Maternal COVID-19 vaccine acceptance among Malaysian pregnant women: A multicenter cross-sectional study
Introduction: The coronavirus disease 2019 (COVID-19) caused a global pandemic that resulted in devastating health, economic and social disruption. Pregnant mothers are susceptible to COVID-19 complications due to physiological and immunity changes in pregnancy. We aimed to assess the maternal vacci...
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my.upm.eprints.1100752024-09-05T07:35:53Z http://psasir.upm.edu.my/id/eprint/110075/ Maternal COVID-19 vaccine acceptance among Malaysian pregnant women: A multicenter cross-sectional study Kalok, Aida Razak Dali, Wira Sharip, Shalisah Abdullah, Bahiyah Kamarudin, Maherah Dasrilsyah, Rima Anggrena Abdul Rahman, Rahana Kamisan Atan, Ixora Introduction: The coronavirus disease 2019 (COVID-19) caused a global pandemic that resulted in devastating health, economic and social disruption. Pregnant mothers are susceptible to COVID-19 complications due to physiological and immunity changes in pregnancy. We aimed to assess the maternal vaccine acceptance of the COVID-19 vaccine. Methods: A multi-center study across four teaching hospitals in the Klang Valley, Malaysia was conducted between September 2021 and May 2022. A survey was conducted using a self-administered electronic questionnaire. The survey instruments included; (1) maternal perception and attitude toward COVID-19 vaccination, (2) COVID-19 pregnancy-related anxiety, and 3) generalized anxiety disorder. Results: The response rate was 96.6%, with a final number for analysis of 1,272. The majority of our women were Malays (89.5%), with a mean age (standard deviation, SD) of 32.2 (4.6). The maternal vaccine acceptance in our study was 77.1%. Household income (p < 0.001), employment status (p = 0.011), and health sector worker (p = 0.001) were independent predictors of maternal willingness to be vaccinated. COVID-19 infection to self or among social contact and greater COVID-19 pregnancy-related anxiety were associated with increased odds of accepting the SARS-CoV-2 vaccine. Women who rely on the internet and social media as a source of vaccine information were more likely to be receptive to vaccination (adjusted odd ratio, AOR 1.63; 95% CI 1.14–2.33). Strong correlations were observed between maternal vaccine acceptance and the positive perception of (1) vaccine information (p < 0.001), (2) protective effects of vaccine (p < 0.001), and (3) getting vaccinated as a societal responsibility (p < 0.001). Discussion: The high maternal vaccine acceptance rate among urban pregnant women in Malaysia is most likely related to their high socio-economic status. Responsible use of the internet and social media, alongside appropriate counseling by health professionals, is essential in reducing vaccine hesitancy among pregnant women. Frontiers Media 2023 Article PeerReviewed Kalok, Aida and Razak Dali, Wira and Sharip, Shalisah and Abdullah, Bahiyah and Kamarudin, Maherah and Dasrilsyah, Rima Anggrena and Abdul Rahman, Rahana and Kamisan Atan, Ixora (2023) Maternal COVID-19 vaccine acceptance among Malaysian pregnant women: A multicenter cross-sectional study. Frontiers in Public Health, 11. art. no. 1092724. pp. 1-11. ISSN 2296-2565 https://www.frontiersin.org/journals/public-health/articles/10.3389/fpubh.2023.1092724/full 10.3389/fpubh.2023.1092724 |
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Introduction: The coronavirus disease 2019 (COVID-19) caused a global pandemic that resulted in devastating health, economic and social disruption. Pregnant mothers are susceptible to COVID-19 complications due to physiological and immunity changes in pregnancy. We aimed to assess the maternal vaccine acceptance of the COVID-19 vaccine. Methods: A multi-center study across four teaching hospitals in the Klang Valley, Malaysia was conducted between September 2021 and May 2022. A survey was conducted using a self-administered electronic questionnaire. The survey instruments included; (1) maternal perception and attitude toward COVID-19 vaccination, (2) COVID-19 pregnancy-related anxiety, and 3) generalized anxiety disorder. Results: The response rate was 96.6%, with a final number for analysis of 1,272. The majority of our women were Malays (89.5%), with a mean age (standard deviation, SD) of 32.2 (4.6). The maternal vaccine acceptance in our study was 77.1%. Household income (p < 0.001), employment status (p = 0.011), and health sector worker (p = 0.001) were independent predictors of maternal willingness to be vaccinated. COVID-19 infection to self or among social contact and greater COVID-19 pregnancy-related anxiety were associated with increased odds of accepting the SARS-CoV-2 vaccine. Women who rely on the internet and social media as a source of vaccine information were more likely to be receptive to vaccination (adjusted odd ratio, AOR 1.63; 95% CI 1.14–2.33). Strong correlations were observed between maternal vaccine acceptance and the positive perception of (1) vaccine information (p < 0.001), (2) protective effects of vaccine (p < 0.001), and (3) getting vaccinated as a societal responsibility (p < 0.001). Discussion: The high maternal vaccine acceptance rate among urban pregnant women in Malaysia is most likely related to their high socio-economic status. Responsible use of the internet and social media, alongside appropriate counseling by health professionals, is essential in reducing vaccine hesitancy among pregnant women. |
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Article |
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Kalok, Aida Razak Dali, Wira Sharip, Shalisah Abdullah, Bahiyah Kamarudin, Maherah Dasrilsyah, Rima Anggrena Abdul Rahman, Rahana Kamisan Atan, Ixora |
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Kalok, Aida Razak Dali, Wira Sharip, Shalisah Abdullah, Bahiyah Kamarudin, Maherah Dasrilsyah, Rima Anggrena Abdul Rahman, Rahana Kamisan Atan, Ixora Maternal COVID-19 vaccine acceptance among Malaysian pregnant women: A multicenter cross-sectional study |
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Kalok, Aida Razak Dali, Wira Sharip, Shalisah Abdullah, Bahiyah Kamarudin, Maherah Dasrilsyah, Rima Anggrena Abdul Rahman, Rahana Kamisan Atan, Ixora |
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Kalok, Aida |
title |
Maternal COVID-19 vaccine acceptance among Malaysian pregnant women: A multicenter cross-sectional study |
title_short |
Maternal COVID-19 vaccine acceptance among Malaysian pregnant women: A multicenter cross-sectional study |
title_full |
Maternal COVID-19 vaccine acceptance among Malaysian pregnant women: A multicenter cross-sectional study |
title_fullStr |
Maternal COVID-19 vaccine acceptance among Malaysian pregnant women: A multicenter cross-sectional study |
title_full_unstemmed |
Maternal COVID-19 vaccine acceptance among Malaysian pregnant women: A multicenter cross-sectional study |
title_sort |
maternal covid-19 vaccine acceptance among malaysian pregnant women: a multicenter cross-sectional study |
publisher |
Frontiers Media |
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2023 |
url |
http://psasir.upm.edu.my/id/eprint/110075/ https://www.frontiersin.org/journals/public-health/articles/10.3389/fpubh.2023.1092724/full |
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