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Understanding COVID-19 vaccine hesitancy: A cross-sectional study in Malang District, Indonesia
INTRODUCTION: Vaccine hesitancy could undermine efforts to reduce incidence of coronavirus disease 2019 (COVID-19). Understanding COVID-19 vaccine hesitancy is crucial to tailoring strategies to increase vaccination acceptance. This study aims to investigate the prevalence of and the reasons for COV...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Frontiers Media S.A.
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9909106/ https://www.ncbi.nlm.nih.gov/pubmed/36777784 http://dx.doi.org/10.3389/fpubh.2022.1030695 |
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author | Sujarwoto, Maharani, Asri Holipah, Andarini, Sri Saputri, Rindi Ardika Melsalasa Pakpahan, Eduwin Oceandy, Delvac Tampubolon, Gindo |
author_facet | Sujarwoto, Maharani, Asri Holipah, Andarini, Sri Saputri, Rindi Ardika Melsalasa Pakpahan, Eduwin Oceandy, Delvac Tampubolon, Gindo |
author_sort | Sujarwoto, |
collection | PubMed |
description | INTRODUCTION: Vaccine hesitancy could undermine efforts to reduce incidence of coronavirus disease 2019 (COVID-19). Understanding COVID-19 vaccine hesitancy is crucial to tailoring strategies to increase vaccination acceptance. This study aims to investigate the prevalence of and the reasons for COVID-19 vaccine hesitancy in Malang District, Indonesia. METHODS: Data come from a cross-sectional study among individuals aged 17-85 years old (N = 3,014). Multivariate ordered logistic regression was used to identify factors associated with postponing or refusing COVID-19 vaccines. The Oxford COVID-19 vaccine hesitancy scale was used to measure vaccine hesitancy. A wide range of reasons for hesitancy, including coronavirus vaccine confidence and complacency, vaccination knowledge, trust and attitude in health workers and health providers, coronavirus conspiracy, anger reaction and need for chaos, populist views, lifestyle, and religious influence, was examined. RESULTS AND DISCUSSION: The results show that 60.2% of the respondents were hesitant to receive the COVID-19 vaccine. Low confidence and complacency beliefs about the vaccine (OR = 1.229, 95% CI = 1.195–1.264) and more general sources of mistrust within the community, particularly regarding health providers (OR = 1.064, 95% CI = 1.026–1.102) and vaccine developers (OR = 1.054, 95% CI = 1.027–1.082), are associated with higher levels of COVID-19 vaccine hesitancy. Vaccine hesitancy is also associated with anger reactions (OR = 1.019, 95% CI = 0.998–1.040), need for chaos (OR = 1.044, 95% CI = 1.022–1.067), and populist views (OR = 1.028, 95% CI = 1.00–1.056). The findings were adjusted for socio-demographic factors, including age, sex, education, marital status, working status, type of family, household income, religious beliefs, and residency. The results suggest the need for an effective health promotion program to improve community knowledge of the COVID-19 vaccine, while effective strategies to tackle “infodemics” are needed to address hesitancy during a new vaccine introduction program. |
format | Online Article Text |
id | pubmed-9909106 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Frontiers Media S.A. |
record_format | MEDLINE/PubMed |
spelling | pubmed-99091062023-02-10 Understanding COVID-19 vaccine hesitancy: A cross-sectional study in Malang District, Indonesia Sujarwoto, Maharani, Asri Holipah, Andarini, Sri Saputri, Rindi Ardika Melsalasa Pakpahan, Eduwin Oceandy, Delvac Tampubolon, Gindo Front Public Health Public Health INTRODUCTION: Vaccine hesitancy could undermine efforts to reduce incidence of coronavirus disease 2019 (COVID-19). Understanding COVID-19 vaccine hesitancy is crucial to tailoring strategies to increase vaccination acceptance. This study aims to investigate the prevalence of and the reasons for COVID-19 vaccine hesitancy in Malang District, Indonesia. METHODS: Data come from a cross-sectional study among individuals aged 17-85 years old (N = 3,014). Multivariate ordered logistic regression was used to identify factors associated with postponing or refusing COVID-19 vaccines. The Oxford COVID-19 vaccine hesitancy scale was used to measure vaccine hesitancy. A wide range of reasons for hesitancy, including coronavirus vaccine confidence and complacency, vaccination knowledge, trust and attitude in health workers and health providers, coronavirus conspiracy, anger reaction and need for chaos, populist views, lifestyle, and religious influence, was examined. RESULTS AND DISCUSSION: The results show that 60.2% of the respondents were hesitant to receive the COVID-19 vaccine. Low confidence and complacency beliefs about the vaccine (OR = 1.229, 95% CI = 1.195–1.264) and more general sources of mistrust within the community, particularly regarding health providers (OR = 1.064, 95% CI = 1.026–1.102) and vaccine developers (OR = 1.054, 95% CI = 1.027–1.082), are associated with higher levels of COVID-19 vaccine hesitancy. Vaccine hesitancy is also associated with anger reactions (OR = 1.019, 95% CI = 0.998–1.040), need for chaos (OR = 1.044, 95% CI = 1.022–1.067), and populist views (OR = 1.028, 95% CI = 1.00–1.056). The findings were adjusted for socio-demographic factors, including age, sex, education, marital status, working status, type of family, household income, religious beliefs, and residency. The results suggest the need for an effective health promotion program to improve community knowledge of the COVID-19 vaccine, while effective strategies to tackle “infodemics” are needed to address hesitancy during a new vaccine introduction program. Frontiers Media S.A. 2023-01-26 /pmc/articles/PMC9909106/ /pubmed/36777784 http://dx.doi.org/10.3389/fpubh.2022.1030695 Text en Copyright © 2023 Sujarwoto, Maharani, Holipah, Andarini, Saputri, Pakpahan, Oceandy and Tampubolon. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. |
spellingShingle | Public Health Sujarwoto, Maharani, Asri Holipah, Andarini, Sri Saputri, Rindi Ardika Melsalasa Pakpahan, Eduwin Oceandy, Delvac Tampubolon, Gindo Understanding COVID-19 vaccine hesitancy: A cross-sectional study in Malang District, Indonesia |
title | Understanding COVID-19 vaccine hesitancy: A cross-sectional study in Malang District, Indonesia |
title_full | Understanding COVID-19 vaccine hesitancy: A cross-sectional study in Malang District, Indonesia |
title_fullStr | Understanding COVID-19 vaccine hesitancy: A cross-sectional study in Malang District, Indonesia |
title_full_unstemmed | Understanding COVID-19 vaccine hesitancy: A cross-sectional study in Malang District, Indonesia |
title_short | Understanding COVID-19 vaccine hesitancy: A cross-sectional study in Malang District, Indonesia |
title_sort | understanding covid-19 vaccine hesitancy: a cross-sectional study in malang district, indonesia |
topic | Public Health |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9909106/ https://www.ncbi.nlm.nih.gov/pubmed/36777784 http://dx.doi.org/10.3389/fpubh.2022.1030695 |
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