Fear of monkeypox and intention to vaccinate against monkeypox: a network analysis




Palabras clave:

Monkeypox, fear, networks, vaccination


Introduction: The presence of fear of an infectious disease triggers psychological factors associated with perceived behavioral control over vaccination acceptance, subjective norms of vaccination acceptance, attitudes toward vaccination acceptance, and perceived infectiousness from disease. Objective: The study evaluated how symptoms of fear of Monkeypox specifically relate to intention to be vaccinated against Monkeypox in a sample of 506 Peruvian individuals with a mean age of 27.11 years (SD = 9.77). Methods: Participants responded to the Monkeypox Fear Scale (MFS) and a single item of Intention to be vaccinated against Monkeypox. Using network analysis, central fear symptoms and associations between symptoms and intention to vaccinate were identified. Results: The results suggest that the node with the highest centrality was item 5 of the MFS. Regarding the connection between the intention to be vaccinated and the MFS items, a direct relationship was observed with item 1 and an inverse relationship with item 6. In addition, the relationship between these MFS items and intention to vaccinate is higher in men compared to women. While it would be expected that a greater presence of symptoms of fear of Monkeypox could lead people to have a greater intention to be vaccinated against the disease, the results could lead other researchers to generate evidence to explain this relationship in other Latin American countries. Discussion:  The evidence is useful for developing policies that favor vaccination against Monkeypox in Peru and other Latin American countries.


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Oladoye MJ. Monkeypox: A Neglected Viral Zoonotic Disease. Electr J Med Ed Te 2021; 14(2): em2108. https://doi.org/10.30935/ejmets/10911

Desai AN, Thompson GR, Neumeister SM, Arutyunova AM, Trigg K, Cohen SH. Compassionate use of tecovirimat for the treatment of monkeypox infection. JAMA 2022; 328(13):1348-50. https://doi.org/10.1001/jama.2022.15336

McCollum AM, Damon IK. Human monkeypox. Clin Infect Dis 2014; 58(2): 260-7. https://doi.org/10.1093/cid/cit703

Sklenovska N, Van Ranst M. Emergence of monkeypox as the most important orthopoxvirus infection in humans. Front Public Health 2018; 6: 241. https://doi.org/10.3389/fpubh.2018.00241

Abdi SAH, Ali A, Sayed SF, Ali A, Alam P. Multi-Epitope-Based Vaccine Candidate for Monkeypox: An In Silico Approach. Vaccines 2022; 10(9): 1564. https://doi.org/10.3390/vaccines10091564

Adler H, Gould S, Hine P, Snell LB, Wong W, Houlihan CF, Hruby DE. Clinical features and management of human monkeypox: a retrospective observational study in the UK. Lancet Infect Dis 2022; 22(8): 1153-62. https://doi.org/10.1016/S1473-3099(22)00228-6

Word Health Organization. Multi-Country Monkeypox Outbreak in Non-Endemic Countries. 2022. URL

Taylor L. Monkeypox: WHO declares a public health emergency of international concern. BMJ 2022; 378: o1874. http://dx.doi.org/10.1136/bmj.o1874

Our World in Data. Monkeypox. 2022. URL

Kozlov M. How does monkeypox spread? What scientists know. Nature 2022; 608(7924): 655-6. http://dx.doi.org/10.1038/d41586-022-02178-w

Abdelaal A, Reda A, Lashin BI, Katamesh BE, Brakat AM, AL-Manaseer BM, Sah R. Preventing the Next Pandemic: Is Live Vaccine Efficacious against Monkeypox, or Is There a Need for Killed Virus and mRNA Vaccines? Vaccines. 2022; 10(9): 1419. https://doi.org/10.3390/vaccines10091419

Mukherjee D, Roy S, Singh V, Gopinath S, Pokhrel NB, Jaiswal V. Monkeypox as an emerging global health threat during the COVID-19 time. Ann Med Surg 2022; 79: 104075. https://doi.org/10.1016/j.amsu.2022.104075

Bunge EM, Hoet B, Chen L, Lienert F, Weidenthaler H, Baer LR, Steffen R. The changing epidemiology of human monkeypox—A potential threat? A systematic review. PLoS Negl Trop Dis. 2022; 16(2): e0010141. https://doi.org/10.1371/journal.pntd.0010141

Gates A, Gates M, Rahman S, Guitard S, MacGregor T, Pillay J, Hartling L. A systematic review of factors that influence the acceptability of vaccines among Canadians. Vaccine. 2021; 39(2): 222-36. https://doi.org/10.1016/j.vaccine.2020.10.038

Gagneux-Brunon A, Dauby N, Launay O, Botelho-Nevers E. Intentions to get vaccinated against Monkeypox in Healthcare workers in France and Belgium correlates with attitudes toward COVID-19 vaccination. medRxiv. 2022; https://doi.org/10.1101/2022.08.25.22279205

Malik AA, Winters MS, Omer SB. Attitudes of the US general public towards Monkeypox. bioRxiv. 2022. https://doi.org/10.1101/2022.06.20.22276527

Wang H, de Paulo KJDA, Gültzow T, Zimmermann HM, Jonas KJ. Monkeypox self-diagnosis abilities, determinants of vaccination intention and self-isolation intention after diagnosis among MSM in the Netherlands. Eurosurveillance. 2022; 27(33): 2200603. https://doi.org/10.2807/1560-7917.ES.2022.27.33.2200603

Randolph HE, Barreiro LB. Herd immunity: understanding COVID-19. Immunity. 2020; 52(5). 737-41. https://doi.org/10.1016/j.immuni.2020.04.012

Scrima F, Miceli S, Caci B, Cardaci M. The relationship between fear of COVID-19 and intention to get vaccinated. The serial mediation roles of existential anxiety and conspiracy beliefs. Pers Individ Dif 2022; 184: 111188. https://doi.org/10.1016/j.paid.2021.111188

Loewenstein GF, Weber EU, Hsee CK, Welch N. Risk as feelings. Psychol Bull. 2001; 127(2): 267–86. https://doi.org/10.1037/0033-2909.127.2.267

Head KJ, Kasting ML, Sturm LA, Hartsock JA, Zimet GD. A national survey assessing SARS-CoV-2 vaccination intentions: implications for future public health communication efforts. Sci Commun 2020; 42(5): 698-723. https://doi.org/10.1177/1075547020960463

Seddig D, Maskileyson D, Davidov E, Ajzen I, Schmidt P. Correlates of COVID-19 vaccination intentions: Attitudes, institutional trust, fear, conspiracy beliefs, and vaccine skepticism. Soc Sci Med. 2022; 302: 114981. https://doi.org/10.1016/j.socscimed.2022.114981

Temsah MH, Aljamaan F, Alenezi S, Alhasan K, Saddik B, Al-Barag A, Al-Tawfiq JA. Monkeypox caused less worry than COVID-19 among the general population during the first month of the WHO Monkeypox alert. medRxiv. 2022. https://doi.org/10.1101/2022.07.07.22277365

Khalil A, Samara A, O'Brien P, Morris E, Draycott T, Lees C, Ladhani S. Monkeypox vaccines in pregnancy: lessons must be learned from COVID-19. Lancet Glob Health. 2022: 10(9): e1230-1. https://doi.org/10.1016/S2214-109X(22)00284-4

Zumla A, Valdoleiros SR, Haider N, Asogun D, Ntoumi F, Petersen E, Kock R. Monkeypox outbreaks outside endemic regions: scientific and social priorities. Lancet Infect Dis. 2022; 22(7): 929-31. https://doi.org/10.1016/S1473-3099(22)00354-1

Yahaghi R, Ahmadizade S, Fotuhi R, Taherkhani E, Ranjbaran M, Buchali Z, Pakpour AH. Fear of COVID-19 and perceived COVID-19 infectability supplement theory of planned behavior to explain Iranians’ intention to get COVID-19 vaccinated. Vaccines. 2021; 9(7): 684. https://doi.org/10.3390/vaccines9070684

Borsboom D, Cramer AO. Network analysis: an integrative approach to the structure of psychopathology. Annu Rev Clin Psychol. 2013; 9(1): 91-121. https://doi.org/10.1146/annurev-clinpsy-050212-185608

Hofmann SG, Curtiss J, McNally RJ. A complex network perspective on clinical science. Perspect Psychol Sci. 2016; 11(5): 597-605. https://doi.org/10.1177/1745691616639283

Nuijten MB, Deserno MK, Cramer AOJ, Borsboom D. Mental disorders as complex networks. Clin Neuropsychiatry. 2016, 13(4/5), 68-76. https://pure.uvt.nl/ws/portalfiles/portal/13532002/Nuijtenetal_Networks_published.pdf

Epskamp S, Fried EI. A tutorial on regularized partial correlation networks. Psychol Methods. 2018; 23(4): 617-34. https://doi.org/10.1037/met0000167

Caycho-Rodríguez T, Ventura-León J, Valencia PD, Vilca LW, Carbajal-León C, Reyes-Bossio M, ... Petzold O. Network analysis of the relationships between conspiracy beliefs towards COVID-19 vaccine and symptoms of fear of COVID-19 in a sample of latin american countries. Curr Psychol. 2022; 1-16. https://doi.org/10.1007/s12144-022-03622-w

Ramos-Vera C, Serpa A. Network Analysis of Posttraumatic Growth and Posttraumatic Stress Symptomatology in Covid-19 Infected Peruvian Adults. J Res Med Dent Sci. 2021; 9(11): 61-7. http://dx.doi.org/10.13140/RG.2.2.16367.56480

Ventura-León J, Caycho-Rodríguez T, Talledo-Sánchez K, Casiano-Valdivieso K. Depression, COVID-19 Anxiety, Subjective Well-being, and Academic Performance in University Students with COVID-19-Infected Relatives: A Network Analysis. Front Psychol 2022; 13: 837606. https://doi.org/10.3389/fpsyg.2022.837606

McNally RJ. Can network analysis transform psychopathology? Behav Res Ther. 2016; 86: 95-104. https://doi.org/10.1016/j.brat.2016.06.006

Epskamp S, Borsboom D, Fried EI. Estimating Psychological Networks and their Accuracy: A Tutorial Paper. Behavior Research Methods. 2017; 50: 195–212. https://doi.org/10.3758/s13428-017-0862-1

Caycho-Rodríguez T, Vilca LW, Carbajal-León C, Gallegos M, Reyes-Bossio M, Noe-Grijalva M, ... Muñoz-del-Carpio-Toia Á. The Monkeypox Fear Scale: development and initial validation in a Peruvian sample. BMC psychol. 2022; 10(1): 1-10. https://doi.org/10.1186/s40359-022-00997-0

Fried EI, Eidhof MB, Palic S, Costantini G, Huisman-van Dijk HM, Bockting CLH, Engelhard I, Armour C, Nielsen ABS, Karstoft K-I. Replicability and Generalizability of Posttraumatic Stress Disorder (PTSD) Networks: A Cross-Cultural Multisite Study of PTSD Symptoms in Four Trauma Patient Samples. Clin Psychol Sci. 2018; 6(3): 335–51. https://doi.org/10.1177/2167702617745092

Isvoranu A-M, Epskamp S. Continuous and ordered categorical data in network psychometrics: Which estimation method to choose? Deriving Guidelines for Applied Researchers. PsyArXiv. 2021. https://doi.org/https://doi.org/10.31234/osf.io/mbycn

Hallquist MN, Wright AGC, Molenaar PCM. Problems with Centrality Measures in Psychopathology Symptom Networks: Why Network Psychometrics Cannot Escape Psychometric Theory. Multivariate Behav Res. 2021; 56(2): 199–223. https://doi.org/10.1080/00273171.2019.1640103

Bringmann LF, Elmer T, Epskamp S, Krause RW, Schoch D, Wichers M, Wigman JTW, Snippe E. What do centrality measures measure in psychological networks? J Abnorm Psychol 2019; 128(8): 892–903. https://doi.org/10.1037/abn0000446

Epskamp S, Borsboom D, Fried EI. Estimating psychological networks and their accuracy: A tutorial paper. Behav Res Methods. 2018; 50(1): 195-212. https://doi.org/10.3758/s13428-017-0862-1

van Borkulo CD, van Bork R, Boschloo L, Kossakowski JJ, Tio P, Schoevers RA, Borsboom D, Waldorp LJ. Comparing network structures on three aspects: A permutation test. Psychol Methods. 2022; 28(6): 1273–85. publication. https://doi.org/10.1037/met0000476

Al?Amer R, Maneze D, Everett B, Montayre J, Villarosa AR, Dwekat E, Salamonson Y. COVID?19 vaccination intention in the first year of the pandemic: A systematic review. J Clin Nurs 2022; 31(1-2): 62-86. https://doi.org/10.1111/jocn.15951

Ajzen I. The theory of planned behavior. Organ Behav Hum Decis Process. 1991; 50(2): 179-211. https://doi.org/10.1016/0749-5978(91)90020-T

Sniehotta FF, Schwarzer R, Scholz U, Schüz B. Action planning and coping planning for long?term lifestyle change: theory and assessment. Eur J Soc Psychol. 2005; 35(4): 565-76. https://doi.org/10.1002/ejsp.258

Hoffart A, Johnson SU, Ebrahimi OV. The network of stress-related states and depression and anxiety symptoms during the COVID-19 lockdown. J Affect Disord. 2021; 294: 671-8. https://doi.org/10.1016/j.jad.2021.07.019

Peng X, Liu L, Liang S, Chen J, Zhao J. Longitudinal changes in fear and anxiety among Chinese college students during the COVID-19 pandemic: A one-year follow-up study. Curr Psychol. 2022; 1-10. https://doi.org/10.1007/s12144-022-03487-z

Harper CA, Satchell LP, Fido D, Latzman RD. Functional fear predicts public health compliance in the COVID-19 pandemic. Int J Ment Health Addict. 2021; 19(5): 1875-88. https://doi.org/10.1007/s11469-020-00281-5

Pakpour AH, Griffiths MD. The fear of COVID-19 and its role in preventive behaviors. J Concurr Disord 2020; 2(1): 58-63.

Caycho-Rodríguez T, Valencia PD, Vilca LW, Cervigni M, Gallegos M, Martino P, Burgos Videla C. Cross-cultural measurement invariance of the fear of COVID-19 scale in seven Latin American countries. Death Stud. 2022; 46(8): 2003-17. https://doi.org/10.1080/07481187.2021.1879318

Lin CY, Hou WL, Mamun MA, Aparecido da Silva J, Broche?Pérez Y, Ullah I, Pakpour AH. Fear of COVID?19 Scale (FCV?19S) across countries: Measurement invariance issues. Nurs Open 2021; 8(4): 1892-908. https://doi.org/10.1002/nop2.855

Ling M, Kothe EJ, Mullan BA. Predicting intention to receive a seasonal influenza vaccination using Protection Motivation Theory. Soc Sci Med. 2019; 233: 87-92. https://doi.org/10.1016/j.socscimed.2019.06.002

Wang PW, Ahorsu DK, Lin CY, Chen IH, Yen CF, Kuo YJ, Pakpour AH. Motivation to have COVID-19 vaccination explained using an extended protection motivation theory among university students in China: the role of information sources. Vaccines. 2021; 9(4): 380. https://doi.org/10.3390/vaccines9040380

Courtney EP, Goldenberg JL, Boyd P. The contagion of mortality: A terror management health model for pandemics. Br J Soc Psychol. 2020; 59(3): 607-17. https://doi.org/10.1111/bjso.12392

Ministerio de Salud. Sala Situacional de la Viruela del Mono. URL

Caserotti M, Girardi P, Rubaltelli E, Tasso A, Lotto L, Gavaruzzi T. Associations of COVID-19 risk perception with vaccine hesitancy over time for Italian residents. Soc Sci Med. 2021; 272: 113688. https://doi.org/10.1016/j.socscimed.2021.113688

Qiao S, Tam CC, Li X. Risk exposures, risk perceptions, negative attitudes toward general vaccination, and COVID-19 vaccine acceptance among college students in South Carolina. Am J Health Promot. 2021; 36(1): 175-9 08901171211028407. https://doi.org/10.1177/08901171211028407

Alsharawy A, Spoon R, Smith A, Ball S. Gender differences in fear and risk perception during the COVID-19 pandemic. Front Psychol. 2021; 12: 689467. https://doi.org/10.3389/fpsyg.2021.689467

Frey R, Pedroni A, Mata R, Rieskamp J, Hertwig R. Risk preference shares the psychometric structure of major psychological traits. Sci Adv. 2017; 3(10): e1701381. https://doi.org/10.1126/sciadv.1701381

Mata R, Frey R, Richter D, Schupp J, Hertwig R. Risk preference: A view from psychology. J Econ Perspect. 2018; 32(2): 155-72. https://doi.org/10.1257/jep.32.2.155

Lecuona O, Lin CY, Rozgonjuk D, Norekvål TM, Iversen MM, Mamun MA, Pakpour AH. A Network Analysis of the Fear of COVID-19 Scale (FCV-19S): A Large-Scale Cross-Cultural Study in Iran, Bangladesh, and Norway. Int J Environ Res Public Health. 2022; 19(11): 6824. https://doi.org/10.3390/ijerph19116824

Mertens G, Duijndam S, Smeets T, Lodder P. The latent and item structure of COVID-19 fear: A comparison of four COVID-19 fear questionnaires using SEM and network analyses. J Anxiety Disord. 2021; 81: 102415. https://doi.org/10.1016/j.janxdis.2021.102415

Taylor S, Landry CA, Paluszek MM, Groenewoud R, Rachor GS, Asmundson GJ. A proactive approach for managing COVID-19: the importance of understanding the motivational roots of vaccination hesitancy for SARS-CoV2. Front Psychol. 2020; 11: 575950. https://doi.org/10.3389/fpsyg.2020.575950

Gao J, Zheng P, Jia Y, Chen H, Mao Y, Chen S, Dai J. Mental health problems and social media exposure during COVID-19 outbreak. Plos one. 2020; 15(4): e0231924. https://doi.org/10.1371/journal.pone.0231924

Rubin GJ, Wessely S. The psychological effects of quarantining a city. Bmj. 2020, 368. https://doi.org/10.1136/bmj.m313

Ghaddar A, Khandaqji S, Awad Z, Kansoun R. Conspiracy beliefs and vaccination intent for COVID-19 in an infodemic. PloS one. 2022; 17(1): e0261559. https://doi.org/10.1371/journal.pone.0261559

Ortiz-Martínez Y, Sarmiento J, Bonilla-Aldana DK, Rodríguez-Morales AJ. Monkeypox goes viral: measuring the misinformation outbreak on Twitter. J Infect Dev Ctries. 2022; 16(07): 1218-20. https://doi.org/10.3855/jidc.16907

Islam MS, Sarkar T, Khan SH, Kamal AHM, Hasan SM, Kabir A, Seale H. COVID-19–related infodemic and its impact on public health: A global social media analysis. Am J Trop Med Hyg. 2020; 103(4): 1621-9. https://doi.org/10.4269/ajtmh.20-0812

Bhagavathula AS, Massey P, Khubchandani J. Monkeypox outbreak and global public interest in the disease. Journal of Hospital Infection. 2022; 129: 110-2. https://doi.org/10.1016/j.jhin.2022.07.033

Ennab F, Nawaz FA, Narain K, Nchasi G, Essar MY, Head MG, Shen B. Monkeypox outbreaks in 2022: battling another “pandemic” of misinformation. Int J Public Health. 2022; 67: 1605149. https://doi.org/10.3389/ijph.2022.1605149






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