Evidence map›Paper›PMID 37119512›Full record

ArticleJournal of epidemiology and global health2023

Factors Influencing Monkeypox Vaccination: A Cue to Policy Implementation.

Priyobrat Rajkhowa, Viola Savy Dsouza, Rashmi Kharel, K Cauvery, B Rashmi Mallya, D S Raksha, V Mrinalini, Preejana Sharma, Sanjay Pattanshetty, Prakash Narayanan and 2 more

Open access · goldAbstract read
In one paragraph

Article in Journal of epidemiology and global health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 3 pooled it
4.1field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 3 syntheses or guidelines pooled it, 29 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Article
  5. Article
  6. Current advances and challenges in mpox vaccine development: a global landscape.Therapeutic advances in vaccines and immunotherapy · 2025
    Review
  7. Article
  8. Article
  9. Review
  10. Article
  11. Article
  12. Article
  13. Review
  14. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 2 institutions in 4 countries.

Priyobrat RajkhowaDepartment of Health Policy, Prasanna School of Public Health, Manipal Academy of Higher Education (MAHE), Manipal, Karnataka, 576104, India.ORCID 0000-0003-4282-7885
Viola Savy DsouzaDepartment of Health Policy, Prasanna School of Public Health, Manipal Academy of Higher Education (MAHE), Manipal, Karnataka, 576104, India.
Rashmi KharelInstitute for Global Health, University College London (UCL), London, UK.
K CauveryDepartment of Global Health Governance, Prasanna School of Public Health, Manipal Academy of Higher Education (MAHE), Manipal, Karnataka, 576104, India.
B Rashmi MallyaDepartment of Clinical Psychology, Manipal College of Health Professions, Manipal Academy of Higher Education (MAHE), Manipal, Karnataka, 576104, India.
D S RakshaDepartment of Clinical Psychology, Manipal College of Health Professions, Manipal Academy of Higher Education (MAHE), Manipal, Karnataka, 576104, India.
V MrinaliniDepartment of Clinical Psychology, Manipal College of Health Professions, Manipal Academy of Higher Education (MAHE), Manipal, Karnataka, 576104, India.
Preejana SharmaDepartment of Psychiatric (Mental Health) Nursing, Manipal College of Nursing, Manipal Academy of Higher Education (MAHE), Manipal, Karnataka, 576104, India.
Sanjay PattanshettyDepartment of International Health, Care and Public Health Research Institute-CAPHRI, Faculty of Health Medicine and Life Sciences, Maastricht University, Maastricht, The Netherlands. sanjay.pattanshetty@manipal.edu.
Prakash NarayananDepartment of Health Policy, Prasanna School of Public Health, Manipal Academy of Higher Education (MAHE), Manipal, Karnataka, 576104, India. p.narayanan@rediffmail.com.
Chandrakant LahariyaIntegrated Department of Pediatrics and Community Medicine, Foundation for People-centric Health Systems, New Delhi, 110029, India.
Helmut BrandDepartment of Health Policy, Prasanna School of Public Health, Manipal Academy of Higher Education (MAHE), Manipal, Karnataka, 576104, India.
Manipal Academy of Higher Education · INUniversity College London · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFollowing the mpox 2022 outbreak, several high-income countries have developed plans with inclusion criteria for vaccination against the mpox disease. This study was carried out to map the factors influencing mpox vaccination uptake to help address the challenges and increase vaccination confidence.

methodsThis was a study based on Tweet analysis. The VADER, Text Blob, and Flair analyzers were adopted for sentiment analysis. The "Levesque conceptual framework for healthcare access" was adopted to evaluate the factors impacting access and the decision to get mpox vaccination. Consolidated Criteria for Reporting Qualitative Research (COREQ) criteria were adopted.

findingsA total of 149,133 tweets were extracted between 01/05/2022 and 23/09/2022. Around 1% of the random tweets were used for qualitative analysis. Of the 149,113, tweets were classified as positive, negative and neutral, respectively, by (a) VADER: (55,040) 37.05%, (44,395) 29.89%, and (49,106) 33.06%, (b) TextBlob: (70,900) 47.73%, (22,729) 15.30%, and (54,921) 36.97%, and (c) Flair: (31,389) 21.13%, (117,152) 78.87%, and 0.00%. Sentiment trajectories revealed that communication, stigmatization, accessibility to and availability of vaccines, and concerns about vaccine safety as factors influencing decision-making in the content and flow of tweets.

interpretationTwitter is a key surveillance tool for understanding factors influencing decisions and access to mpox vaccination. To address vaccine mistrust and disinformation, a social media-based risk communication plan must be devised. Adopting measures to remove logistical vaccination hurdles is needed. Obtaining fact-based information from credible sources is key to improving public confidence.

Indexed as

Mpox, MonkeypoxSmallpox VaccineCuesHumansPolicyVaccinationSmallpox VaccineAccessibilityAccess to vaccinationMonkeypoxMpoxStigmaVaccination

Identifiers

PMID37119512
PMCPMC10148003
OpenAlexW4367394274

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.