{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T08:50:03Z","timestamp":1791881403280,"version":"4.3.4"},"reference-count":17,"publisher":"Wiley","issue":"S2","license":[{"start":{"date-parts":[[2026,7,24]],"date-time":"2026-07-24T00:00:00Z","timestamp":1784851200000},"content-version":"vor","delay-in-days":23,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100007301","name":"Harvard University Center for AIDS Research","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100007301","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Int AIDS Soc."],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Mpox disproportionately affects people with HIV (PWH), yet little is known about mpox vaccine awareness and uptake in low\u2010 and middle\u2010income countries. We evaluated mpox\u2010related knowledge, attitudes and practices (KAP) among PWH in the Dominican Republic to identify determinants of vaccine awareness and uptake.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We conducted a cross\u2010sectional online survey of 98 PWH recruited through HIV clinics, community\u2010based organizations and social networks (January\u2212May 2025). The questionnaire assessed sociodemographic characteristics, mpox\u2010related KAP, structural barriers and vaccination status. Univariable and multivariable logistic regression were used to examine factors associated with mpox vaccine awareness.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Half of the participants (49\/98) were aware of the mpox vaccine. Individuals aged 31\u201340 years had significantly lower odds of awareness compared with those aged 21\u201330 years. Despite high levels of formal education, 79% rated their mpox knowledge as low, and most perceived minimal personal risk. Among participants aware of the vaccine, 71% had been vaccinated. Structural barriers, including inconvenient site locations and logistical challenges, were frequently reported, even among vaccinated individuals, indicating that access limitations rather than hesitancy were the dominant constraints. Trust in vaccinating organizations was high overall, and healthcare providers and community organizations were the primary sources of vaccine information. Peer and community influence emerged as notable facilitators of uptake, while lack of reliable information and concerns about vaccine safety contributed to hesitancy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Mpox vaccine awareness among PWH in the Dominican Republic was low, but willingness to vaccinate was high when individuals were informed and able to access services. Strengthening mpox preparedness will require expanding accessible vaccination sites, improving disease\u2010specific health literacy, and leveraging trusted community and clinical networks. Integrating mpox vaccination into routine HIV care delivery and enhancing community\u2010led outreach may substantially improve uptake in this and similar low\u2010middle income countries (LMIC) settings.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/jia2.70128","type":"journal-article","created":{"date-parts":[[2026,7,25]],"date-time":"2026-07-25T05:16:16Z","timestamp":1784956576000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Behavioural and Structural Determinants of Mpox Vaccine Awareness and Uptake Among People With HIV in the Dominican Republic: A Cross\u2010Sectional Study"],"prefix":"10.1002","volume":"29","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3676-0357","authenticated-orcid":false,"given":"Robert","family":"Paulino\u2010Ramirez","sequence":"first","affiliation":[{"name":"Instituto De Medicina Tropical &amp; Salud Global Universidad Iberoamericana (UNIBE) UNIBE Research Hub  Santo Domingo Dominican Republic"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wilfredo R.","family":"Matias","sequence":"additional","affiliation":[{"name":"Division of Infectious Diseases Mass General Brigham  Boston Massachusetts USA"},{"name":"Department of Medicine Harvard Medical School  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexandre","family":"Chaumette","sequence":"additional","affiliation":[{"name":"Division of Infectious Diseases Mass General Brigham  Boston Massachusetts USA"},{"name":"Department of Medicine Harvard Medical School  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hector","family":"Lora\u2010Rodr\u00edguez","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine Yale School of Medicine  New Haven Connecticut USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Monica","family":"Thormann\u2010Peynado","sequence":"additional","affiliation":[{"name":"Ministry of Health Infectious Disease Division  Santo Domingo Dominican Republic"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lucia","family":"Vargas","sequence":"additional","affiliation":[{"name":"Ministry of Health Immune\u2010Preventable Division  Santo Domingo Dominican Republic"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,7,24]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.3390\/vaccines11030528"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1093\/ofid\/ofad434"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.3390\/vaccines10101629"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/hiv.13430"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.2196\/46489"},{"issue":"2","key":"e_1_2_11_7_1","first-page":"124","article-title":"Mpox Awareness, Risk Reduction, and Vaccine Acceptance Among People With HIV in Washington, DC","volume":"13","author":"Andersen E. W.","year":"2024","journal-title":"Pathology"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1093\/trstmh\/trae135"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1080\/21645515.2023.2252263"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10461-024-04271-9"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.3390\/vaccines11071167"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1177\/1545109710397770"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.3201\/eid3105.241299"},{"key":"e_1_2_11_14_1","unstructured":"Pan American Health Organization\/World Health Organization Epidemiological Update: Mpox in the Americas Region 23 April 2026Available from: (PAHO\/WHO 2026) [cited 2026 Apr 28].https:\/\/www.paho.org."},{"key":"e_1_2_11_15_1","unstructured":"R Core Team R: A Language and Environment for Statistical Computing [Internet]Available from: (R Foundation for Statistical Computing 2023) [cited 2025 Nov 18].https:\/\/www.R\u2010project.org\/."},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.1177\/20503121231215236"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.3390\/vaccines12111229"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.tmaid.2025.102848"}],"container-title":["Journal of the International AIDS Society"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/jia2.70128","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/jia2.70128","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/jia2.70128","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T08:17:03Z","timestamp":1791879423000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/jia2.70128"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7]]},"references-count":17,"journal-issue":{"issue":"S2","published-print":{"date-parts":[[2026,7]]}},"alternative-id":["10.1002\/jia2.70128"],"URL":"https:\/\/doi.org\/10.1002\/jia2.70128","archive":["Portico"],"relation":{},"ISSN":["1758-2652","1758-2652"],"issn-type":[{"value":"1758-2652","type":"print"},{"value":"1758-2652","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7]]},"assertion":[{"value":"2026-01-19","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-05-21","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-07-24","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70128"}}