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No use, distribution or reproduction is permitted which does not comply with these terms. In the multicountry mpox formerly named monkeypox outbreak, several countries offered primary preventive vaccination PPV to people at higher risk for infection. We study vaccine acceptance and its determinants, to target and tailor public health communication- strategies in the context of limited vaccine supply in the Netherlands.
We assessed determinants for being un willing to accept vaccination. We used multivariable multinominal regression and logistic regression analyses, calculating adjusted odds ratios aOR and 95 percent confidence-intervals. An open question asked for campaigning and procedural recommendations. Of respondents, Determinants for non-acceptance included: urbanization rural: aOR Respondents recommended better accessible communication, delivered regularly and stigma-free, with facts on mpox, vaccination and procedures, and other preventive options.
In the public health response to the mpox outbreak, key is a broad and equitable access to information, and to low-threshold vaccination options for those at highest risk. Communication should be uniform and transparent and tailored to beliefs, and include other preventive options. Mpox vaccine willingness was high. Public health efforts may be strengthened in less urbanized areas and reach out to those who lack relevant community social network influences.
Keywords: vaccination, communication, GBMSM, mpox, public health, prevention, low urban, social network. Mpox formerly named monkeypox outbreaks have been reported in non-endemic countries since May 1 โ 3. Compared to the peak of reported cases 2, cases during week 29; 18โ24 July , there has been a decrease in the number of newly reported cases by To address these outbreaks with the required urgency, countries applied preventive measures as active case finding, contact tracing, self-isolation, and quarantine.
