Liu Yujie, Zhang Jiechen, Cai Yong
Public Health Research Center, Tongren Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, 200335, China.
Shanghai Jiao Tong University School of Public Health, Shanghai, 200025, China.
Glob Health Res Policy. 2025 Apr 14;10(1):16. doi: 10.1186/s41256-025-00418-w.
The 2022 global mpox outbreak highlighted significant public health challenges, with men who have sex with men (MSM) accounting for 86.7% of confirmed cases. As a high-risk group, MSM faced not only the direct health impacts of mpox but also an additional burden of stigma and discrimination, which severely hindered their willingness to seek care and access timely medical services. This article explores mpox-related stigma and discrimination and their profound impact on healthcare-seeking behaviors among MSM, drawing on evidence from global studies. We examine how stigma affects individual decision-making and has broader public health implications by exacerbating healthcare delays during the outbreak. In response, we propose actionable strategies to mitigate stigma, including providing accurate and responsible communication, strengthening community and social support network, building capacity for frontline workers, and engaging affected individuals for effective intervention. By integrating stigma-reduction measures into pandemic preparedness and response, public health systems can better support vulnerable populations, improve healthcare access, and ensure a more effective response to future outbreaks.
2022年全球猴痘疫情凸显了重大的公共卫生挑战,其中与男性发生性关系的男性(MSM)占确诊病例的86.7%。作为高危群体,男男性行为者不仅面临猴痘对健康的直接影响,还承受着额外的耻辱和歧视负担,这严重阻碍了他们寻求医疗护理和及时获得医疗服务的意愿。本文借鉴全球研究的证据,探讨了与猴痘相关的耻辱和歧视及其对男男性行为者就医行为的深远影响。我们研究了耻辱感如何影响个人决策,并通过加剧疫情期间的医疗延误而产生更广泛的公共卫生影响。作为回应,我们提出了减轻耻辱感的可行策略,包括提供准确和负责任的信息传播、加强社区和社会支持网络、提升一线工作人员的能力,以及让受影响的个人参与有效干预。通过将减少耻辱感的措施纳入大流行防范和应对工作中,公共卫生系统可以更好地支持弱势群体,改善医疗服务的可及性,并确保对未来疫情做出更有效的应对。