Maternal COVID-19 vaccine acceptance among Malaysian pregnant women: A multicenter cross-sectional study

Kalok, Aida and Dali, Wira Razak and Sharip, Shalisah and Abdullah, Bahiyah and Kamarudin, Maherah and Dasrilsyah, Rima Anggrena and Abdul Rahman, Rahana and Atan, Ixora Kamisan (2023) Maternal COVID-19 vaccine acceptance among Malaysian pregnant women: A multicenter cross-sectional study. Frontiers in Public Health, 11. ISSN 2296-2565, DOI

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IntroductionThe 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. MethodsA 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. ResultsThe 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). DiscussionThe 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.

Item Type: Article
Funders: None
Uncontrolled Keywords: COVID-19; SARS-CoV-2 vaccine; Vaccine acceptance; Vaccine hesitancy; Pregnancy
Subjects: R Medicine > RA Public aspects of medicine
R Medicine > RG Gynecology and obstetrics
R Medicine > RM Therapeutics. Pharmacology
Divisions: Faculty of Medicine > Obstetrics & Gynaecology Department
Depositing User: Ms Zaharah Ramly
Date Deposited: 29 Nov 2023 08:03
Last Modified: 03 Dec 2023 01:11

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