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Hesitancy in COVID-19 vaccine uptake and its associated factors among the general adult population: a cross-sectional study in six Southeast Asian countries

BACKGROUND: Vaccines are effective and reliable public health interventions against viral outbreaks and pandemics. However, hesitancy regarding the Coronavirus disease (COVID-19) vaccine is evident worldwide. Therefore, understanding vaccination-related behavior is critical in expanding the vaccine...

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Autores principales: Marzo, Roy Rillera, Sami, Waqas, Alam, Md. Zakiul, Acharya, Swosti, Jermsittiparsert, Kittisak, Songwathana, Karnjana, Pham, Nhat Tan, Respati, Titik, Faller, Erwin Martinez, Baldonado, Aries Moralidad, Aung, Yadanar, Borkar, Sharmila Mukund, Essar, Mohammad Yasir, Shrestha, Sunil, Yi, Siyan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8727234/
https://www.ncbi.nlm.nih.gov/pubmed/34983692
http://dx.doi.org/10.1186/s41182-021-00393-1
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author Marzo, Roy Rillera
Sami, Waqas
Alam, Md. Zakiul
Acharya, Swosti
Jermsittiparsert, Kittisak
Songwathana, Karnjana
Pham, Nhat Tan
Respati, Titik
Faller, Erwin Martinez
Baldonado, Aries Moralidad
Aung, Yadanar
Borkar, Sharmila Mukund
Essar, Mohammad Yasir
Shrestha, Sunil
Yi, Siyan
author_facet Marzo, Roy Rillera
Sami, Waqas
Alam, Md. Zakiul
Acharya, Swosti
Jermsittiparsert, Kittisak
Songwathana, Karnjana
Pham, Nhat Tan
Respati, Titik
Faller, Erwin Martinez
Baldonado, Aries Moralidad
Aung, Yadanar
Borkar, Sharmila Mukund
Essar, Mohammad Yasir
Shrestha, Sunil
Yi, Siyan
author_sort Marzo, Roy Rillera
collection PubMed
description BACKGROUND: Vaccines are effective and reliable public health interventions against viral outbreaks and pandemics. However, hesitancy regarding the Coronavirus disease (COVID-19) vaccine is evident worldwide. Therefore, understanding vaccination-related behavior is critical in expanding the vaccine coverage to flatten the infection curve. This study explores the public perception regarding COVID-19 vaccination and identifies factors associated with vaccine hesitancy among the general adult populations in six Southeast Asian countries. METHODS: Using a snowball sampling approach, we conducted a descriptive cross-sectional study among 5260 participants in Indonesia, Malaysia, Myanmar, Philippines, Thailand, and Vietnam between February and May 2021. Binary logistic regression analysis with a backward conditional approach was applied to identify factors associated with COVID-19 vaccine hesitancy. RESULTS: Of the total, 50.6% were female, and the median age was 30 years (range: 15–83 years). The majority of the participants believed that vaccination effectively prevents and controls COVID-19 (81.2%), and 84.0% would accept COVID-19 vaccines when they become available. They agreed that health providers’ advice (83.0%), vaccination convenience (75.6%), and vaccine costs (62.8%) are essential for people to decide whether to accept COVID-19 vaccines. About half (49.3%) expressed their hesitancy to receive the COVID-19 vaccines. After adjustment for other covariates, COVID-19 vaccine hesitancy was significantly associated with age, residential area, education levels, employment status, and family economic status. Participants from Indonesia, Myanmar, Thailand, and Vietnam were significantly more likely to express hesitancy in receiving COVID-19 vaccines than those from Philippines. CONCLUSIONS: In general, participants in this multi-country study showed their optimistic perception of COVID-19 vaccines’ effectiveness and willingness to receive them. However, about half of them still expressed their hesitancy in getting vaccinated. The hesitation was associated with several socioeconomic factors and varied by country. Therefore, COVID-19 vaccination programs should consider these factors essential for increasing vaccine uptake in the populations.
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spelling pubmed-87272342022-01-05 Hesitancy in COVID-19 vaccine uptake and its associated factors among the general adult population: a cross-sectional study in six Southeast Asian countries Marzo, Roy Rillera Sami, Waqas Alam, Md. Zakiul Acharya, Swosti Jermsittiparsert, Kittisak Songwathana, Karnjana Pham, Nhat Tan Respati, Titik Faller, Erwin Martinez Baldonado, Aries Moralidad Aung, Yadanar Borkar, Sharmila Mukund Essar, Mohammad Yasir Shrestha, Sunil Yi, Siyan Trop Med Health Research BACKGROUND: Vaccines are effective and reliable public health interventions against viral outbreaks and pandemics. However, hesitancy regarding the Coronavirus disease (COVID-19) vaccine is evident worldwide. Therefore, understanding vaccination-related behavior is critical in expanding the vaccine coverage to flatten the infection curve. This study explores the public perception regarding COVID-19 vaccination and identifies factors associated with vaccine hesitancy among the general adult populations in six Southeast Asian countries. METHODS: Using a snowball sampling approach, we conducted a descriptive cross-sectional study among 5260 participants in Indonesia, Malaysia, Myanmar, Philippines, Thailand, and Vietnam between February and May 2021. Binary logistic regression analysis with a backward conditional approach was applied to identify factors associated with COVID-19 vaccine hesitancy. RESULTS: Of the total, 50.6% were female, and the median age was 30 years (range: 15–83 years). The majority of the participants believed that vaccination effectively prevents and controls COVID-19 (81.2%), and 84.0% would accept COVID-19 vaccines when they become available. They agreed that health providers’ advice (83.0%), vaccination convenience (75.6%), and vaccine costs (62.8%) are essential for people to decide whether to accept COVID-19 vaccines. About half (49.3%) expressed their hesitancy to receive the COVID-19 vaccines. After adjustment for other covariates, COVID-19 vaccine hesitancy was significantly associated with age, residential area, education levels, employment status, and family economic status. Participants from Indonesia, Myanmar, Thailand, and Vietnam were significantly more likely to express hesitancy in receiving COVID-19 vaccines than those from Philippines. CONCLUSIONS: In general, participants in this multi-country study showed their optimistic perception of COVID-19 vaccines’ effectiveness and willingness to receive them. However, about half of them still expressed their hesitancy in getting vaccinated. The hesitation was associated with several socioeconomic factors and varied by country. Therefore, COVID-19 vaccination programs should consider these factors essential for increasing vaccine uptake in the populations. BioMed Central 2022-01-05 /pmc/articles/PMC8727234/ /pubmed/34983692 http://dx.doi.org/10.1186/s41182-021-00393-1 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Research
Marzo, Roy Rillera
Sami, Waqas
Alam, Md. Zakiul
Acharya, Swosti
Jermsittiparsert, Kittisak
Songwathana, Karnjana
Pham, Nhat Tan
Respati, Titik
Faller, Erwin Martinez
Baldonado, Aries Moralidad
Aung, Yadanar
Borkar, Sharmila Mukund
Essar, Mohammad Yasir
Shrestha, Sunil
Yi, Siyan
Hesitancy in COVID-19 vaccine uptake and its associated factors among the general adult population: a cross-sectional study in six Southeast Asian countries
title Hesitancy in COVID-19 vaccine uptake and its associated factors among the general adult population: a cross-sectional study in six Southeast Asian countries
title_full Hesitancy in COVID-19 vaccine uptake and its associated factors among the general adult population: a cross-sectional study in six Southeast Asian countries
title_fullStr Hesitancy in COVID-19 vaccine uptake and its associated factors among the general adult population: a cross-sectional study in six Southeast Asian countries
title_full_unstemmed Hesitancy in COVID-19 vaccine uptake and its associated factors among the general adult population: a cross-sectional study in six Southeast Asian countries
title_short Hesitancy in COVID-19 vaccine uptake and its associated factors among the general adult population: a cross-sectional study in six Southeast Asian countries
title_sort hesitancy in covid-19 vaccine uptake and its associated factors among the general adult population: a cross-sectional study in six southeast asian countries
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8727234/
https://www.ncbi.nlm.nih.gov/pubmed/34983692
http://dx.doi.org/10.1186/s41182-021-00393-1
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