A Cross-Sectional Survey of Knowledge, Attitudes, and Practices Toward Mpox Among One Health Stakeholders in Nigeria

Mpox has re-emerged as a global public health threat, particularly in endemic regions such as Nigeria, where human, animal, and environmental health sectors intersect. To inform surveillance and control strategies, this study assessed the knowledge, attitudes, and practices (KAP) toward Mpox among One Health stakeholders in Nigeria. A cross-sectional survey was conducted among 492 participants from human, veterinary, and environmental health sectors using a structured questionnaire. Descriptive statistics, ordinal logistic regression, and margins analysis were used to evaluate levels and predictors of KAP. Results showed that 33.7% of respondents had low knowledge, 43.5% moderate, and 22.8% high. While 62.6% demonstrated high attitude scores, only 48.2% reported moderate preventive practices. Gender was significantly associated with attitudes, with females having lower odds of expressing higher attitudes than males (OR = 0.70, 95% CI: 0.49–1.00, p = 0.052), and margins analysis revealed a predicted probability of high attitude at 56% for females and 64% for males. Multivariable modeling for practice was not pursued because model fit did not improve compared to univariable results, and sparse data led to unstable estimates, thus offering no added explanatory power. These findings underscore persistent knowledge gaps and gender-related disparities that may hinder effective Mpox response. Targeted risk communication and capacity building are recommended to strengthen One Health preparedness in Nigeria.