Who Is Afraid of Monkeypox? Analysis of Psychosocial Factors Associated with the First Reactions of Fear of Monkeypox in the Italian Population

Background: A rising number of monkeypox cases have been detected in Europe and several Western nations. Evaluating the fear associated with monkeypox is crucial to determine the necessity for tailored education and prevention programs for specific populations. This study explores the psychological and social factors linked to the fear response to monkeypox.

Methods: Nine self-report measures were completed by 333 participants (212 women, 110 men, and 11 individuals identifying as other genders) from the general Italian population, investigating different psychosocial variables.

Results: The findings revealed that higher levels of monkeypox fear were linked to identifying as LGB+ or having close associations with the LGBTQI+ community, being single, having lower education levels, placing greater importance on religion, receiving more COVID-19 vaccine doses, having a lower current quality of life, and attributing increased impairment to the COVID-19 pandemic. Psychologically, higher levels of monkeypox fear were associated with higher levels of epistemic credulity, close-mindedness, anxiety, difficulty expressing emotions, and difficulty processing them. Conversely, lower levels of monkeypox fear were related to the belief that the media exaggerated the risks associated with monkeypox epidemics. A partial mediation model was presented and tested.

Conclusions: Collecting and utilizing this data can help design targeted education and prevention programs to overcome the fear of monkeypox and promote healthier behaviors.