ArticleFrontiers in immunology2026
Using protection motivation theory to predict monkeypox vaccination intention among adults in Chongqing, China.
Article in Frontiers in immunology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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.
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.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
11 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: The global spread of monkeypox represents a significant public health challenge. Vaccination is the cornerstone of pandemic control, and understanding the psychological factors underlying vaccination decisions is crucial. This study aimed to investigate the predictors of monkeypox vaccination intention among Chinese adults. Methods: A cross-sectional online survey was conducted among a convenience sample of adults in Chongqing, China, from March to April 2025. The questionnaire assessed sociodemographic characteristics, knowledge of monkeypox, and constructs from the Protection Motivation Theory (PMT). Structural equation modeling (SEM) was employed to test the direct and indirect paths between the PMT constructs and vaccination intention. Results: Of 805 valid respondents, 290 intended to vaccinate. CFA confirmed good reliability/validity of PMT scales (Cronbach's α: 0.789-0.937). SEM showed good fit (CFI = 0.97, RMSEA = 0.04). Severity perception (β=0.14) and self-efficacy (β=0.13) positively predicted intention, while response cost (β=-0.26) negatively predicted it (all p<0.05). Knowledge had indirect effects via risk perception, response efficacy, and self-efficacy. Age was directly negatively associated with the vaccination intention. Conclusion: During the study period, no monkeypox vaccine had been approved for marketing in China, and routine vaccination was not recommended for the general public; in this context, willingness to receive a monkeypox vaccine among adults in Chongqing was relatively low. The Protection Motivation Theory provides a valuable framework for understanding vaccination intention. If vaccines are included in future routine recommendations, interventions should emphasize severity, reduce barriers, and build public confidence to increase uptake.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.