Mpox: Awareness, knowledge and information channels used by individuals accessing a sexually transmitted infections Helpline

Mpox: Awareness, knowledge and information channels used by individuals accessing a sexually transmitted infections Helpline

Authors

  • Pietro Gallo
  • Norman Galea
  • Anna Colucci
  • Rudi Valli
  • Matteo Schwarz
  • Emanuele Fanales Belasio
  • Alfredo D'Ari
  • Francesca Furiozzi
  • Anna Caraglia
  • Rosa Dalla Torre
  • Anna D'Agostini

Keywords:

Mpox, Awareness, Knowledge, Information Channels, Vaccine

Abstract

Background. Up until recently, monkeypox (mpox) was considered to be a rare zoonotic infection restricted to Central and West Africa. However, in July 2022, the World Health Organization declared mpox to be a public health emergency of international concern, after there were several outbreaks in non-endemic countries. This study assessed the information channels used by individuals accessing the “Telefono Verde AIDS e Infezioni Sessualmente Trasmesse” of Istituto Superiore di Sanità (National Institute of Health in Italy) with regard to mpox. We also evaluated their awareness, and knowledge about mpox focusing on transmission and prevention.

Methods. This is a cross-sectional study conducted on “Telefono Verde AIDS e Infezioni Sessualmente Trasmesse” users, between January and April 2023. The target population was helpline users who were older than 18 years of age, and were phoning the service for the first time (i.e. who have not phoned in the last 12 months). Participants were interviewed using a questionnaire containing 19 questions filled by the interviewer. Collected data were analysed through descriptive statistics, and significance testing.

Results. From January to April 2023, “Telefono Verde AIDS e Infezioni Sessualmente Trasmesse” received 2,389 phone calls, 216 of which participated in this study. Most of these were male (85.2%; n=186), single (79.2%; n=171) and in employment (72.2%; n=156). Awareness about mpox was high (71.3%; n=154), with the central and south/islands regional areas having the highest percentage of participants who heard about the virus (84.3%; n=43 vs 72.4%; n=42; p=0.078). Television was the most frequently mentioned source of information about mpox by participants (63%; n=97; p<0.001). This medium was also the most preferred source of information about mpox (39%; n=60; p=0.109). The majority of participants stated that they did not know what mpox is (67.6%; n=146), and less than half knew that it is preventable (42.4%; n=89). Of those who stated that mpox is a preventable illness, less than half knew about the existence of a vaccine (44.9%; n=40; p<0.001).

References

1. Realegeno S, Puschnik AS, Kumar A, Goldsmith C, Burgado J, Sambhara S, et al. Monkeypox Virus Host Factor Screen Using Haploid Cells Identifies Essential Role of GARP Complex in Extracellular Virus Formation. J Virol. 2017 May 12; 91: e00011-17. doi: 10.1128/JVI.00011-17.

2. Breman JG, Kalisa-Ruti, Steniowski MV, Zanotto E, Gromyko AI, Arita I. Human monkeypox, 1970-79. Bull World Health Organ. 1980; 58(2): 165-82.

3. Emergence of monkeypox in West Africa and Central Africa, 1970–2017. Wkly Epidemiol Rec. 2018 Mar 16; 93(11): 125-32.

4. McCollum AM, Damon IK. Human monkeypox. Clin Infect Dis. 2014 Jan; 58(2): 260-7. doi: 10.1093/cid/cit703. Epub 2013 Oct 24.

5. Simpson K, Heymann D, Brown CS, Edmunds WJ, Elsgaard J, Fine P, et al. Human monkeypox - After 40 years, an unintended consequence of smallpox eradication.

Vaccine. 2020 Jul 14; 38(33): 5077-81. doi: 10.1016/j. vaccine.2020.04.062. Epub 2020 May 13.

6. Petersen E, Abubakar I, Ihekweazu C, Heymann D, Ntoumi F, Blumberg L, et al. Monkeypox — Enhancing public health preparedness for an emerging lethal human zoonotic epidemic threat in the wake of the smallpox post-eradication era. Int J Infect Dis 2019 Jan; 78: 78-84. doi: 10.1016/j. ijid.2018.11.008. Epub 2018 Nov 16.

7. Kupferschmidt K. WHO holds off on global alarm for monkeypox: Critics blast agency for not declaring a Public Health Emergency of International Concern. Science. 2022 Jul; 377(6601): 17. doi: 10.1126/science.add6994. Epub 2022 Jun 30.

8. European Centre for Disease Prevention and Control

(ECDC). Monkeypox multi-country outbreak - first update. ECDC; 2022.

9. Kannan S, Shaik Syed Ali P, Sheeza A. Monkeypox: epidemiology, mode of transmission, clinical features, genetic clades and molecular properties. Eur Rev Med Pharmacol Sci. 2022 Aug; 26: 5983-90. doi: 10.26355/ eurrev_202208_29540.

10. World Health Organization (WHO). Monkeypox. Available from: https://www.who.int/health-topics/ monkeypox#tab=tab_1 [Last accessed: 2024 April 1].

11. Beeson A, Styczynski A, Hutson CL, Whitehill F, Angelo KM, Minhaj FS, et al. Mpox respiratory transmission: the state of the evidence. Lancet Microbe. 2023 Apr; 4 (4):e277e283. doi: 10.1016/S2666-5247(23)00034-4. Epub 2023

Mar 7.

12. Whitehouse ER, Bonwitt J, Hughes CM, Lushima RS, Likafi T, Nguete B, et al. Clinical and Epidemiological Findings from Enhanced Monkeypox Surveillance in Tshuapa Province, Democratic Republic of the Congo during 2011-2015. J Infect Dis. 2021 Jun 4; 223(11):1870-8. doi: 10.1093/ infdis/jiab133.

13. Alshahrani NZ, Alzahrani F, Alarifi AM, Algethami MR, Alhumam MN, Ayied HAM, et al. Assessment of Knowledge of Monkeypox Viral Infection among the General Population in Saudi Arabia. Pathogens. 2022 Aug 11; 11(8): 904. doi: 10.3390/pathogens11080904.

14. Hatmal MM, Al-Hatamleh MAI, Olaimat AN, Ahmad S, Hasan H, Ahmad Suhaimi NA, et al. Comprehensive literature review of monkeypox. Emerg Microbes Infect. 2022 Dec; 11(1): 2600-31. doi: 10.1080/22221751.2022.2132882.

15. Khan MR, Hossain MJ, Roy A, Islam MR. Decreasing trend of monkeypox cases in Europe and America shows hope for the world: Evidence from the latest epidemiological data. Health Sci Rep. 2023 Dec 29(1); 6: e1030. doi: 10.1002/ hsr2.1030.

16. Gallè F, Bianco L, Da Molin G, Mancini R, Sciacchitano S, Ferracuti S, et al. “Monkeypox: What Do You Know about That?” Italian Adults’ Awareness of a New Epidemic. Pathogens. 2022 Nov 1; 11(11): 1285. doi: 10.3390/pathogens11111285.

17. Temsah MH, Aljamaan F, Alenezi S, Alhasan K, Saddik B, Al-Barag A, et al. Monkeypox caused less worry than COVID-19 among the general population during the first month of the WHO Monkeypox alert: Experience from Saudi Arabia. Travel Med Infect Dis. 2022 Sep-Oct; 49: 102426.

doi: 10.1016/j.tmaid.2022.102426. Epub 2022 Aug 11.

18. Rodriguez-Morales AJ, Lopardo G. Monkeypox: Another Sexually Transmitted Infection? Pathogens. 2022 Jun 21; 11(7): 713. doi: 10.3390/pathogens11070713.

19 Al-Mustapha AI, Ogundijo OA, Sikiru NA, Kolawole B, Oyewo M, El-Nadi H, Mustapha AM, et al. A cross-sectional survey of public knowledge of the monkeypox disease in Nigeria. BMC Public Health. 2023 Mar 29; 23(1): 591. doi: 10.1186/s12889-023-15398-0.

20. Ministero della Salute. Mpox - Vaccino. 2023. Available from: https://www.salute.gov.it/portale/vaioloScimmie/ dettaglioContenutiVaioloScimmie.jsp?lingua=italiano&id =5911&area=vaioloScimmie&menu=vuoto [Last accessed: 2024 April 1].

21. Pittalis S, Mazzotta V, Orchi N, Abbate I, Gagliardini R, Gennaro E, et al. Results of an interventional HIV testing programme in the context of a mpox (formerly monkeypox) vaccination campaign in Latium Region, Italy, August to October 2022. Euro Surveill. 2022 Dec; 27(48): 2200890. doi: 10.2807/1560-7917.ES.2022.27.48.2200890.

22. Ministero della Salute. Telefono Verde AIDS e Infezioni Sessualmente Trasmesse compie 35 anni di attività. 2022.

Available from: https://www.salute.gov.it/portale/news/ p3_2_1_1_1.jsp?lingua=italiano&menu=notizie&p=dalm inistero&id=5933 [Last accessed: 2024 April 1].

23. Colucci A, Gallo P, Valli R, Fanales-Belasio E, Gallo P, Schwarz M, et al. La prevenzione delle infezioni sessualmente trasmesse nella popolazione femminile: risultati di due survey. Not Ist Super Sanita. 2020; 33(10): 11-5.

24. Mulieri I, Santi F, Colucci A, Fanales-Belasio E, Gallo P, Luzi AM. Sex workers clients in Italy: results of a phone survey on hiv risk behaviour and perception. Ann Ist Super Sanita. 2014; 50(4): 363-8. doi: 10.4415/ANN_14_04_12.

25. Regine V, Raimondo M, Camoni L, Salfa MC, Gallo P, Colucci A, et al. Low perception of sexual behaviours at risk for human immunodeficiency virus infection among blood donors who call the AIDS/STI Help Line in Italy. Blood Transfus. 2013 Oct; 11(4): 575-9. doi: 10.2450/2013.025712. Epub 2013 May 23.

26. Gallo P, Colucci A, Camoni L, Regine V, Luzi AM, Suligoi B. Social and behavioural characteristics of a sample of AIDS Help-Line users never tested for HIV in Italy. Eur J Public Health. 2011 Oct; 21(5): 627-31. doi: 10.1093/ eurpub/ckq151. Epub 2010 Oct 13.

27. Mulieri I, Gallo P, Fanales-Belasio E, Colucci A, D’Ippoliti A, Luzi AM. Sexual behaviours of clients of sex workers reported within phone calls at HIV/AIDS/STIs Italian

Helpline. Ann Ist Super Sanita. 2013; 49(2): 183-9. doi:

10.4415/ANN_13_02_10.

28. Asamoah BO, Agardh A. Individual- and Family-Level Determinants of Risky Sexual Behavior Among Swedish- and Foreign-Born Young Adults 18–30 Years of Age, Residing in Skåne, Sweden. Arch Sex Behav. 2018 Feb; 47(2): 517-28.

doi: 10.1007/s10508-017-0978-5. Epub 2017 May 30.

29. Mulieri I, Gallo P, Fanales-Belasio E, Colucci A, D’Ippoliti A, Luzi AM. Sexual behaviours of clients of sex workers reported within phone calls at HIV/AIDS/STIs Italian

Helpline. Ann Ist Super Sanita. 2013; 49(2): 183-9. doi:

10.4415/ANN_13_02_10.

30. Simonelli C, Tripodi F, Cosmi V, Rossi R, Fabrizi A, Silvaggi C, et al. What do men and women ask a helpline on sexual concerns? Results of an Italian telephone counselling service. Int J Clin Pract. 2010 Feb; 64: 360-70. doi:

10.1111/j.1742-1241.2009.02269.x.

31. Dukers-Muijrers NHTM, Evers Y, Widdershoven V, Davidovich U, Adam PCG, Op de Coul ELM, et al. Mpox vaccination willingness, determinants, and communication needs in gay, bisexual, and other men who have sex with men, in the context of limited vaccine availability in the Netherlands (Dutch Mpox-survey). Front Public Health. 2023 Jan 5; 10: 1058807. doi: 10.3389/fpubh.2022.1058807.

32. Crosato V, Formenti B, Gulletta M, Odolini S, Compostella S, Tomasoni LR, et al. Perception and Awareness about Monkeypox and Vaccination Acceptance in an At-Risk Population in Brescia, Italy: An Investigative Survey. AIDS Behav. 2024 Jan 19. doi: 10.1007/s10461-024-04271-9. Epub ahead of print. PMID: 38240947.

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Published

2024-01-30

Issue

Section

Original research

How to Cite

1.
Gallo P, Galea N, Colucci A, et al. Mpox: Awareness, knowledge and information channels used by individuals accessing a sexually transmitted infections Helpline . Ann Ig. 2024;36(6):626-635. doi:10.7416/ai.2024.2637