Mpox vaccination hesitancy and its associated factors among the general population in China: A national observational study

Mpox, formerly known as monkeypox, has been spread to more than 100 countries until now. Vaccines are vital measures to protect against mpox infection. However, vaccine hesitancy remains a barrier to achieving widespread vaccination coverage. We aimed to investigate the prevalence of mpox vaccinatio...

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Main Authors: Shunzhe Wu, Jie Deng, Min Du, Min Liu, Jue Liu
Format: Article
Language:English
Published: Taylor & Francis Group 2025-12-01
Series:Human Vaccines & Immunotherapeutics
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Online Access:https://www.tandfonline.com/doi/10.1080/21645515.2025.2523636
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author Shunzhe Wu
Jie Deng
Min Du
Min Liu
Jue Liu
author_facet Shunzhe Wu
Jie Deng
Min Du
Min Liu
Jue Liu
author_sort Shunzhe Wu
collection DOAJ
description Mpox, formerly known as monkeypox, has been spread to more than 100 countries until now. Vaccines are vital measures to protect against mpox infection. However, vaccine hesitancy remains a barrier to achieving widespread vaccination coverage. We aimed to investigate the prevalence of mpox vaccination hesitancy and its associated factors in China. We conducted a cross-sectional survey among 3669 participants aged 18 years and above in China from September 15 to October 9, 2024. The main outcomes measured were the hesitancy to get vaccinated against mpox for oneself and for one’s children. Data were analyzed using chi-square tests and logistic regression model. The overall hesitancy rate for mpox vaccination was 28.4% for oneself and 24.5% for one’s children. Higher hesitancy was observed among male individuals (30.8%), those aged >40 years (31.2%), married individuals (29.6%), and those with high mpox-related knowledge (30.9%). Multivariable logistic regression analysis showed that females had lower hesitancy (aOR = 0.84, 95% CI: 0.72–0.97), while individuals with high mpox-related knowledge had higher hesitancy (aOR = 1.23, 95% CI: 1.03–1.47). These findings provide valuable data for public health authorities to design effective strategies for mpox vaccination rollout in China.
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spelling doaj-art-a823eef3da7d47a3932793ad4ce6e9f02025-06-30T05:10:31ZengTaylor & Francis GroupHuman Vaccines & Immunotherapeutics2164-55152164-554X2025-12-0121110.1080/21645515.2025.2523636Mpox vaccination hesitancy and its associated factors among the general population in China: A national observational studyShunzhe Wu0Jie Deng1Min Du2Min Liu3Jue Liu4Department of Epidemiology and Biostatistics, School of Public Health, Peking University, Beijing, ChinaDepartment of Epidemiology and Biostatistics, School of Public Health, Peking University, Beijing, ChinaDepartment of Epidemiology and Biostatistics, School of Public Health, Peking University, Beijing, ChinaDepartment of Epidemiology and Biostatistics, School of Public Health, Peking University, Beijing, ChinaDepartment of Epidemiology and Biostatistics, School of Public Health, Peking University, Beijing, ChinaMpox, formerly known as monkeypox, has been spread to more than 100 countries until now. Vaccines are vital measures to protect against mpox infection. However, vaccine hesitancy remains a barrier to achieving widespread vaccination coverage. We aimed to investigate the prevalence of mpox vaccination hesitancy and its associated factors in China. We conducted a cross-sectional survey among 3669 participants aged 18 years and above in China from September 15 to October 9, 2024. The main outcomes measured were the hesitancy to get vaccinated against mpox for oneself and for one’s children. Data were analyzed using chi-square tests and logistic regression model. The overall hesitancy rate for mpox vaccination was 28.4% for oneself and 24.5% for one’s children. Higher hesitancy was observed among male individuals (30.8%), those aged >40 years (31.2%), married individuals (29.6%), and those with high mpox-related knowledge (30.9%). Multivariable logistic regression analysis showed that females had lower hesitancy (aOR = 0.84, 95% CI: 0.72–0.97), while individuals with high mpox-related knowledge had higher hesitancy (aOR = 1.23, 95% CI: 1.03–1.47). These findings provide valuable data for public health authorities to design effective strategies for mpox vaccination rollout in China.https://www.tandfonline.com/doi/10.1080/21645515.2025.2523636MpoxvaccinationhesitancyChinanationwide
spellingShingle Shunzhe Wu
Jie Deng
Min Du
Min Liu
Jue Liu
Mpox vaccination hesitancy and its associated factors among the general population in China: A national observational study
Human Vaccines & Immunotherapeutics
Mpox
vaccination
hesitancy
China
nationwide
title Mpox vaccination hesitancy and its associated factors among the general population in China: A national observational study
title_full Mpox vaccination hesitancy and its associated factors among the general population in China: A national observational study
title_fullStr Mpox vaccination hesitancy and its associated factors among the general population in China: A national observational study
title_full_unstemmed Mpox vaccination hesitancy and its associated factors among the general population in China: A national observational study
title_short Mpox vaccination hesitancy and its associated factors among the general population in China: A national observational study
title_sort mpox vaccination hesitancy and its associated factors among the general population in china a national observational study
topic Mpox
vaccination
hesitancy
China
nationwide
url https://www.tandfonline.com/doi/10.1080/21645515.2025.2523636
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