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International health
Sep 05, 2024;16 (5): 487-498.

Global knowledge and attitudes towards mpox (monkeypox) among healthcare workers: a systematic review and meta-analysis.

Abdolreza Sotoodeh Jahromi, Mohammad Jokar, Nader Sharifi, Sirus Kashkooli, Karamatollah Rahmanian, Vahid Rahmanian
Author Information
  1. Abdolreza Sotoodeh Jahromi: Zoonoses Research Center, Jahrom University of Medical Sciences, Jahrom, Iran. ORCID
  2. Mohammad Jokar: Faculty of Veterinary Medicine, Karaj Branch, Islamic Azad University, Karaj, Iran. ORCID
  3. Nader Sharifi: Department of Public Health, Khomein University of Medical Sciences, Khomein, Iran. ORCID
  4. Sirus Kashkooli: Research Center for Social Determinants of Health, Jahrom University of Medical Sciences, Jahrom, Iran.
  5. Karamatollah Rahmanian: Research Center for Social Determinants of Health, Jahrom University of Medical Sciences, Jahrom, Iran. ORCID
  6. Vahid Rahmanian: Department of Public Health, Torbat Jam Faculty of Medical Sciences, Torbat Jam, Iran. ORCID
PMID: 37861417 DOI: 10.1093/inthealth/ihad094

Abstract

BACKGROUND: The recent increase in human mpox (monkeypox) cases emphasizes the importance of early detection, prompt response and preventive management to control the spread of the disease. Healthcare workers (HCWs) play a crucial role in this process. This study aimed to determine the global knowledge and attitudes towards mpox among HCWs.
METHODS: This study searched multiple databases, including Google Scholar, Scopus, PubMed/MEDLINE, Science Direct, Web of Science, Embase, Springer and ProQuest, to locate various publications. The search was limited to English-language articles published between May 2022 (when the increase in mpox incidence was reported) and August 2023. The Joanna Briggs Institute (JBI) quality checklist was utilized to evaluate the quality of the included studies. Data were obtained using a Microsoft Excel spreadsheet and subsequently scrutinized through STATA software, version 14. The heterogeneity of the studies was assessed using the inverse variance and Cochran Q statistics based on the I2 test statistics. The Dersimonian and Liard random effects models were used where heterogeneity existed. Subgroup analysis and univariate and multivariable metaregression techniques were used to examine the causes of heterogeneity.
RESULTS: A total of 22 studies, including 22 studies for knowledge (27 731 HCWs) and 6 studies for attitudes (14 388 HCWs), were included in the meta-analysis. The pooled estimates for good knowledge and positive attitudes among HCWs were 26.0% (95% confidence interval [CI] 17.8 to 34.2) and 34.6% (95% CI 19.0 to 50.2), respectively. Moreover, the knowledge was 34.8% (95% CI 24.1 to 45.6) among HCWs with <5 y of work experience and 41.6% (95% CI 33.1 to 50) among individuals possessing >5 y of professional background.
CONCLUSIONS: Good knowledge of HCWs is at a low level. It is suggested that training sessions should be tailored towards younger HCWs with less healthcare experience. Additionally, it is essential to identify strategies on how to improve the knowledge and attitudes for better practice about the disease in HCWs worldwide.

Keywords

attitudes awareness healthcare workers human monkeypox knowledge mpox

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MeSH Term

Humans
Health Knowledge, Attitudes, Practice
Health Personnel
Mpox, Monkeypox
Attitude of Health Personnel
Global Health
Journal Article Systematic Review Meta-Analysis
Article has an altmetric score of 9

Word Cloud

Created with Highcharts 10.0.0HCWsknowledgeattitudesmpoxamongstudies95%monkeypoxtowardsheterogeneity34CIhealthcareincreasehumandiseaseworkersstudyincludingSciencequalityincludedusingstatisticsused226meta-analysis26%501experienceBACKGROUND:recentcasesemphasizesimportanceearlydetectionpromptresponsepreventivemanagementcontrolspreadHealthcareplaycrucialroleprocessaimeddetermineglobalMETHODS:searchedmultipledatabasesGoogleScholarScopusPubMed/MEDLINEDirectWebEmbaseSpringerProQuestlocatevariouspublicationssearchlimitedEnglish-languagearticlespublishedMay2022incidencereportedAugust2023JoannaBriggsInstituteJBIchecklistutilizedevaluateDataobtainedMicrosoftExcelspreadsheetsubsequentlyscrutinizedSTATAsoftwareversion14assessedinversevarianceCochranQbasedI2testDersimonianLiardrandomeffectsmodelsexistedSubgroupanalysisunivariatemultivariablemetaregressiontechniquesexaminecausesRESULTS:total27 73114 388pooledestimatesgoodpositive260%confidenceinterval[CI]178190respectivelyMoreover8%2445<5 ywork4133individualspossessing>5 yprofessionalbackgroundCONCLUSIONS:GoodlowlevelsuggestedtrainingsessionstailoredyoungerlessAdditionallyessentialidentifystrategiesimprovebetterpracticeworldwideGlobalworkers:systematicreviewawareness

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