{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T09:08:34Z","timestamp":1790672914784,"version":"4.1.0"},"reference-count":36,"publisher":"Cambridge University Press (CUP)","license":[{"start":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T00:00:00Z","timestamp":1790640000000},"content-version":"unspecified","delay-in-days":271,"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":[[2026]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec id=\"S1935789326104479_sec1\">\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The COVID-19 pandemic may have shaped health care workers\u2019 (HCWs\u2019) perceptions of emerging infectious threats and willingness to adopt new vaccines. This study examined whether COVID-19-related experiences and psychological factors were associated with Mpox vaccine acceptance among HCWs in Central Asia.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1935789326104479_sec2\" sec-type=\"methods\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>In this cross-sectional study, 3,054 HCWs from Kazakhstan, Kyrgyzstan, and Uzbekistan completed an online survey between July and November 2022. Mpox vaccine acceptance was assessed using a single 5-point Likert-scale item and analyzed as a continuous outcome. Measures included COVID-19-related experiences, fear of COVID-19 and Mpox, DASS-21, and occupational burnout. Analyses included comparative tests, multivariable linear regression, and exploratory mediation models.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1935789326104479_sec3\" sec-type=\"results\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Overall, 1,868 HCWs (61.2%) reported some willingness to receive Mpox vaccination, whereas 1,186 (38.8%) reported none. In bivariate analyses, acceptance varied by country and was higher among HCWs with COVID-19 frontline experience or living with high-risk individuals. In multivariable regression, fear of Mpox was the strongest correlate of acceptance, while burnout was inversely associated. Mediation analyses indicated indirect associations through fear- and distress-related pathways.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1935789326104479_sec4\" sec-type=\"conclusions\">\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Mpox vaccine acceptance among Central Asian HCWs was associated with pandemic experience and psychological responses to infectious disease risk. Strategies should combine risk communication with burnout reduction and HCW well-being support.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1017\/dmp.2026.10447","type":"journal-article","created":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T08:44:20Z","timestamp":1790671460000},"source":"Crossref","is-referenced-by-count":0,"title":["Mpox Vaccine Acceptance Among Health Care Workers in Central Asia: The Role of COVID-19 Experience"],"prefix":"10.1017","volume":"20","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5390-4623","authenticated-orcid":false,"given":"Aidos","family":"Bolatov","sequence":"first","affiliation":[{"id":[{"id":"https:\/\/ror.org\/01vy4gh70","id-type":"ROR","asserted-by":"publisher"}],"name":"Shenzhen University"},{"id":[{"id":"https:\/\/ror.org\/02hp1c648","id-type":"ROR","asserted-by":"publisher"}],"name":"University Medical Center Corporate 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