Knowledge regarding human monkeypox among a sample of undergraduate and post-graduate students from selected tertiary institutions in Bangladesh: An online-based cross-sectional study

doi:10.1371/journal.pone.0315677

. 2024 Dec 31;19(12):e0315677.

doi: 10.1371/journal.pone.0315677. eCollection 2024.

Knowledge regarding human monkeypox among a sample of undergraduate and post-graduate students from selected tertiary institutions in Bangladesh: An online-based cross-sectional study

Affiliations

¹ Department of Food Microbiology, Faculty of Nutrition and Food Science, Patuakhali Science and Technology University, Patuakhali, Bangladesh.
² Public Health and Tropical Medicine, James Cook University, Townsville, Australia.
³ Department of Environmental Sanitation, Faculty of Nutrition and Food Science, Patuakhali Science and Technology University, Patuakhali, Bangladesh.
⁴ Department of Food Processing and Engineering, Chattogram Veterinary and Animal Sciences University, Chattogram, Bangladesh.
⁵ Department of Health, Society, & Behavior, UC Irvine Joe C. Wen School of Population & Public Health, Irvine, California, United States of America.
⁶ Department of Public Health, North South University, Dhaka, Bangladesh.
⁷ Department of Family and Community Medicine, Faculty of Medicine, University of Jeddah, Jeddah, Saudi Arabia.
⁸ Department of Geography and Environmental Studies, University of Chittagong, Chittagong, Bangladesh.
⁹ Department of Public Health and Informatics, Jahangirnagar University, Dhaka, Bangladesh.
¹⁰ Bangladesh Dental College and Hospital, Dhaka, Bangladesh.
¹¹ Colonel Maleque Medical College, Manikganj, Bangladesh.
¹² Faculty of Agriculture, Patuakhali Science and Technology University, Patuakhali, Bangladesh.
¹³ Department of Human Nutrition and Dietetics, Faculty of Nutrition and Food Science, Patuakhali Science and Technology University, Patuakhali, Bangladesh.
¹⁴ Department of Cellular and Molecular Biology, Faculty of Biotechnology and Genetic Engineering, Chattogram Veterinary and Animal Sciences University, Chattogram, Bangladesh.

PMID: 39739877
PMCID: PMC11687903
DOI: 10.1371/journal.pone.0315677

Knowledge regarding human monkeypox among a sample of undergraduate and post-graduate students from selected tertiary institutions in Bangladesh: An online-based cross-sectional study

Md Hasan Al Banna et al. PLoS One. 2024.

. 2024 Dec 31;19(12):e0315677.

doi: 10.1371/journal.pone.0315677. eCollection 2024.

Authors

Affiliations

¹ Department of Food Microbiology, Faculty of Nutrition and Food Science, Patuakhali Science and Technology University, Patuakhali, Bangladesh.
² Public Health and Tropical Medicine, James Cook University, Townsville, Australia.
³ Department of Environmental Sanitation, Faculty of Nutrition and Food Science, Patuakhali Science and Technology University, Patuakhali, Bangladesh.
⁴ Department of Food Processing and Engineering, Chattogram Veterinary and Animal Sciences University, Chattogram, Bangladesh.
⁵ Department of Health, Society, & Behavior, UC Irvine Joe C. Wen School of Population & Public Health, Irvine, California, United States of America.
⁶ Department of Public Health, North South University, Dhaka, Bangladesh.
⁷ Department of Family and Community Medicine, Faculty of Medicine, University of Jeddah, Jeddah, Saudi Arabia.
⁸ Department of Geography and Environmental Studies, University of Chittagong, Chittagong, Bangladesh.
⁹ Department of Public Health and Informatics, Jahangirnagar University, Dhaka, Bangladesh.
¹⁰ Bangladesh Dental College and Hospital, Dhaka, Bangladesh.
¹¹ Colonel Maleque Medical College, Manikganj, Bangladesh.
¹² Faculty of Agriculture, Patuakhali Science and Technology University, Patuakhali, Bangladesh.
¹³ Department of Human Nutrition and Dietetics, Faculty of Nutrition and Food Science, Patuakhali Science and Technology University, Patuakhali, Bangladesh.
¹⁴ Department of Cellular and Molecular Biology, Faculty of Biotechnology and Genetic Engineering, Chattogram Veterinary and Animal Sciences University, Chattogram, Bangladesh.

PMID: 39739877
PMCID: PMC11687903
DOI: 10.1371/journal.pone.0315677

Abstract

Background: The recent human monkeypox (mpox) outbreak in 2022 has become a serious concern due to its rapid expansion to various non-endemic countries. There is limited information about the knowledge regarding mpox among the Bangladeshi population. Therefore, this study's objectives were to: (i) determine the level of knowledge regarding mpox among undergraduate and post-graduate students in Bangladesh, and (ii) assess the determinants of knowledge regarding mpox among the study sample.

Methods: An online-based cross-sectional study was conducted among 879 tertiary-level students from selected tertiary institutions (n = 13) in Bangladesh. The structured questionnaire consisted of two parts: (i) socio-demographic information and (ii) an assessment of knowledge regarding mpox. The Kruskal-Wallis test, Mann-Whitney test, and multivariable quantile regression model were employed.

Results: The median age of the study participants was 23 years (IQR: 25-22). Low knowledge of mpox was found among study participants (20.7%, 23.2% and 56.1% had good, moderate and poor knowledge, respectively). The overall median knowledge score for mpox was 11 (IQR: 16-6). The median knowledge score of mpox significantly differed by participants' gender, study major, and academic education about mpox. In the quantile regression analysis, the association between gender and mpox knowledge was observed at the 25th (β = 1.343), 50th (β = 2.00) and 75th (β = 1.59) quantiles with females having more knowledge compared to males. The effects of study group were significant at 25th (β = 1.746), 50th (β = 1.5), 75th (β = 1.361) and 90th (β = 1.248) quantiles. Thus, those in medical or public health programs were likely to have more knowledge about mpox relative to those who were in non-medical related study groups. Students who received information about mpox during their education were more knowledgeable compared to those who had not, with statistical significance occurring at 10th (β = 3.711), 25th (β = 6.656), 50th (β = 5.75), 75th (β = 3.404) and 90th (β = 2.592) quantiles.

Conclusion: These findings imply that educational interventions about mpox should consider the gender dynamics and program of study among the students in Bangladesh.

Copyright: © 2024 Banna et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

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Conflict of interest statement

The authors have declared that no competing interests exist.

Figures

**Fig 1. The proportions of respondents by their level of knowledge based on the modified Bloom’s categorization of knowledge levels (N = 879).**

See this image and copyright information in PMC

References

1. Jamil H, Tariq W, Tahir MJ, Mahfooz RS, Asghar MS, Ahmed A. Human monkeypox expansion from the endemic to non-endemic regions: Control measures. Ann Med Surg. 2022;79: 104048. doi: 10.1016/j.amsu.2022.104048 - DOI - PMC - PubMed
1. Rahman MT, Sobur MA, Islam MS, Ievy S, Hossain MJ, El Zowalaty ME, et al.. Zoonotic diseases: etiology, impact, and control. Microorganisms. 2020;8: 1405. doi: 10.3390/microorganisms8091405 - DOI - PMC - PubMed
1. Ophinni Y, Frediansyah A, Sirinam S, Megawati D, Stoian AM, Enitan SS, et al.. Monkeypox: Immune response, vaccination and preventive efforts. Narra J. 2022;2(3):e90. doi: 10.52225/narra.v2i3.90 - DOI - PMC - PubMed
1. Rizk JG, Lippi G, Henry BM, Forthal DN, Rizk Y. Prevention and treatment of monkeypox. Drugs. 2022;82: 957–963. doi: 10.1007/s40265-022-01742-y - DOI - PMC - PubMed
1. Alrasheedy AA, Aldawsari AH, Alqasir MI, Alsawyan OA, Alalwan OA, Alwaker SA, et al.. Knowledge of Community Pharmacists in Saudi Arabia Regarding Human Monkeypox, Its Management, Prevention, and Vaccination: Findings and Implications. Vaccines. 2023;11: 878. doi: 10.3390/vaccines11040878 - DOI - PMC - PubMed

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[1] Jamil H, Tariq W, Tahir MJ, Mahfooz RS, Asghar MS, Ahmed A. Human monkeypox expansion from the endemic to non-endemic regions: Control measures. Ann Med Surg. 2022;79: 104048. doi: 10.1016/j.amsu.2022.104048 - DOI - PMC - PubMed

[2] Jamil H, Tariq W, Tahir MJ, Mahfooz RS, Asghar MS, Ahmed A. Human monkeypox expansion from the endemic to non-endemic regions: Control measures. Ann Med Surg. 2022;79: 104048. doi: 10.1016/j.amsu.2022.104048 - DOI - PMC - PubMed

[3] Rahman MT, Sobur MA, Islam MS, Ievy S, Hossain MJ, El Zowalaty ME, et al.. Zoonotic diseases: etiology, impact, and control. Microorganisms. 2020;8: 1405. doi: 10.3390/microorganisms8091405 - DOI - PMC - PubMed

[4] Rahman MT, Sobur MA, Islam MS, Ievy S, Hossain MJ, El Zowalaty ME, et al.. Zoonotic diseases: etiology, impact, and control. Microorganisms. 2020;8: 1405. doi: 10.3390/microorganisms8091405 - DOI - PMC - PubMed

[5] Ophinni Y, Frediansyah A, Sirinam S, Megawati D, Stoian AM, Enitan SS, et al.. Monkeypox: Immune response, vaccination and preventive efforts. Narra J. 2022;2(3):e90. doi: 10.52225/narra.v2i3.90 - DOI - PMC - PubMed

[6] Ophinni Y, Frediansyah A, Sirinam S, Megawati D, Stoian AM, Enitan SS, et al.. Monkeypox: Immune response, vaccination and preventive efforts. Narra J. 2022;2(3):e90. doi: 10.52225/narra.v2i3.90 - DOI - PMC - PubMed

[7] Rizk JG, Lippi G, Henry BM, Forthal DN, Rizk Y. Prevention and treatment of monkeypox. Drugs. 2022;82: 957–963. doi: 10.1007/s40265-022-01742-y - DOI - PMC - PubMed

[8] Rizk JG, Lippi G, Henry BM, Forthal DN, Rizk Y. Prevention and treatment of monkeypox. Drugs. 2022;82: 957–963. doi: 10.1007/s40265-022-01742-y - DOI - PMC - PubMed

[9] Alrasheedy AA, Aldawsari AH, Alqasir MI, Alsawyan OA, Alalwan OA, Alwaker SA, et al.. Knowledge of Community Pharmacists in Saudi Arabia Regarding Human Monkeypox, Its Management, Prevention, and Vaccination: Findings and Implications. Vaccines. 2023;11: 878. doi: 10.3390/vaccines11040878 - DOI - PMC - PubMed

[10] Alrasheedy AA, Aldawsari AH, Alqasir MI, Alsawyan OA, Alalwan OA, Alwaker SA, et al.. Knowledge of Community Pharmacists in Saudi Arabia Regarding Human Monkeypox, Its Management, Prevention, and Vaccination: Findings and Implications. Vaccines. 2023;11: 878. doi: 10.3390/vaccines11040878 - DOI - PMC - PubMed

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Knowledge regarding human monkeypox among a sample of undergraduate and post-graduate students from selected tertiary institutions in Bangladesh: An online-based cross-sectional study

Affiliations

Knowledge regarding human monkeypox among a sample of undergraduate and post-graduate students from selected tertiary institutions in Bangladesh: An online-based cross-sectional study

Authors

Affiliations

Abstract

Conflict of interest statement

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