DISCOVERING THE FACTORS OF COVID-19 VACCINE HESITANCY AMONG MALAYSIAN PARENTS USING THE 5C MODEL

Authors

  • Thivya Dass Faculty of Health and Life Sciences, INTI International University, Persiaran Perdana BBN, Putra Nilai, 71800 Nilai, Negeri Sembilan, Malaysia
  • Lalita Ambigai Sivasamugham Faculty of Health and Life Sciences, INTI International University, Persiaran Perdana BBN, Putra Nilai, 71800 Nilai, Negeri Sembilan, Malaysia
  • Geetha Subramaniam Faculty of Health and Life Sciences, INTI International University, Persiaran Perdana BBN, Putra Nilai, 71800 Nilai, Negeri Sembilan, Malaysia
  • Ling Shing Wong Faculty of Health and Life Sciences, INTI International University, Persiaran Perdana BBN, Putra Nilai, 71800 Nilai, Negeri Sembilan, Malaysia

DOI:

https://doi.org/10.37268/mjphm/vol.22/no.2/art.1407

Keywords:

Covid-19 vaccines, 5C Model, Vaccine Hesitancy, Parents

Abstract

Vaccine hesitancy (VH) among parents has existed even before the onset of the COVID-19 pandemic. The fast-tracked COVID-19 vaccine development has accentuated vaccine hesitancy among parents globally. This study aimed to discover the factors of COVID-19 vaccine hesitancy among Malaysian parents with children aged 17 and below using the 5C model proffered by WHO. A quantitative, cross-sectional online survey was conducted using questions adapted from previous studies. The data obtained were analysed using the SmartPLS (Version 3.3.3) software which generated the measurement and the structural models. There was a strong positive relationship between complacency, confidence, and constraints and vaccine hesitancy (VH) with the t and p values being t=3.454; p=0.001 for complacency, t=8.556; p=0.000 for confidence and constraints t=3.117; p=0.002. Calculation and collective responsibility had no strong positive relationship towards VH based on the respective t and the p values. These findings show that the respondents displayed VH towards COVID-19 vaccines as they have low awareness about the benefits of vaccination, lack of trust in healthcare professionals, and unwillingness to travel or wait for the COVID-19 vaccines apart from being concerned about the safety and efficacy of the COVID-19 vaccines. Although there are limitations to this study, vaccine hesitancy among parents remains to be a concern in Malaysia due to the severity of COVID-19 among children. The findings in this study are in consensus that more efforts must be taken by the Ministry of Health Malaysia (MOH) and other related stakeholders to increase the level of vaccine acceptance towards the COVID-19 vaccines in children in Malaysia.

References

Ginglen, J. G., & Doyle, M. Q. Immunization. StatPearls [Internet] 2021 https://www.ncbi.nlm.nih.gov/books/NBK459331/

Czochor, J., & Turchick, A. Focus: Vaccines. Introduction. Yale J Biol Med 2014;87(4):401–402. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4257027/ (accessed 16 April 2021)

MacDonald, N. E. Vaccine hesitancy: Definition, scope and determinants. Vaccine 2015;33(34)4161–4164 https://doi.org/10.1016/j.vaccine.2015.04.036 (accessed 4 January 2021)

Wilson, S. L., & Wiysonge, C. (2020). Social media and vaccine hesitancy. BMJ Global Health 2020;5:e004206. https://doi.org/10.1136/bmjgh-2020-004206 (accessed 25 January 2021)

Wagner, A. L., Masters, N. B., Domek, G. J., et al. Comparisons of Vaccine Hesitancy across Five Low- and Middle-Income Countries. Vaccines 2019;7(4),155. https://doi.org/10.3390/vaccines7040155 (accessed 25 January 2021)

Kalok, A., Loh, S. Y. E., Chew, K. T., et al. Vaccine hesitancy towards childhood immunisation amongst urban pregnant mothers in Malaysia. Vaccine 2020;38(9),2183–2189. https://doi.org/10.1016/j.vaccine.2020.01.043 (accessed 1 February 2021)

Musa, A. F., Soni, T., Cheong, X. P., & Nordin, R. B.. Vaccine hesitancy among parents in Kuala Lumpur: a single center study. F1000Research. 2019. https://f1000research.com/articles/8-1653 (accessed 1 February 2021)

Betsch, C., Schmid, P., Heinemeier, D., Korn, L., Holtmann, C., & Böhm, R. Beyond confidence: Development of a measure assessing the 5C psychological antecedents of vaccination. PLOSONE 2018;13(12). https://doi.org/10.1371/journal.pone.0208601 (accessed 6 February 2021)

Betsch, C., Bach Habersaat, K., Deshevoi, S., et al. Sample study protocol for adapting and translating the 5C scale to assess the psychological antecedents of vaccination. BMJ Open 2020;10(3). https://doi.org/10.1136/bmjopen-2019-034869 (accessed 6 February 2021)

Kaur, S. P., & Gupta, V. COVID-19 Vaccine: A comprehensive status report. Virus Res 2020;288, 198114. https://doi.org/10.1016/j.virusres.2020.198114 (accessed 14 January 2021)

Coronavirus: India approves vaccines from Bharat Biotech and Oxford/AstraZeneca. BBC NEWS 2021; January 3. Available:http://cdn.betgorebysson.club

Jayatilaka, T. The 5 Covid-19 Vaccines In Malaysia's National Vaccination Programme. Tatler Malaysia. 2021,February 17. Available:https://my.asiatatler.com/life/vaccines-in-malaysias-covid-vaccination-programme-pfizer-astrazeneca-sinovac-cansinobio-sputnik-v.

Malaysia aims to achieve herd immunity against Covid-19 by December, says Health Minister. The Straits Times 2021;June 4. Available:https://www.straitstimes.com/asia/se-asia/malaysia-can-hit-herd-immunity-by-december-says-health-minister-adham

COVID-19 Vaccines for Children and Teens. Centers for Disease Control and Prevention (CDC) 2021. Available: https://www.cdc.gov/coronavirus/2019ncov/vaccines/recommendations/adolescents.html

Min, A.H. COVID-19 vaccinations for Singapore students aged 12 and above begin. Channel News Asia 2021;June 3. Available:https://www.channelnewsasia.com/news/singapore/covid-19-vaccinations-singapore-students-pfizer-biontech-14940000

Arumugam, T. Decision on Covid-19 vaccination for children next week. New Straits Time 2021;June 8. Available:https://www.nst.com.my/news/nation/2021/06/696108/decision-covid-19-vaccination-children-next-week

Irene C. CM: Sarawak set to fully vaccinate 12- to 17-year-olds by next month. The Borneo Post 2021;September 8. Available:https://www.theborneopost.com/2021/09/08/cm-sarawak-set-to-fully-vaccinate-12-to-17-year-olds-by-next-month/

Birruntha S. Malaysia kicks off vaccination for kids. The Malaysian Reserve 2022;February 3. Available: https://themalaysianreserve.com/2022/02/03/malaysia-kicks-off-vaccination-for-kids/

Basyir M. MoH targets 70 per cent children at least partially vaccinated by April. New Straits Time 2022:March 9. Available:https://www.nst.com.my/news/nation/2022/03/778344/moh-targets-70-cent-children-least-partially-vaccinated-april

World Health Organization. The Pfizer BioNTech COVID-19 vaccine: What you need to know. 2021. Available:https://www.who.int/news-room/feature-stories/detail/who-can-take-the-pfizer-biontech-covid-19--vaccine#:~:text=The%20vaccine%20has%20only%20been,high%2Drisk%20group

Callaway, E. COVID vaccines and kids: five questions as trials begin. Nature 2021;592(7856), 670-671. https://media.nature.com/original/magazine-assets/d41586-021-01061-4/d41586-021-01061-4.pdf (accessed 2 June 2021)

Pottinger, H. L., Jacobs, E. T., Haenchen, S. D., & Ernst, K. C. Parental attitudes and perceptions associated with childhood vaccine exemptions in high-exemption schools. PLOS ONE 2018;13(6). https://doi.org/10.1371/journal.pone.0198655 (accessed 19 January 2021)

Larson, H. J., Jarrett, C., Schulz, W. S., et al. Measuring vaccine hesitancy: The development of a survey tool. Vaccine 2015; 33(34), 4165–4175. https://doi.org/10.1016/j.vaccine.2015.04.037 (accessed 10 January 2021)

Panting, A. J., Zin, Z. M., Jaafar, N., et al. Potential Factors Contributing to Vaccine Hesitancy among Parents in Malaysia: An Overview. Int J Health Sci Res 2018;8(7),360–365.(accessed 10 January 2021)

Student vaccination seen as the best way to return to school. The Star. 2021;June 21. Available:https://www.thestar.com.my/news/nation/2021/06/21/student-vaccination-seen-as-039best-way039-to-return-to-school

Kerrigan, A., Aitnouri, I., Mar, J., & Altman, W. What Barriers Exist in the Minds of Vaccine-Hesitant Parents, and How Can We Address Them? Family Medicine 2020;52(9)626-630. https://journals.stfm.org/familymedicine/2020/october/kerrigan-2020-0177/ (accessed 1 July 2021)

Chung, Y., Schamel, J., Fisher, A., & Frew, P. M. Influences on Immunization Decision-Making among US Parents of Young Children. Matern Child Health J 2017;21(12),2178–2187. https://doi.org/10.1007/s10995-017-2336-6 (accessed 1 July 2021)

Zhang, E. J., Chughtai, A. A., Heywood, A., & MacIntyre, C. R. Influence of political and medical leaders on parental perception of vaccination: a cross-sectional survey in Australia. BMJ Open, 2019;9(3), 1–8. https://doi.org/10.1136/bmjopen-2018-025866 (accessed 2 July 2021)

Ministry of Health Malaysia. COVID-19 Malaysia. Available:http://covid-19.moh.gov.my/vaksin-covid-19

Jawatankuasa Khas Jaminan Akses Bekalan Vaksin COVID-19. Available:https://www.vaksincovid.gov.my/

Fernbach, A. Parental rights and decision making regarding vaccinations: Ethical dilemmas for the primary care provider. J Am Assoc Nurse Pract 2011;23(7), 336–345. https://doi.org/10.1111/j.1745-7599.2011.00627.x (accessed 14 January 2021)

Facciolà, A., Visalli, G., Orlando, A., et al.Vaccine hesitancy: An overview on parents' opinions about vaccination and possible reasons of vaccine refusal. Journal of Public Health Research 2019;8(1) 13–18. https://doi.org/10.4081/jphr.2019.1436 (accessed 1 July 2021)

Prajapati, S., & Kumar GV, N. Assumption of Herd Immunity against COVID-19: A Plausibility and Hope or A Terrible Thought in Modern-Day to Save The Life. Journal of Infectious Diseases and Epidemiology 2020;6:147 https://doi.org/10.23937/2474-3658/1510147 (accessed 1 July 2021)

Abdi, H., & Williams, LJ. Partial Least Squares Methods: Partial Least Squares Correlation and Partial Least Square Regression. Methods in Molecular Biology 2012; 930:549–579. https://doi.org/10.1007/978-1-62703-059-5_23 (accessed 1 July 2021)

Tsanaktsidou, E., Karavasili, C., Zacharis, CK., Fatouros, DG., & Markopoulou, CK. Partial Least Square Model (PLS) as a Tool to Predict the Diffusion of Steroids Across Artificial Membranes. Molecules 2020;25:6:1–16.https://doi.org/10.3390/molecues25061387 (accessed 23 August 2021)

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Published

2022-08-20

How to Cite

Thivya Dass, Sivasamugham, L. A., Subramaniam, G., & Wong, L. S. (2022). DISCOVERING THE FACTORS OF COVID-19 VACCINE HESITANCY AMONG MALAYSIAN PARENTS USING THE 5C MODEL. Malaysian Journal of Public Health Medicine, 22(2), 50–60. https://doi.org/10.37268/mjphm/vol.22/no.2/art.1407