Vaccination against mpox can control the outbreak by targeting high-risk groups such as the LGBTIQ+ community. The aim of the study was to evaluate the perceptions and intentions to get vaccinated against mpox among the LGBTIQ+ community in Peru. We conducted a cross-sectional study from 1 November 2022 to 17 January 2023 in Peru. We included individuals over 18 years old, belonging to the LGBTIQ+ community, and residing in the departments of Lima and Callao. To evaluate the factors associated with the intention to be vaccinated, we used Poisson regression with robust variance to create a multivariate model. The study comprised 373 individuals who self-identified as members of the LGBTIQ+ community. The participants had a mean age of 31 years (SD ± 9), with 85.0% males and 75.3% reporting to be homosexual men. The majority (88.5%) expressed their intention to receive the vaccine against mpox. Believing that the vaccine is safe was associated with a higher intention to be vaccinated (aPR: 1.24; 95% CI: 1.02 to 1.50; p = 0.028). Our study population showed a high level of mpox vaccination intent. Educational campaigns reinforcing the concept of vaccine safety should be conducted to increase the intention and possibly the vaccination rate in the LGBTIQ+ community.

Introduction: Due to the high incidence of mpox in Peru and the poor knowledge about this disease among healthcare workers in non-endemic countries, it is crucial to determine the knowledge status of Peruvian physicians. Methodology: We conducted an analytical cross-sectional study based on an online survey from August to September 2022. Physicians who had a medical license and lived and practiced medicine in Peru were included. To evaluate the factors associated with a higher level of knowledge, we used crude (cPR) and adjusted (aPR) prevalence ratios with 95% confidence intervals (95% CI) using Poisson regression. Results: We included 463 physicians. The mean age was 36.6 (SD: 10.3) years, and most were male (58.1%). Regarding knowledge, the median knowledge score was 14 [IQR: 13 to 15] out of 17 points. In terms of knowledge gaps, only 60.7% of the participants knew that there was an FDA-approved vaccine for mpox, 49.0% of participants knew about mpox proctitis and 33.3% acknowledged that it could be transmitted by the bite of an infected rodent. We found that taking care of patients with mpox (aPR: 1.39; 95% CI: 1.13 to 1.72) was associated with higher knowledge (>p50), while living in the eastern macro-region (aPR: 0.62; 95% CI: 0.42 to 0.93) was associated with lower knowledge (≤p50). Conclusions: Our study showed a high level of knowledge about mpox among Peruvian physicians. However, educational campaigns may be necessary, especially for physicians from the eastern region and those who do not have clinical experience with mpox.

We aimed to evaluate the factors associated with intimate partner violence (IPV) against reproductiveage women in Peru. Methods: Secondary analysis of the ENDES 2015-2017. ENDES is a multi-stage survey with a probabilistic sampling design for the urban and rural areas of the 25 regions of Peru. A total of 62,870 women of reproductive age (15-49 years) were included. IPV was defined as any report of violence (physical, psychological or sexual) committed by the last partner of the women. Categorical variables were described using absolute frequencies and weighted proportions. We used generalized linear models with Poisson family and log link function to calculate prevalence ratios (PR) for the associated factors with their respective 95% confidence intervals. Results: The overall IPV was 38.7%. The prevalence of sexual, psychological and physical IPV was 6.9%, 26.8%, and 31.2%, respectively. The frequency of any IPV was lower in younger women, those living with their intimate partners or married, and those living in a coastal region different from Lima. IPV was more frequent among women with a low educational level, or with a partner with low educational level, with children, with a partner with alcohol habit, in women with a history of violence by the father against the mother and living in the highlands or the jungle. Conclusions: In Peru, IPV affects nearly four in ten women (physical and psychological types were the most frequent). The factors associated with IPV can be useful markers to identify the most vulnerable groups for implementing interventions intended to decrease the prevalence of IPV.

Objetivos: Estimar la asociación entre tener conocimientos acerca del cáncer de cuello uterino (CaCu) y realizarse una prueba de Papanicolaou (PAP) en mujeres peruanas mayores de 30 años. Materiales y métodos: Se realizó un análisis secundario de la Encuesta Demográfica y de Salud Familiar de los años 2015 al 2017. El nivel conocimiento fue evaluado utilizando las preguntas: ¿considera usted que el cáncer se puede prevenir?, ¿alguna vez ha oído hablar del CaCu?, ¿alguna vez ha oído hablar del virus del papiloma humano (VPH)? y ¿considera que el VPH puede causar CaCu? La variable dependiente fue la realización de un PAP en los dos últimos años. Para estimar la asociación se utilizaron modelos lineales generalizados de la familia Poisson crudos y ajustados. La medida de asociación fue la razón de prevalencia ajustada (RPa) con sus respectivos intervalos de confianza al 95% (IC 95%). Resultados: Se analizaron datos de 21 563 mujeres. La prevalencia de haberse realizado un PAP en los últimos dos años fue 52,4%. Se encontró que, quienes respondieron que se puede prevenir el cáncer (RPa = 1,09; IC 95%: 1,01-1,17), que habían oído hablar del CaCu (RPa = 1,27; IC 95%: 1,14-1,40) o del VPH (RP 1,20; IC 95%:1,13-1,28) o que respondieron que el VPH podía causar CaCu (RPa = 1,21; IC 95%: 1,11-1,33) tuvieron una mayor prevalencia de haberse realizado un PAP en los últimos dos años. Conclusiones: Tener conocimientos sobre CaCu y VPH se asoció con haberse realizado un PAP en los últimos dos años.

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