Email this article 
The Effects of COVID-19 information sources and knowledge, attitude, and behaviour on vaccination acceptance
https://doi.org/10.22146/jcoemph.78698 Rivaldo Steven Heriyanto(1*), Theo Audi Yanto(2), Gilbert Sterling Octavius(3), Haviza Nisa(4), Catherine Ienawi(5), H. Emildan Pasai(6)
(1)
(2)
(3) University of Pelita Harapan
(4)
(5)
(6)
(*) Corresponding Author
Abstract
This study aimed to assess the impact of COVID-19 information-related sources and people’s knowledge, attitude, and behavior concerning vaccine acceptance, hesitancy, and refusal in a single vaccination site in Jambi, Indonesia. We conducted a cross-sectional study with total sampling in Puskesmas Putri Ayu, Jambi. The inclusion criteria were adults (>18 years) vaccinated with CoronaVac. Our exclusion criteria were refusal to participate in the study for any reason, contraindicated to COVID-19 vaccine administration, and receiving the second vaccine jab. We included 245 respondents with a slight female predominance (53.5%). The majority were in the age group of 26-35 years old (20.8%). In the multivariate analysis, having a family member with ≥2 comorbidities was almost 6 times more likely (OR 5.99, 95%CI: 1.84-19.54;p-value = 0.003) to put a respondent in the vaccine hesitance and refusal group. Respondents who trust in friends or family are 2.25 times more likely (95%CI: 1-5.04; p-value = 0.048) to be in the vaccine hesitance and refusal group. Respondents who trust the internet are 0.45 times more likely to be in the vaccine hesitance and refusal group (95%CI: 0.21-0.96; p-value = 0.04). Lastly, respondents with poor knowledge are 0.58 times more likely (95%CI 0.38-0.88; p-value = 0.011) to belong to the vaccine hesitance and refusal group. This finding will be relevant to increasing vaccination uptake by targeting family members with comorbidities and devising a strategy to make their peers trust the COVID-19 vaccine to increase the uptake.
Keywords
Full Text:
PDFReferences
1. Simon K. Data Reportal. Digital 2022: Indonesia: The Essential Guide to the Latest Connected Behaviours. 2022.
2. Eriyanto, Nina Mutmainnah. Media Landscape: Expert Analyses of the State of Media. Indonesia. 2018.
3. Statista Research Department. Statista. Indonesia - types of publications read. 2018.
4. Janet Steele. Reuters Institute for the Study of Journalism, University of Oxford. Indonesia. 2021.
5. World Health Organization. Immunizing the Public Against Misinformation. Geneva: World Health Organization; 2020.
6. Sallam M. COVID-19 vaccine hesitancy worldwide: a concise systematic review of vaccine acceptance rates. Vaccines. 2021/03/07. 2021;9(2).
7. Calisher C, Carroll D, Colwell R, Corley RB, Daszak P, Drosten C, et al. Statement in support of the scientists, public health professionals, and medical professionals of China combatting COVID-19. Lancet. 2020;395(10226):e42–3.
8. Gunawan AS. The Jakarta Post. Indonesia second least literate of 61 nations. 2016.
9. Ravelo JL. UNICEF. “Hoax killed my father”: Indonesia’s other pandemic. 2021.
10. United Nations Children’s Fund. Indonesia COVID-19 Response Situation Report.2021.
11. COVIDVax. Live COVID-19 Vaccination Tracker: Indonesia.
12. Yanto TA, Octavius GS, Heriyanto RS, Ienawi C, Nisa H, Pasai HE. Psychological factors affecting COVID-19 vaccine acceptance in Indonesia. Egypt J Neurol Psychiatry Neurosurgery. 2021 Dec 1;57(1):1–8.
13. Octavius GS, Antonio F. Antecedents of intention to adopt mobile health (mHealth) application and its impact on intention to recommend: an evidence from Indonesian customers. Int J Telemed Appl. 2021/05/21. 2021;2021:6698627.
14. Di Giuseppe G, Pelullo CP, Lanzano R, Napolitano F, Pavia M. Knowledge, attitudes, and behavior of incarcerated people regarding COVID-19 and related vaccination: a survey in Italy. Scientific Report. 2022;12(1):960.
15. Octavius GS, Yanto TA, Heriyanto RS, Nisa H, Ienawi C, Pasai HE. COVID-19 vaccination acceptance in Jambi City, Indonesia: a single vaccination center study. Vacunas. 2022;23:S8–17.
16. The Ministry of Health UNICEF, and, WHO., N. COVID-19 Vaccine Acceptance Survey in Indonesia. Vol. 2022. 2020.
17. Shen SC, Dubey V. Addressing vaccine hesitancy: Clinical guidance for primary care physicians working with parents. Canadian Fam Physician. 2019/03/15. 2019;65(3):175–81.
18. Lim JU, Lee JH, Kim JS, Hwang Y Il, Kim TH, Lim SY, et al. Comparison of World Health Organization and Asia-Pacific body mass index classifications in COPD patients. Int J Chron Obstruct Pulmon Disease. 2017 Aug 21;12:2465–75.
19. Muhyiddin M., Nugroho H. A year of COVID-19: a long road to recovery and acceleration of Indonesia’s development. J Perenc Pembang Indones J Dev Plan. 2021;5:1–19.
20. Indonesian Society of Internal Medicine .Rekomendasi PAPDI tentang Pemberian Vaksinasi COVID-19 pada Pasien dengan Penyakit Penyerta/ Komorbid (Revisi 18 Maret 2021).
21. Indonesian Society of Obstetrics and Gynecology. Rekomendasi POGI Terkait Melonjaknya Kasus Ibu Hamil dengan COVID-19 dan Perlindungan Terhadap Tenaga Kesehatan. 2021.
22. Indonesian Pediatric Society. Rekomendasi Ikatan Dokter Anak Indonesia Pemberian Vaksin COVID-19 (Coronavac®)pada anak usia 6 –11 Tahun Pemutakhiran 16 Desember. 2021
23. Ministy of Health, NITAG, UNICEF, and WHO. COVID-19 vaccine acceptance survey in Indonesia | UNICEF Indonesia. 2020.
24. Fischer JE, Bachmann LM, Jaeschke R. A readers’ guide to the interpretation of diagnostic test properties: clinical example of sepsis. Intensive Care Med 2003 297. 2003 May 7;29(7):1043–51.
25. Zou KH, O’Malley AJ, Mauri L. Receiver-operating characteristic analysis for evaluating diagnostic tests and predictive models. Circulation. 2007 Feb 6;115(5):654–7.
26. Dinleyici EC, Borrow R, Safadi MAP, van Damme P, Munoz FM. Vaccines and routine immunization strategies during the COVID-19 pandemic. Hum Vaccin Immunother. 2020/08/28. 2021;17(2):400–7.
27. Imhoff R, Zimmer F, Klein O, António JHC, Babinska M, Bangerter A, et al. Conspiracy mentality and political orientation across 26 countries. Nat Hum Behav. 2022;6(3):392–403.
28. Albrecht D. Vaccination, politics and COVID-19 impacts. BMC Public Health. 2022;22(1):96.
29. Hanadian Nurhayati-Wolff. Reasons for reading news Indonesia first quarter 2019. Statista; 2019.
30. Cascini F, Pantovic A, Al-Ajlouni Y, Failla G, Ricciardi W. Attitudes, acceptance and hesitancy among the general population worldwide to receive the COVID-19 vaccines and their contributing factors: a systematic review. EClinicalMedicine. 2021/09/08. 2021;40:101113.
31. Chew NWS, Cheong C, Kong G, Phua K, Ngiam JN, Tan BYQ, et al. An Asia-Pacific study on healthcare workers’ perceptions of, and willingness to receive, the COVID-19 vaccination. Int J Infect Dis . 2021;106:52–60.
32. Khubchandani J, Sharma S, Price JH, Wiblishauser MJ, Sharma M, Webb FJ. COVID-19 vaccination hesitancy in the United States: a rapid national assessment. J Community Heal. 2021/01/04. 2021;46(2):270–7.
33. Abedin M, Islam MA, Rahman FN, Reza HM, Hossain MZ, Hossain MA, et al. Willingness to vaccinate against COVID-19 among Bangladeshi adults: Understanding the strategies to optimize vaccination coverage. PLoS ONE. 2021;16(4):e0250495.
34. Serrazina F, Sobral Pinho A, Cabral G, Salavisa M, Correia AS. Willingness to be vaccinated against COVID-19: an exploratory online survey in a Portuguese cohort of multiple sclerosis patients. Mult Scler Relat Disord. 2021/03/05. 2021;51:102880.
35. Hao F, Wang B, Tan W, Husain SF, McIntyre RS, Tang X, et al. Attitudes toward COVID-19 vaccination and willingness to pay: comparison of people with and without mental disorders in China. BJPsych Open. 2021/08/24. 2021;7(5):e146.
36. Maltezou HC, Pavli A, Dedoukou X, Georgakopoulou T, Raftopoulos V, Drositis I, et al. Determinants of intention to get vaccinated against COVID-19 among healthcare personnel in hospitals in Greece. Infect Dis Heal. 2021/04/29. 2021;26(3):189–97.
37. Nery Jr. N, Ticona JPA, Cardoso CW, Prates APPB, Vieira HCA, Salvador de Almeida A, et al. COVID-19 vaccine hesitancy and associated factors according to sex: a population-based survey in Salvador, Brazil. PLoS One. 2022;17(1)
38. Hawlader MDH, Rahman ML, Nazir A, Ara T, Haque MMA, Saha S, et al. COVID-19 vaccine acceptance in South Asia: a multi-country study. Int J Infect Dis. 2022;114:1–10.
39. Mertens G, Gerritsen L, Duijndam S, Salemink E, Engelhard IM. Fear of the coronavirus (COVID-19): predictors in an online study conducted in March 2020. J Anxiety Disord. 2020/06/23. 2020;74:102258:1-5.
40. El-Elimat T, AbuAlSamen MM, Almomani BA, Al-Sawalha NA, Alali FQ. Acceptance and attitudes toward COVID-19 vaccines: a cross-sectional study from Jordan. PLoS One. 2021;16(4):1-8
41. Sidarta C, Kurniawan A, Lugito NPH, Siregar JI, Sungono V, StevenHeriyanto R, et al. The determinants of COVID-19 vaccine acceptance in Sumatra. Kesmas. 2022;17(1):32–9.
42. Sturm LA, Mays RM, Zimet GD. Parental beliefs and decision making about child and adolescent immunization: from polio to sexually transmitted infections. J Dev Behav Pediatr. 2005;26(6): 24-9
43. Determann D, Korfage IJ, Fagerlin A, Steyerberg EW, Bliemer MC, Voeten HA, et al. Public preferences for vaccination programmes during pandemics caused by pathogens transmitted through respiratory droplets: a discrete choice experiment in four European countries, 2013. Euro Surveill. 2016/06/10. 2016;21(22).
44. Lambooij MS, Harmsen IA, Veldwijk J, de Melker H, Mollema L, van Weert YWM, et al. Consistency between stated and revealed preferences: a discrete choice experiment and a behavioural experiment on vaccination behaviour compared. BMC Med Res Methodol. 2015;15(1):19.
45. Liu YE, Oto J, Will J, LeBoa C, Doyle A, Rens N, et al. Factors associated with COVID-19 vaccine acceptance and hesitancy among residents of Northern California jails. Prev Med Reports. 2022;27:101771.
46. Syed Alwi SAR, Rafidah E, Zurraini A, Juslina O, Brohi IB, Lukas S. A survey on COVID-19 vaccine acceptance and concern among Malaysians. BMC Public Health. 2021;21(1):1129.
47. Solís Arce JS, Warren SS, Meriggi NF, Scacco A, McMurry N, Voors M, et al. COVID-19 vaccine acceptance and hesitancy in low- and middle-income countries. Nat Med. 2021;27(8):1385–94.
48. Szilagyi PG, Thomas K, Shah MD, Vizueta N, Cui Y, Vangala S, et al. The role of trust in the likelihood of receiving a COVID-19 vaccine: results from a national survey. Prev Med (Baltim). 2021/07/16. 2021;153:106727.
49. Determann D, Korfage IJ, Lambooij MS, Bliemer M, Richardus JH, Steyerberg EW, et al. Acceptance of vaccinations in pandemic outbreaks: a discrete choice experiment. PLoS ONE. 2014;9(7):e102505.
50. Jones CL, Jensen JD, Scherr CL, Brown NR, Christy K, Weaver J. The Health Belief Model as an explanatory framework in communication research: exploring parallel, serial, and moderated mediation. Health Commun. 2014/07/10. 2015;30(6):566–76.
51. Patwary MM, Bardhan M, Disha AS, Hasan M, Haque MZ, Sultana R, et al. Determinants of COVID-19 vaccine acceptance among the adult population of Bangladesh using the Health Belief Model and the Theory of Planned Behavior model. Vaccines. 2021;9(12):1393.
52. Petersen Michael B, Bor A, Jørgensen F, Lindholt Marie F. Transparent communication about negative features of COVID-19 vaccines decreases acceptance but increases trust. Proc Natl Acad Sci. 2021;118(29):e2024597118.
53. Piltch-Loeb R, Savoia E, Goldberg B, Hughes B, Verhey T, Kayyem J, et al. Examining the effect of information channel on COVID-19 vaccine acceptance. PLoS One. 2021;16(5):e0251095.
54. Mohamed NA, Solehan HM, Mohd Rani MD, Ithnin M, Che Isahak CI. Knowledge, acceptance and perception on COVID-19 vaccine among Malaysians: a web-based survey. PLoS ONE. 2021;16(8):e0256110.
55. Abebe H, Shitu S, Mose A. Understanding of COVID-19 vaccine knowledge, attitude, acceptance, and determinates of COVID-19 vaccine acceptance among adult population in Ethiopia. Infect Drug Resist. 2021;14:2015–25.
56. Li H, Cheng L, Tao J, Chen D, Zeng C. Knowledge and willingness to receive a COVID-19 vaccine: a survey from Anhui Province, China. Hum Vaccin Immunother. 2022;18(1):2024064.
57. Islam MS, Siddique AB, Akter R, Tasnim R, Sujan MSH, Ward PR, et al. Knowledge, attitudes and perceptions towards COVID-19 vaccinations: a cross-sectional community survey in Bangladesh. BMC Public Health. 2021;21(1):1851.
58. Samanta S, Banerjee J, Kar SS, Ali KM, Giri B, Pal A, et al. Awareness, knowledge and acceptance of COVID-19 vaccine among the people of West Bengal, India: a web-based survey. Vacunas. 2022;
59. Sahile AT, Mulugeta B, Hadush S, Fikre EM. COVID-19 vaccine acceptance and its predictors among college students in Addis Ababa, Ethiopia, 2021: a cross-sectional survey. Patient Prefer Adherence. 2022;16:255–63.
60. Sedgwick P. Non-response bias versus response bias. BMJ: British Medical Journal. 2014
61. Griffith GJ, Morris TT, Tudball MJ, Herbert A, Mancano G, Pike L, et al. Collider bias undermines our understanding of COVID-19 disease risk and severity. Nat Commun. 2020;11(1):5749.
DOI: https://doi.org/10.22146/jcoemph.78698
Article Metrics
Abstract views : 922
| 
views : 577
Refbacks
- There are currently no refbacks.
Copyright (c) 2023 Journal of Community Empowerment for Health
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.