Mpox Illness Narratives: Stigmatising Care and Recovery During and After an Emergency Outbreak

Smith, Anthony K. J.; Storer, Daniel; Lancaster, Kari; Haire, Bridget; Newman, Christy E.; Paparini, Sara; MacGibbon, James; Cornelisse, Vincent J.; Broady, Timothy R.; Lockwood, Timmy; McNulty, Anna; Delpech, Valerie and Holt, Martin. 2024. Mpox Illness Narratives: Stigmatising Care and Recovery During and After an Emergency Outbreak. Qualitative Health Research, ISSN 1049-7323 [Article] (In Press)

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Abstract or Description

In May 2022, a global outbreak of mpox (formerly monkeypox virus) affected thousands of mainly gay and bisexual men. Mpox is usually a time-limited illness that can involve fever, pain, and skin lesions, but may require hospitalisation. There is scant research into the firsthand experiences of people affected by mpox, including experiences of symptoms, healthcare, and recovery. This study considers the different illness narratives of people who experienced mpox in Australia in 2022. In-depth interviews and 6-month follow-up interviews were conducted with 16 people, including 13 people diagnosed with mpox and three close contacts. All participants were cisgender gay or bisexual men living in Australia. Participants’ accounts described minor to severe periods of sickness, negative and stigmatising experiences engaging with healthcare, and some participants experienced long-term effects on their sexual well-being and complications from mpox. The emergency outbreak context meant that mpox was highly distressing, making it difficult to manage and producing varying forms of disruption to everyday life. Mpox was narrated as disruptive in different ways: as a minor interruption to holiday plans, a prolonged period of poor health, or a biographically disruptive event prompting a re-evaluation of sexual values and health. This analysis demonstrates that an unfamiliar emergent disease outbreak related to sexual practices and sociality can reconfigure personal life and sexual well-being, suggesting a need to focus on providing quality patient care in outbreaks of mpox and other infectious diseases.

Item Type:

Article

Identification Number (DOI):

https://doi.org/10.1177/10497323241234482

Additional Information:

Funding: The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This study was funded by the Triple I Clinical Academic Group 2022 Seed Grant Funding (UNSW Medicine & Health). Kari Lancaster is supported by an Australian Research Council DECRA Fellowship (DE230100642).

Data Access Statement:

Research data are not shared.

Keywords:

mpox; biographical disruption; gay and bisexual men; public health; sociology; stigma

Departments, Centres and Research Units:

Sociology

Dates:

DateEvent
10 March 2024Accepted
10 March 2024Published Online

Item ID:

36363

Date Deposited:

20 May 2024 14:19

Last Modified:

20 May 2024 14:19

Peer Reviewed:

Yes, this version has been peer-reviewed.

URI:

https://research.gold.ac.uk/id/eprint/36363

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