According to a recent study published by Le Forestier et al in Psychological Science, the concealment of sexual identity may be associated with reduced health-seeking behaviors among patients with or at risk of contracting mpox who identified as sexual minority men. In the study, investigators recruited 864 and 685 sexual minority men during the peak and attenuation of the 2022 global mpox outbreak, respectively. The enrollees were from Australia, Canada, the United Kingdom, and the United States. The participants were asked to answer a questionnaire regarding their mpox-related health behaviors. Men who reported concealing their sexual identities had a lower likelihood of receiving an mpox vaccine or test or reporting receipt of a vaccine compared to men who reported being open about their sexual identities. Further, those who concealed their sexual identities were less connected to their communities and had less awareness of mpox resources than those who were open about their identities—suggesting that stigmatization of sexual identities may impact health behaviors as well as resource knowledge and utilization. The investigators concluded that public health interventions for mpox may need to consider additional strategies to better reach sexual minority men.


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