Rego Ryan T, Barman Ashok Kumar, Wagner Abram L, Carlson Bradley, Yax Justin, Rana Gurpreet K, Watson Samuel, Mondal Dinesh, Kaplan Nicolas, Kolars Joseph, Waljee Akbar K, Boulton Matthew L, Khan Md Alfazal, Raqib Rubhana, Islam Md Sirajul
Clinton Health Access Initiative, Boston, MA 02127 USA.
Center for Global Health Equity, Michigan Medicine, University of Michigan, Ann Arbor, Michigan 48109 USA.
Trans R Soc Trop Med Hyg. 2025 Jul 1;119(7):697-724. doi: 10.1093/trstmh/traf004.
Awareness of mpox and acceptance of vaccinations are important components of a passive surveillance system and public health control efforts. We estimate and explore factors in awareness of mpox and acceptance of mpox vaccination in Matlab, a rural region of Bangladesh.
We conducted a cross-sectional survey in August and September 2022. A total of 700 households were approached, screened against the inclusion criteria and consented. Households were administered a survey questioning basic demographics, health access, community and government trust, sources of health information, awareness of mpox and intent to be vaccinated against mpox if the vaccine were available at no cost. We summarized the data through a univariate analysis and explored factors in awareness of mpox through a logistic regression.
Of the 700 recruited households, 501 completed the survey. Of these, 64% were aware of mpox and 94% were willing to be vaccinated against mpox. Older age had a negative association with awareness of mpox, with a -0.5 percentage point difference (95% confidence interval -1.0 to 0.1); no other demographic factor had a significant or near-significant association. Having access to a bank account and attending a clinic for healthcare needs had a significant positive association with mpox awareness.
There are strides to be made in increasing mpox awareness to strengthen passive surveillance efforts and personal protection efforts in Matlab and similar regions. This may be done through educational campaigns, increasing access to healthcare and overall improvements in health literacy. However, acceptance of the vaccination is high, presenting a learning opportunity for other contexts.
对猴痘的认知和对疫苗接种的接受度是被动监测系统和公共卫生控制工作的重要组成部分。我们在孟加拉国农村地区马特拉布估计并探究了影响猴痘认知和猴痘疫苗接种接受度的因素。
我们于2022年8月和9月进行了一项横断面调查。共接触了700户家庭，根据纳入标准进行筛选并获得同意。对这些家庭进行了一项调查，询问基本人口统计学信息、医疗服务获取情况、对社区和政府的信任度、健康信息来源、对猴痘的认知以及如果有免费疫苗是否愿意接种猴痘疫苗。我们通过单因素分析总结数据，并通过逻辑回归探究影响猴痘认知的因素。
在招募的700户家庭中，501户完成了调查。其中，64%的人知晓猴痘，94%的人愿意接种猴痘疫苗。年龄较大与猴痘认知呈负相关，差异为-0.5个百分点（95%置信区间为-1.0至0.1）；没有其他人口统计学因素有显著或接近显著的关联。拥有银行账户和因医疗需求前往诊所与猴痘认知呈显著正相关。
在提高猴痘认知以加强马特拉布及类似地区的被动监测工作和个人防护措施方面仍有进展空间。这可以通过开展教育活动、增加医疗服务可及性以及全面提高健康素养来实现。然而，疫苗接种接受度很高，这为其他情况提供了一个学习机会。
