Assessment of MPOX infection-related knowledge levels, concerns, and associated factors: a community-based cross-sectional study

Abstract Background MPOX (Monkeypox) is a zoonotic disease of increasing global concern due to its re-emergence and potential for human-to-human transmission. Effective public health interventions rely on understanding socio-demographic determinants of knowledge and perceptions of the disease. This...

Full description

Saved in:
Bibliographic Details
Main Authors: Mehmet Emin Arayici, Suleyman Dolu, Hasan Ozdek Sayilir, Hatice Simsek, Sükran Kose
Format: Article
Language:English
Published: BMC 2025-01-01
Series:BMC Public Health
Subjects:
Online Access:https://doi.org/10.1186/s12889-025-21384-5
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832594317278969856
author Mehmet Emin Arayici
Suleyman Dolu
Hasan Ozdek Sayilir
Hatice Simsek
Sükran Kose
author_facet Mehmet Emin Arayici
Suleyman Dolu
Hasan Ozdek Sayilir
Hatice Simsek
Sükran Kose
author_sort Mehmet Emin Arayici
collection DOAJ
description Abstract Background MPOX (Monkeypox) is a zoonotic disease of increasing global concern due to its re-emergence and potential for human-to-human transmission. Effective public health interventions rely on understanding socio-demographic determinants of knowledge and perceptions of the disease. This study aimed to investigate MPOX-related knowledge and concerns among a diverse sample in Türkiye, identifying key factors influencing knowledge levels. Methods A cross-sectional study was conducted with 509 participants aged 18–73 years (mean age: 33.8 ± 15.6) in all settlements of Türkiye. Socio-demographic data were collected, and MPOX knowledge and concerns were assessed using a structured data form. To assess knowledge levels regarding MPOX, 15 questions were defined with 1 point given for each correct answer, and these questions were then categorized as high knowledge (≥ 10 correct answers) and low knowledge (< 10 correct answers). Univariable and multivariable binary logistic regression analyses were conducted to identify factors associated with knowledge levels. Trust and reliance on information sources were also evaluated. The data form was distributed to participants via social media platforms. Results The majority of participants (97.1%) were aware of MPOX, but only 6.5% believed adequate precautions were in place. The mean knowledge score was 7.6 ± 3.7, with 37.7% demonstrating high knowledge. In terms of concerns about MPOX, only 31.6% of participants were identified as concerned, whereas the majority (68.4%) of the participants reported no significant concerns. The most trusted source of information about MPOX among the participants was medical doctors and healthcare professionals, as indicated by 53.63% of respondents. Low knowledge was significantly associated with older age (p = 0.015), female gender (p = 0.002), lower education levels (p < 0.001), non-medical fields (p < 0.001), and lower income (p < 0.001). Social media (53.11%) was the most common information source, yet healthcare professionals (53.63%) were the most trusted. Multivariable logistic regression confirmed that being in non-medical fields (OR = 2.858, 95% CI: 1.809–4.515, p < 0.001), lower income (OR = 3.141, 95% CI: 2.015–4.896, p < 0.001), and perceived low immunity (OR = 2.264, 95% CI: 1.350–3.797, p = 0.002) independently predicted lower knowledge. Conclusions Despite high awareness, significant gaps in MPOX knowledge exist, particularly among older adults, females, non-medical professionals, and those with low income. Public health strategies should prioritize these groups, leveraging trusted sources like healthcare professionals while improving the reliability of digital information platforms.
format Article
id doaj-art-0be600f390224bc386485d35db4e6d29
institution Kabale University
issn 1471-2458
language English
publishDate 2025-01-01
publisher BMC
record_format Article
series BMC Public Health
spelling doaj-art-0be600f390224bc386485d35db4e6d292025-01-19T12:41:35ZengBMCBMC Public Health1471-24582025-01-0125111110.1186/s12889-025-21384-5Assessment of MPOX infection-related knowledge levels, concerns, and associated factors: a community-based cross-sectional studyMehmet Emin Arayici0Suleyman Dolu1Hasan Ozdek Sayilir2Hatice Simsek3Sükran Kose4Department of Biostatistics and Medical Informatics, Faculty of Medicine, Dokuz Eylül UniversityDepartment of Gastroenterology, Faculty of Medicine, Dokuz Eylul UniversityDepartment of Internal Medicine, Faculty of Medicine, Dokuz Eylul UniversityDepartment of Public Health, Faculty of Medicine, Dokuz Eylül UniversityDepartment of Infectious Diseases and Clinical Microbiology, Faculty of Medicine, Dokuz Eylul UniversityAbstract Background MPOX (Monkeypox) is a zoonotic disease of increasing global concern due to its re-emergence and potential for human-to-human transmission. Effective public health interventions rely on understanding socio-demographic determinants of knowledge and perceptions of the disease. This study aimed to investigate MPOX-related knowledge and concerns among a diverse sample in Türkiye, identifying key factors influencing knowledge levels. Methods A cross-sectional study was conducted with 509 participants aged 18–73 years (mean age: 33.8 ± 15.6) in all settlements of Türkiye. Socio-demographic data were collected, and MPOX knowledge and concerns were assessed using a structured data form. To assess knowledge levels regarding MPOX, 15 questions were defined with 1 point given for each correct answer, and these questions were then categorized as high knowledge (≥ 10 correct answers) and low knowledge (< 10 correct answers). Univariable and multivariable binary logistic regression analyses were conducted to identify factors associated with knowledge levels. Trust and reliance on information sources were also evaluated. The data form was distributed to participants via social media platforms. Results The majority of participants (97.1%) were aware of MPOX, but only 6.5% believed adequate precautions were in place. The mean knowledge score was 7.6 ± 3.7, with 37.7% demonstrating high knowledge. In terms of concerns about MPOX, only 31.6% of participants were identified as concerned, whereas the majority (68.4%) of the participants reported no significant concerns. The most trusted source of information about MPOX among the participants was medical doctors and healthcare professionals, as indicated by 53.63% of respondents. Low knowledge was significantly associated with older age (p = 0.015), female gender (p = 0.002), lower education levels (p < 0.001), non-medical fields (p < 0.001), and lower income (p < 0.001). Social media (53.11%) was the most common information source, yet healthcare professionals (53.63%) were the most trusted. Multivariable logistic regression confirmed that being in non-medical fields (OR = 2.858, 95% CI: 1.809–4.515, p < 0.001), lower income (OR = 3.141, 95% CI: 2.015–4.896, p < 0.001), and perceived low immunity (OR = 2.264, 95% CI: 1.350–3.797, p = 0.002) independently predicted lower knowledge. Conclusions Despite high awareness, significant gaps in MPOX knowledge exist, particularly among older adults, females, non-medical professionals, and those with low income. Public health strategies should prioritize these groups, leveraging trusted sources like healthcare professionals while improving the reliability of digital information platforms.https://doi.org/10.1186/s12889-025-21384-5MonkeypoxKnowledge levelConcernAdults
spellingShingle Mehmet Emin Arayici
Suleyman Dolu
Hasan Ozdek Sayilir
Hatice Simsek
Sükran Kose
Assessment of MPOX infection-related knowledge levels, concerns, and associated factors: a community-based cross-sectional study
BMC Public Health
Monkeypox
Knowledge level
Concern
Adults
title Assessment of MPOX infection-related knowledge levels, concerns, and associated factors: a community-based cross-sectional study
title_full Assessment of MPOX infection-related knowledge levels, concerns, and associated factors: a community-based cross-sectional study
title_fullStr Assessment of MPOX infection-related knowledge levels, concerns, and associated factors: a community-based cross-sectional study
title_full_unstemmed Assessment of MPOX infection-related knowledge levels, concerns, and associated factors: a community-based cross-sectional study
title_short Assessment of MPOX infection-related knowledge levels, concerns, and associated factors: a community-based cross-sectional study
title_sort assessment of mpox infection related knowledge levels concerns and associated factors a community based cross sectional study
topic Monkeypox
Knowledge level
Concern
Adults
url https://doi.org/10.1186/s12889-025-21384-5
work_keys_str_mv AT mehmeteminarayici assessmentofmpoxinfectionrelatedknowledgelevelsconcernsandassociatedfactorsacommunitybasedcrosssectionalstudy
AT suleymandolu assessmentofmpoxinfectionrelatedknowledgelevelsconcernsandassociatedfactorsacommunitybasedcrosssectionalstudy
AT hasanozdeksayilir assessmentofmpoxinfectionrelatedknowledgelevelsconcernsandassociatedfactorsacommunitybasedcrosssectionalstudy
AT haticesimsek assessmentofmpoxinfectionrelatedknowledgelevelsconcernsandassociatedfactorsacommunitybasedcrosssectionalstudy
AT sukrankose assessmentofmpoxinfectionrelatedknowledgelevelsconcernsandassociatedfactorsacommunitybasedcrosssectionalstudy