{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T15:56:48Z","timestamp":1777391808575,"version":"3.51.4"},"reference-count":31,"publisher":"MDPI AG","issue":"4","license":[{"start":{"date-parts":[[2023,3,29]],"date-time":"2023-03-29T00:00:00Z","timestamp":1680048000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Vaccines"],"abstract":"<jats:p>Background: The outbreak of monkeypox was declared a global public health emergency by the World Health Organization on 23 July 2022. There have been 60,000 cases reported worldwide, most of which are in places where monkeypox has never been seen due to the travel of people who have the virus. This research aims to evaluate the general Arabic population in regard to the monkeypox disease, fears, and vaccine adoption after the WHO proclaimed a monkeypox epidemic and to compare these attitudes to those of the COVID-19 pandemic. Methods: This cross-sectional study was performed in some Arabic countries (Syria, Egypt, Qatar, Yemen, Jordan, Sudan, Algeria, and Iraq) between 18 August and 7 September 2022. The inclusion criteria were the general public residing in Arabic nations and being older than 18. This questionnaire has 32 questions separated into three sections: sociodemographic variables, prior COVID-19 exposure, and COVID-19 vaccination history. The second portion assesses the knowledge and anxieties about monkeypox, while the third section includes the generalized anxiety disorder (GAD7) scale. Logistic regression analyses were performed to compute the adjusted odds ratios (aOR) and their confidence intervals (95%CI) using STATA (version 17.0). Results: A total of 3665 respondents from 17 Arabic countries were involved in this study. Almost two-thirds (n = 2427, 66.2%) of the participants expressed more worry about COVID-19 than monkeypox diseases. Regarding the major cause for concern about monkeypox, 39.5% of participants attributed their anxiety to the fear that they or a member of their family may contract the illness, while 38.4% were concerned about monkeypox becoming another worldwide pandemic. According to the GAD 7 score, 71.7% of the respondents showed very low anxiety toward monkeypox and 43.8% of the participants scored poor levels of knowledge about monkeypox disease. Participants with previous COVID-19 infection showed a 1.206 times greater acceptance to receive the monkeypox vaccine than those with no previous infection. A 3.097 times higher concern for monkeypox than COVID-19 was shown by the participants who perceived monkeypox as dangerous and virulent than those who did not. Participants who have a chronic disease (aOR: 1.32; 95%CI: 1.09\u20131.60); participants worried about monkeypox (aOR: 1.21; 95%CI: 1.04\u20131.40), and perceived monkeypox as a dangerous and virulent disease (aOR: 2.25; 95%CI: 1.92\u20132.65); and excellent knowledge level (aOR: 2.28; 95%CI: 1.79\u20132.90) have emerged as significant predictors. Conclusions: Our study reported that three-fourths of the participants were more concerned about COVID-19 than monkeypox disease. In addition, most of the participants have inadequate levels of knowledge regarding monkeypox disease. Hence, immediate action should be taken to address this problem. Consequently, learning about monkeypox and spreading information about its prevention is crucial.<\/jats:p>","DOI":"10.3390\/vaccines11040759","type":"journal-article","created":{"date-parts":[[2023,3,30]],"date-time":"2023-03-30T03:17:35Z","timestamp":1680146255000},"page":"759","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":21,"title":["Monkeypox Post-COVID-19: Knowledge, Worrying, and Vaccine Adoption in the Arabic General Population"],"prefix":"10.3390","volume":"11","author":[{"given":"Sarya","family":"Swed","sequence":"first","affiliation":[{"name":"Faculty of Medicine, Aleppo University, Aleppo 15310, Syria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Haidara","family":"Bohsas","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Aleppo University, Aleppo 15310, Syria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hidar","family":"Alibrahim","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Aleppo University, Aleppo 15310, Syria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amine","family":"Rakab","sequence":"additional","affiliation":[{"name":"Clinical Medicine, Weill Cornell Medical College, Al-Rayyan 36623, Qatar"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wael","family":"Hafez","sequence":"additional","affiliation":[{"name":"NMC Royal Hospital, 16th Street, Khalifa, Abu Dhabi 35233, United Arab Emirates; Medical Research Division, Department of Internal Medicine, The National Research Centre, Cairo 11511, Egypt"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bisher","family":"Sawaf","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Syrian Private University, Damascus 20872, Syria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rais Mohammed","family":"Amir","sequence":"additional","affiliation":[{"name":"Faculty of Medicine of Algiers, University of Algiers 1, Alger Centre 16000, Algeria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ahmed Sallam","family":"Motawei","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Qena University Hospitals, South Valley University, Qena 83511, Egypt"},{"name":"Department of Ophthalmology, University of California, Los Angeles, CA 90089, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1548-1639","authenticated-orcid":false,"given":"Ahmed","family":"Aljabali","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Jordan University of Science and Technology, Ar-Ramtha 72764, Jordan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sheikh","family":"Shoib","sequence":"additional","affiliation":[{"name":"JLNM Hospital, Rainawari, Srinagar 190001, India"},{"name":"Directorate of Health Services, Jammu and Kashmir 184121, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ismail","family":"Atef Ismail Ahmed Ibrahim","sequence":"additional","affiliation":[{"name":"Department of Physical Therapy and Rehabilitation, Fenerbah\u00e7e \u00dcniversitesi, Istanbul 34758, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2618-8334","authenticated-orcid":false,"given":"Sondos Hussein","family":"Ahmad Almashaqbeh","sequence":"additional","affiliation":[{"name":"University of Jordan, Amman 11110, Jordan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8274-051X","authenticated-orcid":false,"given":"Ebrahim Ahmed","family":"Qaid Shaddad","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Sana\u2032a University, Sana\u2032a 1247, Yemen"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maryam","family":"Alqaisi","sequence":"additional","affiliation":[{"name":"MSH Statistics, Cairo 45785, Egypt"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ahmed","family":"Abdelrahman","sequence":"additional","affiliation":[{"name":"Internal Medicine Department, Faculty of Medicine, Zagazig University, Zagazig 44519, Egypt"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sherihan","family":"Fathey","sequence":"additional","affiliation":[{"name":"Department of Health, Giza 12511, Egypt"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ren\u00e9","family":"Hurlemann","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, School of Medicine and Health Sciences, Carl von Ossietzky University Oldenburg, 26122 Oldenburg, Germany"},{"name":"Department of Psychiatry, University Hospital Bonn, 53229 Bonn, Germany"},{"name":"Research Center Neurosensory Science, Carl von Ossietzky University Oldenburg, 26122 Oldenburg, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0011-7837","authenticated-orcid":false,"given":"Mohamed E. G.","family":"Elsayed","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, School of Medicine and Health Sciences, Carl von Ossietzky University Oldenburg, 26122 Oldenburg, Germany"},{"name":"Department of Psychiatry and Psychotherapy III, University of Ulm, Leimgrubenweg, 89075 Ulm, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joshuan J.","family":"Barboza","sequence":"additional","affiliation":[{"name":"Escuela de Medicina, Universidad C\u00e9sar Vallejo, Trujillo 13007, Peru"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5634-5014","authenticated-orcid":false,"given":"Aroop","family":"Mohanty","sequence":"additional","affiliation":[{"name":"Department of Clinical Microbiology, All India Institute of Medical Sciences, Gorakhpur 273008, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9773-2192","authenticated-orcid":false,"given":"Alfonso J.","family":"Rodriguez-Morales","sequence":"additional","affiliation":[{"name":"Grupo de Investigaci\u00f3n Biomedicina, Faculty of Medicine, Fundaci\u00f3n Universitaria Aut\u00f3noma de las Am\u00e9ricas\u2014Instituci\u00f3n Universitaria Visi\u00f3n de las Am\u00e9ricas, Pereira 660003, Risaralda, Colombia"},{"name":"Clinical Epidemiology and Biostatistics, School of Medicine, Universidad Cient\u00edfica del Sur, Lima 4861, Peru"},{"name":"Gilbert and Rose-Marie Chagoury School of Medicine, Lebanese American University, Beirut P.O. Box 36, Lebanon"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2828-2375","authenticated-orcid":false,"given":"Bijaya Kumar","family":"Padhi","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, School of Medicine and Health Sciences, Carl von Ossietzky University Oldenburg, 26122 Oldenburg, Germany"},{"name":"Department of Community Medicine and School of Public Health, Postgraduate Institute of Medical Education and Research, Chandigarh 160012, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2695-8714","authenticated-orcid":false,"given":"Ranjit","family":"Sah","sequence":"additional","affiliation":[{"name":"Department of Clinical Microbiology, Institute of Medicine, Tribhuvan University Teaching Hospital, Kathmandu 44600, Nepal"},{"name":"Department of Clinical Microbiology, DY Patil Medical College, Hospital and Research Centre, DY Patil Vidyapeeth, Pune 411000, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2023,3,29]]},"reference":[{"key":"ref_1","unstructured":"WHO (2022, July 23). 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