{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T12:26:04Z","timestamp":1786969564999,"version":"build-2736575974"},"reference-count":14,"publisher":"BMJ","issue":"1","license":[{"start":{"date-parts":[[2025,4,18]],"date-time":"2025-04-18T00:00:00Z","timestamp":1744934400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100003323","name":"ANRS MIE","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100003323","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["Sex Transm Infect"],"accepted":{"date-parts":[[2025,4,1]]},"published-print":{"date-parts":[[2026,2]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>This study investigated the acceptability by gay men, bisexual men and other men who have sex with men (GBMSM) of French public health information and prevention measures implemented during the 2022 Mpox outbreak.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>ANRS-MPX-SHS \"Mpox: perception of risks, health measures and vaccination\" is a cross-sectional survey conducted in GBMSM between July and September 2022. Online questionnaires collected information about Mpox-related awareness, perceptions and prevention behaviours. Multiple correspondence analysis identified participant profiles according to their level of acceptability of the information and prevention measures implemented during the 2022 outbreak. The study outcome was a variable grouping participants into three profiles: \u2018strong endorsers\u2019, \u2018uninformed hesitant endorsers\u2019 and \u2018indifferent objectors\u2019. Multinomial logistic regression was used to estimate factors associated with each profile.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Of the 5688 participants, 5320 (93.5%) had available data for the outcome. The latter were mostly cisgender men (98%), aged between 35 and 54 years (54.5%), with tertiary education (82%); 44% were living in the Greater Paris region. Strong endorsers, uninformed hesitant endorsers and indifferent objectors accounted for 77.8%, 14.4% and 7.8% of the sample, respectively. Participants with tertiary education, those who had sex exclusively with men, those taking pre-exposure prophylaxis (ie, HIV-negative participants), HIV-positive participants and individuals living in the Greater Paris region, were all less likely to be uninformed hesitant endorsers or indifferent objectors. Participants with no lifetime HIV\/sexually transmitted infection (STI) screening and those with infrequent screening were, respectively, more likely to belong to these two profiles.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Participants\u2019 acceptability of the information and prevention measures implemented during the 2022 Mpox outbreak in France depended on the perceived capability of public health authorities to effectively diversify information targets, representations and communication channels. In order to prevent the transmission of Mpox (and other STIs) in the general population in future outbreaks, information and measures adopted must take into account the needs, perceptions and experiences of persons never or not regularly screened for HIV\/STIs.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/sextrans-2024-056406","type":"journal-article","created":{"date-parts":[[2025,4,18]],"date-time":"2025-04-18T13:20:29Z","timestamp":1744982429000},"page":"36-42","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["Acceptability of public health information and prevention measures by gay men, bisexual men and men who have sex with men during the French Mpox outbreak in 2022: the ANRS-MPX-SHS cross-sectional survey"],"prefix":"10.1136","volume":"102","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7318-6596","authenticated-orcid":false,"given":"Luis","family":"Sagaon-Teyssier","sequence":"first","affiliation":[{"name":"Aix Marseille Univ, Inserm, IRD, SESSTIM, Sciences Economiques & Sociales de la Sant\u00e9 & Traitement de l\u2019Information M\u00e9dicale, ISSPAM, Marseille, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maxime","family":"Hoyer","sequence":"additional","affiliation":[{"name":"Aix Marseille Univ, Inserm, IRD, SESSTIM, Sciences Economiques & Sociales de la Sant\u00e9 & Traitement de l\u2019Information M\u00e9dicale, ISSPAM, Marseille, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marie","family":"Dos Santos","sequence":"additional","affiliation":[{"name":"Aix Marseille Univ, Inserm, IRD, SESSTIM, Sciences Economiques & Sociales de la Sant\u00e9 & Traitement de l\u2019Information M\u00e9dicale, ISSPAM, Marseille, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marion","family":"Mora","sequence":"additional","affiliation":[{"name":"Aix Marseille Univ, Inserm, IRD, SESSTIM, Sciences Economiques & Sociales de la Sant\u00e9 & Traitement de l\u2019Information M\u00e9dicale, ISSPAM, Marseille, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michel","family":"Bourrelly","sequence":"additional","affiliation":[{"name":"Aix Marseille Univ, Inserm, IRD, SESSTIM, Sciences Economiques & Sociales de la Sant\u00e9 & Traitement de l\u2019Information M\u00e9dicale, ISSPAM, Marseille, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christel","family":"Proti\u00e8re","sequence":"additional","affiliation":[{"name":"Aix Marseille Univ, Inserm, IRD, SESSTIM, Sciences Economiques & Sociales de la Sant\u00e9 & Traitement de l\u2019Information M\u00e9dicale, ISSPAM, Marseille, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gwena\u00eblle","family":"Maradan","sequence":"additional","affiliation":[{"name":"Observatoire R\u00e9gional de la Sant\u00e9 Provence-Alpes C\u00f4te d\u2019Azur, Marseille, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pierre","family":"Verger","sequence":"additional","affiliation":[{"name":"Observatoire R\u00e9gional de la Sant\u00e9 Provence-Alpes C\u00f4te d\u2019Azur, Marseille, France"},{"name":"Unit\u00e9 des Virus \u00c9mergents (UVE: Aix-Marseille Univ, Universit\u00e0 di Corsica, IRD 190, Inserm 1207, IRBA, Marseille, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Michels","sequence":"additional","affiliation":[{"name":"AIDES, Pantin, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Manuela","family":"Salcedo","sequence":"additional","affiliation":[{"name":"AIDES, Pantin, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Annie","family":"Velter","sequence":"additional","affiliation":[{"name":"Aix Marseille Univ, Inserm, IRD, SESSTIM, Sciences Economiques & Sociales de la Sant\u00e9 & Traitement de l\u2019Information M\u00e9dicale, ISSPAM, Marseille, France"},{"name":"Sant\u00e9 Publique France, Saint-Maurice, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mathilde","family":"Certoux","sequence":"additional","affiliation":[{"name":"ANRS MIE, Paris, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patrick","family":"Peretti-Watel","sequence":"additional","affiliation":[{"name":"Observatoire R\u00e9gional de la Sant\u00e9 Provence-Alpes C\u00f4te d\u2019Azur, Marseille, France"},{"name":"Unit\u00e9 des Virus \u00c9mergents (UVE: Aix-Marseille Univ, Universit\u00e0 di Corsica, IRD 190, Inserm 1207, IRBA, Marseille, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Phuoc-Bao-Viet","family":"Tong","sequence":"additional","affiliation":[{"name":"Equipe Nationale d\u2019Intervention en Pr\u00e9vention et Sant\u00e9, ENIPSE, Paris, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vivien","family":"Lugaz","sequence":"additional","affiliation":[{"name":"Equipe Nationale d\u2019Intervention en Pr\u00e9vention et Sant\u00e9, ENIPSE, Paris, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vincent","family":"Leclercq","sequence":"additional","affiliation":[{"name":"Coalition PLUS, Pantin, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lambert","family":"Assoumou","sequence":"additional","affiliation":[{"name":"H\u00f4pitaux de Paris, Paris, France; INSERM UMR 944, Paris, France. Sorbonne Universit\u00e9, INSERM, Institut Pierre Louis d'Epid\u00e9miologie et de Sant\u00e9 Publique, Paris, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6447-0480","authenticated-orcid":false,"given":"Martin","family":"Siguier","sequence":"additional","affiliation":[{"name":"Sorbonne Universit\u00e9, Paris, France ; Service de Maladies Infectieuses et Tropicales, H\u00f4pital Tenon, Assistance Publique, Paris, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gilles","family":"Pialoux","sequence":"additional","affiliation":[{"name":"Sorbonne Universit\u00e9, Paris, France ; Service de Maladies Infectieuses et Tropicales, H\u00f4pital Tenon, Assistance Publique, Paris, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jean-Michel","family":"Molina","sequence":"additional","affiliation":[{"name":"Universit\u00e9 de Paris Cit\u00e9, Paris, France; D\u00e9partement de Maladies Infectieuses et Laboratoires de Virologie et de Pharmacologie, H\u00f4pitaux Saint-Louis, Lariboisi\u00e8re, Assistance Publique, Paris, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Perrine","family":"Roux","sequence":"additional","affiliation":[{"name":"Aix Marseille Univ, Inserm, IRD, SESSTIM, Sciences Economiques & Sociales de la Sant\u00e9 & Traitement de l\u2019Information M\u00e9dicale, ISSPAM, Marseille, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bruno","family":"Spire","sequence":"additional","affiliation":[{"name":"Aix Marseille Univ, Inserm, IRD, SESSTIM, Sciences Economiques & Sociales de la Sant\u00e9 & Traitement de l\u2019Information M\u00e9dicale, ISSPAM, Marseille, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gabriel","family":"Girard","sequence":"additional","affiliation":[{"name":"Aix Marseille Univ, Inserm, IRD, SESSTIM, Sciences Economiques & Sociales de la Sant\u00e9 & Traitement de l\u2019Information M\u00e9dicale, ISSPAM, Marseille, France"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2025,4,18]]},"reference":[{"key":"2026081704400945000_102.1.36.1","doi-asserted-by":"publisher","DOI":"10.1093\/cid\/ciac960"},{"key":"2026081704400945000_102.1.36.2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa2207323"},{"key":"2026081704400945000_102.1.36.3","doi-asserted-by":"crossref","DOI":"10.2807\/1560-7917.ES.2023.28.50.2200923","article-title":"Mpox outbreak in France: epidemiological characteristics and sexual behaviour of cases aged 15\u2009years or older, 2022","volume":"28","author":"Krug","year":"2023","journal-title":"Euro Surveill"},{"key":"2026081704400945000_102.1.36.4","doi-asserted-by":"publisher","DOI":"10.1136\/sextrans-2023-055885"},{"key":"2026081704400945000_102.1.36.5","doi-asserted-by":"crossref","DOI":"10.1016\/j.lanepe.2024.101020","article-title":"Impact of vaccination with third generation modified vaccinia Ankara and sexual behaviour on mpox incidence in men who have sex with men: analysis among participants of the ANRS-174 DOXYVAC trial","volume":"45","author":"Ghosn","year":"2024","journal-title":"Lancet Reg Health Eur"},{"key":"2026081704400945000_102.1.36.6","doi-asserted-by":"crossref","DOI":"10.1186\/s12889-023-17196-0","article-title":"Mpox knowledge, behaviours and barriers to public health measures among gay, bisexual and other men who have sex with men in the UK: a qualitative study to inform public health guidance and messaging","volume":"23","author":"May","year":"2023","journal-title":"BMC Public Health"},{"key":"2026081704400945000_102.1.36.7","doi-asserted-by":"crossref","DOI":"10.3389\/fpubh.2022.1058807","article-title":"Mpox vaccination willingness, determinants, and communication needs in gay, bisexual, and other men who have sex with men, in the context of limited vaccine availability in the Netherlands (Dutch Mpox-survey)","volume":"10","author":"Dukers-Muijrers","year":"2022","journal-title":"Front Public Health"},{"key":"2026081704400945000_102.1.36.8","doi-asserted-by":"crossref","DOI":"10.3390\/vaccines11071167","article-title":"Mpox Incidence and Vaccine Uptake in Men Who Have Sex with Men and Are Living with HIV in Denmark","volume":"11","author":"Svartstein","year":"2023","journal-title":"Vaccines (Basel)"},{"key":"2026081704400945000_102.1.36.9","doi-asserted-by":"publisher","DOI":"10.1080\/13691058.2024.2346540"},{"key":"2026081704400945000_102.1.36.10","doi-asserted-by":"crossref","DOI":"10.1186\/s12889-024-19062-z","article-title":"\u201cIt\u2019s another gay disease\u201d: an intersectional qualitative approach contextualizing the lived experiences of young gay, bisexual, and other sexual minoritized men in the United States during the mpox outbreak","volume":"24","author":"Takenaka","year":"2024","journal-title":"BMC Public Health"},{"key":"2026081704400945000_102.1.36.11","doi-asserted-by":"crossref","first-page":"e554","DOI":"10.1016\/S2352-3018(22)00133-3","article-title":"Daily and on-demand HIV pre-exposure prophylaxis with emtricitabine and tenofovir disoproxil (ANRS PREVENIR): a prospective observational cohort study","volume":"9","author":"Molina","year":"2022","journal-title":"Lancet HIV"},{"key":"2026081704400945000_102.1.36.12","doi-asserted-by":"crossref","DOI":"10.1080\/21645515.2023.2293489","article-title":"Gradient of vaccine hesitancy among French men having sex with men: An electronic cross-sectional survey in 2022","volume":"19","author":"Brosset","year":"2023","journal-title":"Hum Vaccin Immunother"},{"key":"2026081704400945000_102.1.36.13","unstructured":"Greenacre M , Blasius J . Correspondence analysis in the social sciences: recent developments and applications. 1st edn. Elsevier, 1994."},{"key":"2026081704400945000_102.1.36.14","doi-asserted-by":"publisher","DOI":"10.2307\/2282967"}],"container-title":["Sexually Transmitted Infections"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/sextrans-2024-056406","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T11:40:42Z","timestamp":1786966842000},"score":1,"resource":{"primary":{"URL":"https:\/\/sti.bmj.com\/lookup\/doi\/10.1136\/sextrans-2024-056406"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,4,18]]},"references-count":14,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2026,1,16]]},"published-print":{"date-parts":[[2026,2]]}},"alternative-id":["10.1136\/sextrans-2024-056406"],"URL":"https:\/\/doi.org\/10.1136\/sextrans-2024-056406","relation":{},"ISSN":["1368-4973","1472-3263"],"issn-type":[{"value":"1368-4973","type":"print"},{"value":"1472-3263","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,4,18]]}}}