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. 2022 Nov 1;11(11):1285. doi: 10.3390/pathogens11111285

Table 2.

Participants’ answers regarding knowledge and attitudes toward smallpox and MPXV (n = 1352).

Question Number of Respondents (%)
Smallpox questions
Have you heard of Smallpox before the current epidemic?
n (%)
no 344 (25.4)
yes 1008 (74.6)
Is Smallpox common in Italy?
n (%)
no 558 (41.3)
yes 341 (25.2)
I don’t know 453 (33.5)
Have you been vaccinated against Smallpox?
n (%)
no 373 (27.6)
yes 709 (52.4)
I don’t know 270 (20.0)
Has someone in your family been vaccinated against Smallpox?
n (%)
no 51 (3.8)
parents 657 (48.6)
siblings 306 (22.6)
grandparents 255 (18.9)
partner 9 (0.7)
MPX questions—knowledge
The current cases of MPXV infections are:
n (%)
about 15,000 361 (26.7)
about 500,000 200 (14.8)
about 6,000,000 219 (16.2)
I don’t know 572 (42.3)
Can MPX cause deaths?
n (%)
no 296 (21.9)
yes 555 (41.1)
I don’t know 501 (37.0)
Has anyone you know contracted MPXV infection?
n (%)
no 1321 (97.7)
yes 31 (2.3)
MPXV can be transmitted through:
sexual intercourse 287 (21.2)
skin contacts (not sexual) 449 (33.2)
food 31 (2.3)
animals 78 (5.8)
objects 167 (12.3)
air 173 (12.8)
flies 14 (1.0)
I don’t know 637 (47.1)
The incubation time of MPX lasts:
1–3 months 18 (1.3)
1–3 weeks 362 (26.8)
1–3 days 45 (3.3)
I don’t know 927 (68.6)
The main symptoms of MPX are:
fever 338 (25.0)
skin eruption 600 (44.4)
muscular pain 120 (8.9)
headache 200 (14.8)
lymph node swelling 103 (7.6)
tiredness 90 (6.7)
eye symptoms 34 (2.5)
dizziness 13 (1.0)
nausea or vomit 32 (2.4)
I don’t know 661 (48.9)
The symptoms of MPX last:
2–4 weeks 316 (23.4)
2–4 months 60 (4.4)
2–4 days 40 (3.0)
I don’t know 936 (69.2)
MPX can be severe for:
those who have homosexual intercourses 284 (21.9)
pregnant women 191 (14.7)
immunosuppressed individuals 509 (39.2)
old adults 109 (8.4)
children 103 (7.9)
the whole population 102 (7.8)
Is a MPX vaccine available?
n (%)
no 352 (26.0)
yes 654 (48.4)
I don’t know 346 (25.6)
Total knowledge about MPX
mean ± DS, median (IQR) 2.9 ± 2.2, 2 (1–5)
Main source of information about MPX:
TV/radio/newspapers 1157 (85.6)
social media 108 (8.0)
doctor 87 (6.4)
MPX questions—attitudes
Would you undergo MPXV vaccination?
n (%)
no 364 (26.9)
yes 619 (45.8)
I don’t know 369 (27.3)
If not favorable to MPXV vaccination, why?
the disease is not severe 139 (37.7)
the disease is not common in Italy 74 (20.0)
I don’t trust vaccines 142 (38.5)
health reasons 10 (2.7)
I’m not at risk 4 (1.1)
How much are you worried about MPXV infection?
mean ± DS, median (IQR) 2.3 ± 1.2, 2 (1–3)
How much have you changed your habits to prevent MPXV infection?
mean ± DS, median (IQR) 1.3 ± 1.1, 1 (1–2)
If you have not changed your habits, why?
my habits are not risky 186 (22.4)
the disease is not severe 65 (7.8)
the disease is not common in Italy 37 (4.5)
I have been vaccinated 15 (1.8)
I don’t know which habit can be risky 527 (63.5)