Prevalence of Mpox vaccine acceptance and hesitancy among people living with HIV: a comprehensive systematic review and meta-analysis.

IF 2.1 4区 医学 Q3 INFECTIOUS DISEASES
Ambanna Yappalparvi, Mahalaqua Nazli Khatib, Ashok Kumar Balaraman, M M Rekha, Mandeep Kaur, Girish Chandra Sharma, Puneet Sudan, K Satyam Naidu, Rajesh Singh, Sonam Ramashankar, Karan Khati, Sanjay Singh Chauhan, Lokesh Verma, Amritpal Sidhu, Rachana Mehta, Renu Sah, Abhay M Gaidhane, Muhammed Shabil, Joseph Clement Chipeta, Ganesh Bushi
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引用次数: 0

Abstract

Background: Vaccine acceptance among People Living with HIV (PLWH) is crucial for managing and mitigating the spread of infectious diseases, including Mpox. This systematic review and meta-analysis assess the rate of vaccine acceptance for Mpox among PLWH and identify factors influencing these rates.

Methods: We searched major databases including PubMed, Embase, and Web of Science up to 30 August 2024 for observational studies involving PLWH that reported on mpox vaccine acceptance rates. A random-effects model was employed for the meta-analysis, utilizing R software version 4.4. Heterogeneity among the studies was quantified using the I² statistic, and the methodological quality of each study was assessed using a modified version of the Newcastle-Ottawa Scale.

Results: Out of 1,123 articles identified, 17 studies met the inclusion criteria and included 7,248 participants. The pooled estimate of the Mpox vaccine acceptance rate was 61.1% (95% CI: 44.2-75.7%), with high heterogeneity (I² = 99%). Additionally, a pooled vaccine hesitancy prevalence was 13.2%, (95% CI: 2.4-48.6%), reflecting substantial variability and had high heterogeneity (I² = 98%).

Conclusion: This systematic review and meta-analysis reveal moderate Mpox vaccine acceptance and considerable hesitancy among PLWH. To further increase vaccine uptake and address any remaining hesitancy in this at-risk population, targeted public health strategies and ongoing research are necessary. Strengthening vaccine acceptance is critical to safeguarding PLWH against emerging infectious diseases such as Mpox.

Clinical trial number: Not applicable.

艾滋病毒感染者接受麻疹疫苗和犹豫不决的流行率:一项全面的系统回顾和荟萃分析。
背景:艾滋病毒感染者(PLWH)接受疫苗对于管理和减轻包括Mpox在内的传染病的传播至关重要。本系统综述和荟萃分析评估了PLWH的m痘疫苗接受率,并确定了影响这些率的因素。方法:截至2024年8月30日,我们检索了PubMed、Embase和Web of Science等主要数据库,检索了涉及PLWH报告m痘疫苗接受率的观察性研究。meta分析采用随机效应模型,采用R 4.4版软件。使用I²统计量量化研究之间的异质性,并使用改进版的纽卡斯尔-渥太华量表评估每项研究的方法学质量。结果:在鉴定的1123篇文章中,17项研究符合纳入标准,包括7,248名受试者。合并估计m痘疫苗接受率为61.1% (95% CI: 44.2 ~ 75.7%),异质性较高(I²= 99%)。此外,合并的疫苗犹豫患病率为13.2% (95% CI: 2.4-48.6%),反映了大量的变异性和高度的异质性(I²= 98%)。结论:本系统综述和荟萃分析显示,PLWH对m痘疫苗的接受程度中等,但相当犹豫。为了进一步提高疫苗接种率并解决这一高危人群中任何剩余的犹豫,有必要采取有针对性的公共卫生战略和正在进行的研究。加强疫苗接受对于保护公共卫生机构免受Mpox等新发传染病的侵害至关重要。临床试验号:不适用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
AIDS Research and Therapy
AIDS Research and Therapy INFECTIOUS DISEASES-
CiteScore
3.80
自引率
4.50%
发文量
51
审稿时长
16 weeks
期刊介绍: AIDS Research and Therapy publishes articles on basic science, translational, clinical, social, epidemiological, behavioral and educational sciences articles focused on the treatment and prevention of HIV/AIDS, and the search for the cure. The Journal publishes articles on novel and developing treatment strategies for AIDS as well as on the outcomes of established treatment strategies. Original research articles on animal models that form an essential part of the AIDS treatment research are also considered
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