{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,20]],"date-time":"2026-10-20T12:53:28Z","timestamp":1792500808782,"version":"4.5.0"},"reference-count":41,"publisher":"Cambridge University Press (CUP)","license":[{"start":{"date-parts":[[2024,5,2]],"date-time":"2024-05-02T00:00:00Z","timestamp":1714608000000},"content-version":"unspecified","delay-in-days":122,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Disaster med. public health prep."],"published-print":{"date-parts":[[2024]]},"abstract":"<jats:title>Abstract<\/jats:title>\n\t  <jats:sec id=\"S1935789324000508_as1\">\n\t    <jats:title>Background:<\/jats:title>\n\t    <jats:p>Medical students hold significant importance, as they represent the future of healthcare provision. This study aimed to explore psychological antecedents towards the monkeypox (mpox) vaccines among\u00a0postgraduate and undergraduate\u00a0medical students across countries.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S1935789324000508_as2\">\n\t    <jats:title>Methods:<\/jats:title>\n\t    <jats:p>A cross-sectional survey was conducted among medical students aged 18 years old and above in 7 countries; Egypt, Romania, Malaysia, and Yemen, Iraq, India, and Nigeria. We used social media platforms between September 27 and November 4, 2022. An anonymous online survey using the 5C scale was conducted using snowball and convenience Sampling methods to assess the 5 psychological antecedents of vaccination (i.e., confidence, constraints, complacency, and calculation, as well as collective responsibility).<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S1935789324000508_as3\">\n\t    <jats:title>Results:<\/jats:title>\n\t    <jats:p>A total of 2780 participants were recruited. Participants\u2019 median age was 22 years and 52.1% of them were males. The 5C psychological antecedents of vaccination were as follows: 55% were confident about vaccination, 10% were complacent, 12% experienced constraints, and 41% calculated the risk and benefit. Lastly, 32% were willing to be vaccinated for the prevention of infection transmission to others. The Country was a significant predictor of confidence, complacency, having constraints, and calculation domains (<jats:italic>P<\/jats:italic> &lt; 0.001). Having any idea about the mpox vaccine was linked to 1.6 times higher odds of being more confident [OR = 1.58 (95% CI, 1.26\u20131.98), <jats:italic>P<\/jats:italic> &lt; 0.001] Additionally, living in a rural area significantly increased complacency [OR = 1.42 (95% CI, 1.05\u20131.95), <jats:italic>P<\/jats:italic> = 0.024] as well as having anyone die from mpox [OR = 3.3 (95% CI, 1.64\u20136.68), <jats:italic>P<\/jats:italic> &lt; 0.001]. Education level was associated with increased calculation [OR = 2.74 (95% CI, 1.62\u20134.64), <jats:italic>P<\/jats:italic> &lt; 0.001]. Moreover, being single and having no chronic diseases significantly increased the calculation domain [OR = 1.40 (95% CI, 1.06\u20131.98), <jats:italic>P<\/jats:italic> = 0.02] and [OR = 1.54 (95% CI, 1.10\u20132.16), <jats:italic>P<\/jats:italic> = 0.012] respectively. Predictors of collective responsibility were age 31\u201345 years [OR = 2.89 (95% CI, 1.29\u20136.48), <jats:italic>P<\/jats:italic> = 0.01], being single [OR = 2.76 (95% CI, 1.94 -3.92), <jats:italic>P<\/jats:italic> &lt; 0.001], being a graduate [OR = 1.59 (95% CI (1.32\u20131.92), <jats:italic>P<\/jats:italic> &lt; 0.001], having no chronic disease [OR = 2.14 (95% CI, 1.56\u20132.93), P &lt; 0.001], and not knowing anyone who died from mpox [OR = 2.54 (95% CI, 1.39\u20134.64), <jats:italic>P<\/jats:italic> &lt; 0.001), as well as living in a middle-income country [OR = 0.623, (95% CI, 0.51\u20130.73), <jats:italic>P<\/jats:italic> &lt; 0.001].<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S1935789324000508_as4\">\n\t    <jats:title>Conclusions:<\/jats:title>\n\t    <jats:p>This study underscores the multifaceted nature of psychological antecedents of vaccination, emphasizing the impact of socio-demographic factors, geographic location, and awareness, as well as previous experiences on individual attitudes and collective responsibility towards vaccination.<\/jats:p>\n\t  <\/jats:sec>","DOI":"10.1017\/dmp.2024.50","type":"journal-article","created":{"date-parts":[[2024,5,2]],"date-time":"2024-05-02T09:07:59Z","timestamp":1714640879000},"source":"Crossref","is-referenced-by-count":10,"title":["Cross-Country Discrepancies in Monkeypox Vaccine Hesitancy Among Postgraduate and Undergraduate Medical Students"],"prefix":"10.1017","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2735-1428","authenticated-orcid":false,"given":"Mai","family":"Hussein","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abdelmonem","family":"Siddiq","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Horeya M.","family":"Ismail","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Norhan","family":"Mansy","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Doha El-Sayed","family":"Ellakwa","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohammed","family":"Nassif","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Areej A.","family":"Hussein","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jubran K.","family":"Abdullah Alzedaar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chukwuagoziem A.","family":"Iloanusi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Murad O.","family":"Omran","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Khalil M.","family":"Rourou","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tarun K.","family":"Suvvari","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Saja","family":"Yazbek","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ramy M.","family":"Ghazy","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2024,5,2]]},"reference":[{"key":"S1935789324000508_ref25","first-page":"293","article-title":"Human rights in the world health organization: Views of the director-general Candidates","volume":"19","author":"Meier","year":"2017","journal-title":"Health Hum 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cross-sectional survey of knowledge, attitudes, practices, and willingness to vaccinate among University students in Pakistan","volume":"11","author":"Kumar","year":"2023","journal-title":"Vaccines (Basel)."},{"key":"S1935789324000508_ref4","unstructured":"4. World Health Organization (WHO) . Mpox (monkeypox) outbreak 2022 - Global. Accessed June 8, 2023. https:\/\/www.who.int\/emergencies\/situations\/monkeypox-oubreak-2022"},{"key":"S1935789324000508_ref18","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0260321"},{"key":"S1935789324000508_ref23","doi-asserted-by":"publisher","DOI":"10.1177\/21501327211018568"},{"key":"S1935789324000508_ref6","unstructured":"6. CDC. Vaccines. Accessed June 8, 2023. https:\/\/www.cdc.gov\/poxvirus\/mpox\/vaccines\/index.html"},{"key":"S1935789324000508_ref3","article-title":"The emergence of Monkeypox: a global health threat","author":"Sah","journal-title":"Cureus."},{"key":"S1935789324000508_ref29","article-title":"Medical students\u2019 perception regarding the re-emerging monkeypox virus: an institution-based cross-sectional study from Saudi Arabia","volume":"14","author":"Alshahrani","year":"2022","journal-title":"Cureus."},{"key":"S1935789324000508_ref10","doi-asserted-by":"publisher","DOI":"10.3390\/vaccines11111708"},{"key":"S1935789324000508_ref27","doi-asserted-by":"publisher","DOI":"10.1016\/j.vaccine.2023.07.005"},{"key":"S1935789324000508_ref41","doi-asserted-by":"publisher","DOI":"10.1080\/07853890.2023.2286339"},{"key":"S1935789324000508_ref33","article-title":"When a neglected tropical disease goes global: knowledge, attitudes and practices of Italian physicians towards Monkeypox, preliminary results","volume":"7","author":"Ricc\u00f2","year":"2022","journal-title":"Trop Med Infect Dis."},{"key":"S1935789324000508_ref22","article-title":"Arabic validation and cross-cultural adaptation of the 5C scale for assessment of COVID-19 vaccines psychological antecedents","volume":"16","author":"ElHafeez","year":"2021","journal-title":"PLoS One."},{"key":"S1935789324000508_ref35","article-title":"Knowledge and attitudes of Turkish physicians towards human Monkeypox disease and related vaccination: a cross-sectional study","volume":"11","author":"Sahin","year":"2023","journal-title":"Vaccines (Basel)."},{"key":"S1935789324000508_ref20","doi-asserted-by":"publisher","DOI":"10.3390\/vaccines10122151"},{"key":"S1935789324000508_ref39","doi-asserted-by":"publisher","DOI":"10.3346\/jkms.2022.37.e239"},{"key":"S1935789324000508_ref26","doi-asserted-by":"publisher","DOI":"10.1093\/pubmed\/fdaa230"},{"key":"S1935789324000508_ref8","doi-asserted-by":"publisher","DOI":"10.1016\/j.vaccine.2015.06.075"},{"key":"S1935789324000508_ref40","unstructured":"40. World Health Organization (WHO). Multi-country Monkeypox outbreak in non-endemic countries. Published in May, 2022. Accessed January 2023."},{"key":"S1935789324000508_ref28","doi-asserted-by":"publisher","DOI":"10.3390\/vaccines10122094"},{"key":"S1935789324000508_ref9","doi-asserted-by":"publisher","DOI":"10.1093\/tbm\/ibab128"},{"key":"S1935789324000508_ref11","doi-asserted-by":"publisher","DOI":"10.1016\/j.vaccine.2014.01.081"},{"key":"S1935789324000508_ref7","article-title":"Antiviral treatment against monkeypox: a scoping review","volume":"7","author":"Ortiz-Saavedra","year":"2022","journal-title":"Trop Med Infect Dis."},{"key":"S1935789324000508_ref37","article-title":"Psychological determinants of covid-19 vaccine acceptance among healthcare workers in Kuwait: a cross-sectional study using the 5C and vaccine conspiracy beliefs scales","volume":"9","author":"Al-Sanafi","year":"2021","journal-title":"Vaccines (Basel)."}],"container-title":["Disaster Medicine and Public Health Preparedness"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S1935789324000508","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,5,2]],"date-time":"2024-05-02T09:08:21Z","timestamp":1714640901000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S1935789324000508\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024]]},"references-count":41,"alternative-id":["S1935789324000508"],"URL":"https:\/\/doi.org\/10.1017\/dmp.2024.50","relation":{},"ISSN":["1935-7893","1938-744X"],"issn-type":[{"value":"1935-7893","type":"print"},{"value":"1938-744X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024]]},"article-number":"e82"}}