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. 2022 May 23;17(5):e0268926.
doi: 10.1371/journal.pone.0268926. eCollection 2022.

Key predictors of COVID-19 vaccine hesitancy in Malaysia: An integrated framework

Jason Wei Jian Ng  1 , Santha Vaithilingam  2 , Mahendhiran Nair  2 , Li-Ann Hwang  1 , Kamarul Imran Musa  3
Affiliations

Key predictors of COVID-19 vaccine hesitancy in Malaysia: An integrated framework

Jason Wei Jian Ng et al. PLoS One. .

Abstract

Background: As the vaccination drive against the coronavirus disease (COVID-19) in Malaysia progresses rapidly, the main challenge will gradually shift from procuring and distributing vaccines to ensuring the broadest possible acceptance among all population segments. Therefore, this study used the integrated framework of the health belief model (HBM) and the theory of reasoned action (TRA) to investigate the predictors of intention to receive COVID-19 vaccines in Malaysia.

Methodology: A market research company in Malaysia was engaged to collect data during June 11-20, 2021 using self-administered questionnaires via its online panel, ensuring a nationwide random sample of 804 respondents. A logistic regression was subsequently estimated to determine the significant predictors of vaccination intention.

Results: The predictors that significantly affect COVID-19 vaccine hesitancy in Malaysia are age, susceptibility, religious beliefs, attitude, subjective norms, and trust in the vaccine. In particular, those who are more inclined to get vaccinated are older individuals, have a higher perceived risk of infection and social pressure to get vaccinated, have a positive attitude, and have high levels of trust in the vaccine. Individuals' who perceive that their religious beliefs are against vaccination are more likely to exhibit uncertainty toward it.

Conclusion: This study showed that although a large proportion of respondents indicated that they were willing to be vaccinated against COVID-19, there are concerns about religious barriers and trust in the vaccine that the relevant stakeholders should address. Campaigns should also focus on shaping the nation's attitude toward COVID-19 vaccines, in parallel with encouraging people to use their social influence in helping those in their close circle who are unsure of vaccination to cross the line. These measures will prove to be pertinent as the nation begins to administer booster vaccines to tackle the waning effects of COVID-19 vaccines.

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Conflict of interest statement

The authors have declared that no competing interests exist.

Figures

Fig 1
Fig 1. Demographic of respondents according to vaccination intention.
See this image and copyright information in PMC

References

    1. World Health Organization. WHO COVID-19 Dashboard [Internet]. 2020 [cited 2021 Nov 2]. Available from: https://covid19.who.int/table.
    1. Ellyatt H. ‘Zero Covid’ strategies are being abandoned as the highly infectious delta variant dominates. CNBC. 2021 Oct 5 [cited 2022 Mar 22]. Available from: https://www.cnbc.com/2021/10/05/zero-covid-strategies-abandoned-in-the-f....
    1. Lytras T, Tsiodras S. Lockdowns and the COVID-19 pandemic: what is the endgame? Scand J Public Health. 2021. Feb;49(1):37–40. 10.1177/1403494820961293 ; PubMed Central PMCID: PMC7545298. - DOI - PMC - PubMed
    1. Pearlman J, Cheong D, Huang C. Zero-Covid-19 strategy: does the approach still work with rise of Delta variant? The Straits Times. 2021. Aug 27 [cited 2022 Mar 22]. Available from: https://www.straitstimes.com/asia/australianz/zero-covid-19-strategy-doe....
    1. Chang R, Varley K, Munoz M, Tam F, Makol MK. The Covid Resilience Ranking: the best and worst places to be as reopening, variants collide. Bloomberg. 2021. [cited 2021 Aug 25]. Available from: https://www.bloomberg.com/graphics/covid-resilience-ranking/.