Tropical Health, High Institute of Public Health, Alexandria University, Alexandria, Egypt.
Alexandria Clinical Research Administration, Alexandria Health Affairs Directorate, Alexandria, Egypt.
BMC Health Serv Res. 2024 Oct 8;24(1):1204. doi: 10.1186/s12913-024-11147-0.
In light of the ongoing monkeypox (MPOX) epidemic, healthcare workers (HCWs) have been in contact with various diseases. Therefore, they should take appropriate preventive and control measures to maintain their health. This study assessed Egyptian HCWs' intentions to take MPOX vaccines.
A cross-sectional survey was conducted using social media platforms between September 27 and November 4, 2022. An anonymous online survey using the 5C scale was conducted using convenience and snowball sampling methods to assess the five psychological antecedents of vaccination (i.e., confidence, constraints, complacency, calculation, and collective responsibility).
A total of 399 HCWs with a mean age of 32.6 ± 5.7 participated in this study. Of them, 89.7% were female. The five C psychological antecedents of vaccination were as follows: 55.9% were confident about vaccination, 50.6% were complacent, 56.6% experienced constraints, 60.7% calculated the risk and benefit, and 58.4% had collective responsibility. Multivariate analysis showed that high income level and having information about MPOX were significant predictors of confidence in the MPOX vaccines (adjusted odds ratio ((AOR) = 4.19, 95% CI (1.12- 15.59), P = 0.032). Participants aged 31-45 years and 19-30 years showed significant association (AOR = 2.46, 95% CI (0.85-7.15), P = 0.096) and (AOR = 4.19, 95% CI (1.39-12.64), P = 0.011), respectively. Having an idea about the MPOX vaccines significantly predicted the complacency domain (AOR = 3.77, 95%CI (1.47-9.65, P = 0.006). Moreover, precollege/undergraduate education and having an idea about MPOX vaccination were significant predictors of the constraint domain (AOR = 1.81.95% CI (1.09-2.99, P = 0.020), (AOR = 2.70, 95% CI (1.05-6.95, P = 0.038), respectively). Female sex, having a diploma, postgraduate studies, and having an idea about MPOX vaccine significantly predicted calculation domain (AOR = 2.06, 95% CI (1.05-4.04, P = 0.035), (AOR = 3.98,95% CI (1.33-11.87, P = 0.013), (AOR = 2.02, 95% CI (1.25-3.26, P = 0.004) & (AOR = 2.75. 95% CI (1.05-7.18, P = 0.039), respectively. The only significant predictor of collective responsibility was having a diploma and postgraduate studies (AOR = 3.44, 95% CI (1.21-9.78, P = 0.020), (AOR = 1.90,95% CI (1.17-3.09, P = 0.009).
Efforts to control MPOX should focus on promoting protective measures such as the vaccination of HCWs as well as raising their awareness about the updated information regarding the virus and the approved vaccines.
鉴于正在发生的猴痘（MPOX）疫情，医护人员（HCWs）一直接触各种疾病。因此，他们应该采取适当的预防和控制措施来保持健康。本研究评估了埃及 HCWs 接种 MPOX 疫苗的意愿。
2022 年 9 月 27 日至 11 月 4 日期间，使用社交媒体平台进行了横断面调查。采用便利抽样和雪球抽样方法，使用 5C 量表进行了匿名在线调查，评估了疫苗接种的五个心理前因（即信心、约束、自满、计算和集体责任）。
共有 399 名平均年龄为 32.6±5.7 岁的 HCWs 参加了这项研究。其中，89.7%为女性。疫苗接种的五个 C 心理前因如下：55.9%对疫苗接种有信心，50.6%自满，56.6%有约束感，60.7%计算风险和收益，58.4%有集体责任感。多变量分析显示，高收入水平和有 MPOX 信息是对 MPOX 疫苗有信心的显著预测因素（调整后的优势比（AOR）=4.19，95%置信区间（CI）（1.12-15.59），P=0.032）。年龄在 31-45 岁和 19-30 岁的参与者表现出显著的关联（AOR=2.46，95%CI（0.85-7.15），P=0.096）和（AOR=4.19，95%CI（1.39-12.64），P=0.011）。对 MPOX 疫苗有想法显著预测了自满域（AOR=3.77，95%CI（1.47-9.65），P=0.006）。此外，大学前/本科教育和对 MPOX 疫苗接种的想法是约束域的显著预测因素（AOR=1.81，95%CI（1.09-2.99），P=0.020）和（AOR=2.70，95%CI（1.05-6.95），P=0.038）。女性、大专学历、研究生学历和对 MPOX 疫苗的想法显著预测了计算域（AOR=2.06，95%CI（1.05-4.04），P=0.035）、（AOR=3.98，95%CI（1.33-11.87），P=0.013）、（AOR=2.02，95%CI（1.25-3.26），P=0.004）和（AOR=2.75，95%CI（1.05-7.18），P=0.039）。集体责任感的唯一显著预测因素是拥有大专学历和研究生学历（AOR=3.44，95%CI（1.21-9.78），P=0.020）和（AOR=1.90，95%CI（1.17-3.09），P=0.009）。
控制 MPOX 的努力应侧重于促进保护措施，如 HCWs 接种疫苗，并提高他们对病毒和已批准疫苗的最新信息的认识。
