Intention to receive a COVID-19 vaccine booster dose and associated factors in Malaysia

Li Ping Wong · Haridah Alias · Yan-Li Siaw · Mustakiza Muslimin · Lee Lee Lai · Yulan Lin +1 more

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Vaccine Coverage and Hesitancy SARS-CoV-2 and COVID-19 Research COVID-19 and Mental Health

Abstract

This study aims to provide evidence of hesitancy in receiving the COVID-19 booster vaccine and associated factors in the vaccinated population that have completed a primary vaccination series. An anonymous web-based survey was disseminated to Malaysian adults aged ≥18 years via social media platforms. A total of 1010 responses were collected, of which 43.0% (95%CI 39.9–46.0) declared a definite willingness to receive a COVID-19 vaccine booster, 38.2% (95%CI 35.2–44.3) reported being somewhat willing and only 5.7% (95%CI 4.5–7.4) reported being definitely unwilling. Demographically younger participants, those of higher income, Chinese ethnicity and those from the central region reported significantly higher odds of a definite willingness to receive the COVID-19 vaccine booster compared to the reference group (somewhat willing/undecided/somewhat unwilling/definitely unwilling). Having no side effects with past COVID-19 vaccination was associated with a significantly higher odds of definite willingness (OR = 2.82, 95% CI 1.33–5.99). A lower (range 6–22) pandemic fatigue score (OR = 2.34, 95% CI 1.75–3.22) and higher (range 24–30) preventive practices score (OR = 2.45, 95% CI 1.80–3.34) were also associated with higher odds of definite willingness. Regarding attitudes toward COVID-19 booster vaccine, having fewer concerns about the side effects of booster vaccination and the uncertain long-term safety of multiple COVID-19 vaccinations were found to create greater odds of a definite willingness to receive the COVID-19 vaccine booster. Findings from this study provided insights into demographic characteristics and important behavioral and attitudinal factors associated with COVID-19 vaccine booster hesitancy.

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References

2006Researching Internet-Based Populations: Advantages and Disadvantages of Online Survey Research, Online Questionnaire Authoring Software Packages, and Web Survey Services 2020The use of the health belief model to assess predictors of intent to receive the COVID-19 vaccine and willingness to pay 2021Predicting intention to receive COVID-19 vaccine among the general population using the health belief model and the theory of planned behavior model 2021A worldwide assessment of changes in adherence to COVID-19 protective behaviours and hypothesized pandemic fatigue 2021Public acceptance of COVID-19 vaccines: cross-national evidence on levels and individual-level predictors using observational data 2021Knowledge, acceptance and perception on COVID-19 vaccine among Malaysians: A web-based survey 2021A survey on COVID-19 vaccine acceptance and concern among Malaysians 2021Hesitation and Refusal Factors in Individuals' Decision-Making Processes Regarding a Coronavirus Disease 2019 Vaccination

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2023A Systematic Review on Sociodemographic, Financial and Psychological Factors Associated with COVID-19 Vaccine Booster Hesitancy among Adult Population 2023The Psychology of COVID-19 Booster Hesitancy, Acceptance and Resistance in Australia 2024Global disparities in COVID-19 vaccine booster dose (VBD) acceptance and hesitancy: An updated narrative review

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