{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,26]],"date-time":"2026-04-26T03:47:22Z","timestamp":1777175242052,"version":"3.51.4"},"reference-count":31,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2023,12,16]],"date-time":"2023-12-16T00:00:00Z","timestamp":1702684800000},"content-version":"vor","delay-in-days":15,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["72122001"],"award-info":[{"award-number":["72122001"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["72211540398"],"award-info":[{"award-number":["72211540398"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Medical Virology"],"published-print":{"date-parts":[[2023,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Study investigating mpox infection and its association with sexual behavior among men who have sex with men (MSM) in China was lacking. This observational survey aimed to provide evidence on detail characteristics of mpox cases and sexual behavior, then analyze their relationship among MSM in China to help formulate prevention and control policies. An anonymous cross\u2010sectional study was conducted in 27 MSM social organizations across 21 provinces, municipalities, and autonomous regions from July 31 to August 4, 2023. A safe sexual behavior index was constructed based on three risky sexual behaviors in the last month, including condomless anal intercourse, commercial sex and group sex. High safe sexual behavior indicated that the participant engaged in none of the three, and low safe sexual behavior indicated that they engaged in all three behaviors; otherwise, moderate safe sexual behavior was indicated. Among 7538 MSM, the prevalence of mpox was 0.73% (55\/7538). The proportion of high safe sexual behavior was 79.64% (6003\/7538). The crude prevalence of mpox was lower in the high safe sexual behavior group (0.35%, 21\/6003), compared with the low (12.12%, 8\/66) and moderate safe (1.78%, 26\/1469) sexual behavior group. In the multivariable\u2010adjusted analysis, after adjusting for all covariates, compared with low safe sexual behavior group, moderate safe sexual behavior group (aOR\u2009=\u20090.21; 95% CI\u2009=\u20090.08, 0.54) and high safe sexual behavior group (aOR\u2009=\u20090.04; 95% CI\u2009=\u20090.02, 0.12) both had lower risk of mpox. Of three sexual behaviors, MSM who reported no commercial sex had the lowest risk of mpox (aOR\u2009=\u20090.23; 95% CI\u2009=\u20090.13, 0.41), compared with those who reported commercial sex in the last month. The other two safe sexual behaviors both were associated with lower risk of mpox (no group sex vs. group sex: aOR\u2009=\u20090.15; 95% CI\u2009=\u20090.08, 0.28; no condomless anal intercourse vs. condomless anal intercourse: aOR\u2009=\u20090.23; 95% CI\u2009=\u20090.13, 0.41). The prevalence of mpox virus infection was nearly 1% among MSM in China. Strengthening mpox surveillance, emphasizing safe sexual behavior in health education are essential for the control of mpox among MSM in China.<\/jats:p>","DOI":"10.1002\/jmv.29320","type":"journal-article","created":{"date-parts":[[2023,12,16]],"date-time":"2023-12-16T10:16:38Z","timestamp":1702721798000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":17,"title":["The prevalence of mpox and its association with sexual behavior among Chinese men who have sex with men in early August 2023"],"prefix":"10.1002","volume":"95","author":[{"given":"Min","family":"Du","sequence":"first","affiliation":[{"name":"Department of Epidemiology and Biostatistics, School of Public Health Peking University Beijing China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Min","family":"Zheng","sequence":"additional","affiliation":[{"name":"Guizhou Provincial Center for Disease Control and Prevention Guiyang China"},{"name":"School of Public Health and Health, The key Laboratory of Environmental Pollution Monitoring and Disease Control, Ministry of Education Guizhou Medical University Guiyang China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1938-9365","authenticated-orcid":false,"given":"Jue","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of Epidemiology and Biostatistics, School of Public Health Peking University Beijing China"},{"name":"Key Laboratory of Epidemiology of Major Diseases (Peking University) Ministry of Education Beijing China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Guanghong","family":"Yang","sequence":"additional","affiliation":[{"name":"Guizhou Provincial Center for Disease Control and Prevention Guiyang China"},{"name":"School of Public Health and Health, The key Laboratory of Environmental Pollution Monitoring and Disease Control, Ministry of Education Guizhou Medical University Guiyang China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yongming","family":"Yao","sequence":"additional","affiliation":[{"name":"Guizhou Provincial Center for Disease Control and Prevention Guiyang China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xiaohan","family":"Qian","sequence":"additional","affiliation":[{"name":"Guizhou Provincial Center for Disease Control and Prevention Guiyang China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zhi","family":"Yuan","sequence":"additional","affiliation":[{"name":"Guizhou Provincial Center for Disease Control and Prevention Guiyang China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lin","family":"Ma","sequence":"additional","affiliation":[{"name":"Guizhou Provincial Center for Disease Control and Prevention Guiyang China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rui","family":"Tao","sequence":"additional","affiliation":[{"name":"Guizhou Provincial Center for Disease Control and Prevention Guiyang China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zhilin","family":"Zhu","sequence":"additional","affiliation":[{"name":"Guizhou Provincial Center for Disease Control and Prevention Guiyang China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Feng","family":"Zhou","sequence":"additional","affiliation":[{"name":"Guizhou Provincial Center for Disease Control and Prevention Guiyang China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Siqi","family":"Dai","sequence":"additional","affiliation":[{"name":"Guizhou Provincial Center for Disease Control and Prevention Guiyang China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jie","family":"Yang","sequence":"additional","affiliation":[{"name":"Tianjin Shenlan Public Health Counselling Service Center Tianjin China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5059-3743","authenticated-orcid":false,"given":"Min","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of Epidemiology and Biostatistics, School of Public Health Peking University Beijing China"},{"name":"Key Laboratory of Epidemiology of Major Diseases (Peking University) Ministry of Education Beijing China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2023,12,16]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(05)63725-7"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1473-3099(19)30281-6"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1473-3099(19)30537-7"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.3201\/eid2805.220292"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.2807\/1560-7917.ES.2018.23.38.1800509"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2022.10259"},{"key":"e_1_2_11_8_1","unstructured":"World Health Organization2022. 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