black men and 18.1% of men living in the South reporting little to no mpox awareness. Among the 707 self-reported HIV-negative participants, people who used pre-exposure prophylaxis within the past year were more likely to exhibit high awareness about mpox than people who did not use pre-exposure prophylaxis.
Findings suggest the potential to leverage existing networks (i.e., sexually transmitted infection or general health care services with pre-exposure prophylaxis use) for future targeted health service programming or education campaigns for mpox vaccination among gay, bisexual, and other men who have sex with men.
本研究旨在描述美国男同性恋者、双性恋者及其他与男性发生性行为的男性在猴痘及疫苗相关知识方面的差异。
作者使用美国男性互联网调查进行了一项研究，该调查涵盖了2022年8月5日至15日年龄≥15岁的823名顺性别男性（定义为其性别认同与出生时指定的性别相符）。作者使用卡方检验评估了与猴痘知识相关的社会人口统计学和行为因素，包括种族/族裔、地区、年龄组以及是否使用艾滋病毒暴露前预防措施。
作者发现了知识差距，许多参与者不确定个体是否需要接种两剂疫苗（34.4%）以及疫苗是否能提供即时保护（27.2%）。作者观察到种族和地区差异（<0.01），24.4%的非西班牙裔黑人男性和18.1%居住在南部的男性表示对猴痘几乎没有认识。在707名自我报告为艾滋病毒阴性的参与者中，过去一年使用暴露前预防措施的人比未使用暴露前预防措施的人更有可能对猴痘有较高的认识。
研究结果表明，有可能利用现有网络（即提供暴露前预防措施的性传播感染或一般医疗保健服务网络），为未来针对男同性恋者、双性恋者及其他与男性发生性行为的男性开展的猴痘疫苗接种有针对性的健康服务规划或教育活动提供支持。
