Mpox among people reporting being unhoused or engaging in transactional sex within a multijurisdictional case-control study of sexually and gender minoritized individuals— United States, August 2022–March 2024

Jessica P. Sherman, Adeline L. Morris, Linda M. Niccolai, Anna Ruff, Dakota Schneider, Melissa Sutton, Sam Hawkins, Preeti Pathela, Gabriela S. Betancourt, Gretchen Rothrock, Joelle Nadle, Jemma V. Rowlands, Christina B. Felsen, Amber Britton, Monica M. Farley, Lauren M. Duval, Kevin F. Kamis, William L. Still, Allison S. Morrow and Caroline J. Waddell

Social Science & Medicine, 2025, vol. 383, issue C

Abstract: Since May 2022, a clade II multinational mpox outbreak has disproportionately affected certain sexually and gender minoritized individuals (SGM). Beyond infectious disease risks, SGM populations face social and structural inequities that may increase their likelihood of experiencing homelessness or engaging in transactional sex (TS). Research on the impact of homelessness and TS on risk of mpox is limited, especially among SGM. This study examined the risk of mpox among people who reported homelessness and/or TS from a survey of SGM participants.

Date: 2025
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DOI: 10.1016/j.socscimed.2025.118497

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