Vaccine Knowledge, Awareness and Hesitancy: A Cross Sectional Survey among Parents Residing at Sandakan District, Sabah

Background: Incomplete childhood immunization against communicable diseases is a major concern and vaccine hesitancy remains a hurdle to overcome in primary vaccination programs. This study was to examine the parents’ vaccine knowledge, awareness and hesitancy in relation to their children’s immunization status. Methods: A cross-sectional questionnaire study design was used. The parents who brought their children for immunization visit or follow-up at four public health clinics located in Sandakan district were invited to participate in this survey. Informed consent was obtained before each participant completed a hard copy of self-administered questionnaire in either English or Malay versions. Results: Of 405 parents responded, they generally had good knowledge and awareness of vaccines, only a small percentage (6.8%) of parents were found vaccine hesitant. There were significant differences in vaccine knowledge and awareness in those from different education levels and employment status; similarly, these two factors also significantly affected the vaccine hesitancy among the parents. The parents’ knowledge score was found to be moderately associated with their awareness (r = 0.551, p < 0.01) and inversely correlated to vaccine hesitancy (r = −0.397, p < 0.01). Most of the children (n = 376, 92.8%) in the study were immunized. The children’s immunization status was significantly associated with the parents’ education level (p = 0.025). There was also a significant difference in the total vaccine knowledge scores between the groups of parents with different child immunization status (p = 0.05). Conclusion: This study revealed that parents with higher education had a better knowledge of vaccinations, were less vaccine hesitant and were more likely to ensure that their children complete the recommended course of immunization. It is crucial to ensure parents are well-informed about the safety and efficacy of vaccines so that the children are protected from communicable diseases by the child vaccination program.

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Public awareness and acceptance of COVID-19 vaccine: An online cross-sectional survey, conducted in the first phase of vaccination drive in India

10.21203/rs.3.rs-324238/v1 ◽

2021 ◽

Author(s):

Arumuganainar Suresh ◽

Rocktotpal Konwarh ◽

Anand Pratap Singh ◽

Anand Krishna Tiwari

Keyword(s):

Public Awareness ◽

Clinical Trial Data ◽

Knowledge Score ◽

Vaccine Hesitancy ◽

Cross Sectional Survey ◽

Online Questionnaire ◽

Cross Sectional ◽

Specific Complex ◽

Context Specific ◽

Knowledge And Acceptance

Abstract The context-specific, complex issue of ‘vaccine hesitancy’ is explicated in terms of delay or refusal of vaccination despite the availability of vaccine services. Although eleven million beneficiaries were administered the COVID-19 vaccine in India from 16th January 2021 till 20th February 2021, however, proportionately a low turnout has been registered in various parts of the country, possibly attributable to hesitance/apprehension towards the current vaccination. In this backdrop, we report the response (collected between Feb 1, 2021 and Feb 15, 2021) of 358 voluntary respondents who participated in an online questionnaire-based pan-India survey, executed to assess their knowledge and acceptance towards the current COVID-19 vaccination program in its first phase. The survey questionnaire consisted of demographic characteristics of the respondents and queries pertaining to knowledge (7 items) and acceptance (3 items). The overall correct rate and the average knowledge score of the participants were 78 % and 5.46 ± 1.4/7 respectively. The acceptance score was 3.50 ± 1.6/5 while 70 % of participants agreed against the 20 % of respondents who neither agreed nor disagreed to take the vaccine. Around 66 % believed that the vaccines, currently being administered in India are safe. Fear about possible side effects (44 %) and inadequacy of comprehensive clinical trial data (29 %), seemed to be the major players in fortifying the vaccine hesitancy among the respondents, exhibiting negative acceptance. Although maximum respondents demonstrated a good level of knowledge (82%) and acceptance (88%), significant differences were observed among some demographic variables. In general, a positive correlation was observed between knowledge and acceptance against a negative correlation, observed in specific provinces. Despite the good acceptance and knowledge, a considerable fraction of the participants (30%) expressed hesitancy. Counselling, mobilization, and feedback from vaccinated individuals about safety should be encouraged. However, due to the limited sample size, we must be cautious when generalizing these findings. Nevertheless, the major elucidations of this study may be utilized in planning vaccination campaigns in further phases.

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Knowledge, false myths and beliefs on vaccines among pregnant women: results from NAVIDAD study

European Journal of Public Health ◽

10.1093/eurpub/ckz185.628 ◽

2019 ◽

Vol 29 (Supplement_4) ◽

Author(s):

M R Gualano ◽

E Olivero ◽

G Voglino ◽

P Rossello ◽

F Quattrocolo ◽

...

Keyword(s):

Pregnant Women ◽

Web Sites ◽

Educational Level ◽

Knowledge Score ◽

Vaccine Hesitancy ◽

High Educational Level ◽

Sources Of Information ◽

Vaccination Programs ◽

Significant Difference ◽

Level Of Knowledge

Abstract Background The diffusion of false myths and vaccine hesitancy are alarming phenomena in European countries and leads to decreasing trends in infant vaccine coverages. Aim of the study was to analyse the level of confidence and correct awareness about immunization, which are crucial for the success of vaccination programs. Methods As part of the NAVIDAD multicentre study, we examined vaccination confidence and complacency, among a sample of 1820 pregnant women from 14 Italian cities. The questionnaire assessed the interviewee’s knowledge, beliefs and misconceptions, as well as their socioeconomic status, sources of information about vaccines and confidence in the Italian National Healthcare Service. Results Of the participants, only 9% of women completely believed to efficacy, necessity and safety of vaccinations. Almost 20% of them had misconceptions on the majority of the themes. There was a significant difference in level of knowledge considering educational level: women with a high educational level have less probability to obtain a low knowledge score (OR 0.43 [95%CI 0.34-0.54]). The level of knowledge was influenced also by the sources of information: women who got information from General Practitioner and from Institutional Web sites have significantly less chance to have misconceptions (OR 0.74 [95%CI 0.58-0.96]; OR 0.59 [95%CI 0.46-0.74]). Finally, results underlined the influence of trust in healthcare professional information on likelihood of having misconceptions (OR 0.49 [95%CI 0.27-0.89]). Conclusions Data suggest the efficacy of healthcare professionals and Institutional Web sites as source of information to contrast misconceptions and underline the importance of confidence in the healthcare system to increase complacency and confidence on vaccines. Key messages There is a general lack of knowledge about vaccinations among future mothers. Most of misconceptions regarding vaccinations are related to their safety: this could affect confidence and complacency. To increase vaccine confidence, there is a strong need to inform future mothers: our data show the importance and efficacy of Health Professionals and Institutional Web sites as information sources.

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Distribution of Pre and Post Test Score and the Level of Errors in Answering Questions in the Participants of Education and Nutrition Counseling Training in Non-communicable Diseases

Indonesian Journal of Economics Social and Humanities ◽

10.31258/ijesh.2.1.27-38 ◽

2020 ◽

Vol 2 (1) ◽

pp. 27-38

Author(s):

Supriyono Supriyono

Keyword(s):

Standard Deviation ◽

Test Scores ◽

Knowledge Score ◽

Communicable Diseases ◽

P Value ◽

Nutrition Counseling ◽

Cross Sectional ◽

Non Communicable Diseases ◽

Significant Difference ◽

Post Test

This study aims to evaluate the results of pre-test and post-test scores as well as the level of error in participants in education training and nutrition counseling in non-communicable diseases at the Batam health training center in 2016. This study was observational with a cross sectional approach. The population in this study used a saturated sample, where the sample used was the pre-test and post-test scores of all participants who attended the training, which were 30 respondents. To determine the relationship between variables using the Wilcoxon Signed Ranks Test. The results of the analysis using the Wilcoxon Signed Ranks Test between the pre-test and post-test values, obtained a Z value of -4.582 with a p value of .000 <0.05, so there is a significant difference between the pre-test and post-test values. The average pre-test with 30 questions given to participants was 53.56 with a standard deviation of 11.04. While the post-test average of 30 questions given to participants was 67.33 with a standard deviation of 9.45. There was a change of 13.78% of the participant's knowledge score before and after the training. From 30 questions, from pre-test to post-test there was a change in error rate as follows, 70% had an increase, 6.67% remained and 23.33% had a decrease.

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Acceptance and hesitancy to receive COVID-19 vaccine among university students in Egypt: a nationwide survey

10.21203/rs.3.rs-1162301/v1 ◽

2021 ◽

Author(s):

Samar Tharwat ◽

Ahmed Mohammed Saad ◽

Mohammed Kamal Nassar ◽

Dalia Kamal Nassar

Keyword(s):

University Students ◽

Knowledge Score ◽

Nationwide Survey ◽

Vaccine Uptake ◽

Survey Study ◽

Vaccine Hesitancy ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Vaccine Acceptance ◽

To Receive

Abstract Background: The public's willingness to be vaccinated will determine the success of the COVID-19 vaccination programme. The aim of this study was to identify acceptance and hesitancy to receive COVID-19 vaccine among university students in Egypt, assess their level of knowledge about COVID-19 vaccine and identify barriers for hesitancy to uptake of COVID-19 vaccine.Methods: This cross-sectional survey study included 1071 university students. A standardized and self-administered questionnaire was constructed by the authors and distributed to university students allover Egypt.Results: Of the 1071 respondents, 739 (69%) were willing to get vaccinated against COVID-19 while 223 (20.8%) reported vaccine hesitancy. Median knowledge score of participants about COVID-19 vaccine was 4 out of 8 (IQR=8). While fear of getting infected (53.6%) and desire to get back to normal life (51%) were the main motives for intention to get vaccinated, fear of serious side effects (100%) and doubting the efficacy of COVID-19 vaccine (60.5%) were the main reasons for vaccine hesitancy and resistance. About 21% of students (n=225) reported voluntary uptake of COVID-19 vaccine. Conclusion: We identified rates of COVID-19 vaccine acceptance and hesitancy and detected poor knowledge scores among university students which may hinder vaccine acceptance. We also detected poor translation of vaccination intention into actual vaccine uptake. Educational campaigns and efforts aiming to raise awareness about safety and efficacy of COVID-19 vaccines need to be directed to this important population.

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Knowledge and beliefs about HIV/AIDS among physiotherapy students

International Journal of Community Medicine and Public Health ◽

10.18203/2394-6040.ijcmph20171340 ◽

2017 ◽

Vol 4 (4) ◽

pp. 1148

Author(s):

Priyanka Chugh ◽

Rahul Sharma ◽

Jyoti Dahiya ◽

Richa Rai ◽

Charu Chopra

Keyword(s):

Pearson Correlation ◽

Negative Attitude ◽

Knowledge Score ◽

Attitude Score ◽

Cross Sectional Survey ◽

Aids Patients ◽

Cross Sectional ◽

Significant Difference ◽

Physiotherapy Students ◽

Hiv Aids

Background: The HIV epidemic poses significant challenges to the healthcare providers including Physiotherapists. The study aimed at investigating the extent to which Physiotherapy College students know about human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS) transmission, infection and prevention, and the transfer of such knowledge to sexual behavior change & and to know whether knowledge has any influence on the attitude and willingness to treat HIV/AIDS patients.Methods: A cross-sectional survey was carried out on 217 physiotherapy students studying at the Banarsidas Chandiwala Institute of Physiotherapy, Kalkaji, New Delhi, India. The students completed a predesigned self-administered questionnaire assessing the knowledge, attitude and willingness to treat HIV/AIDS patients. The data were analyzed using ANOVA test (all the results are calculated at 1% level of significance) and Pearson correlation test.Results: The total mean knowledge score was 73.23% (good knowledge). There was a significant difference in knowledge among the Fourth-year & first-year students, which was found to be statistically significant (P<0.001%). The study showed that the overall mean attitude score was 62.83% (negative attitude). There was no significant difference in the attitude of the students among the five groups (P>0.001%). Karl Pearson correlation test showed no significant correlation between the knowledge of HIV/AIDS and the attitude of students towards HIV/AIDS patients (P>0.01%).Conclusions: The findings suggest that although the students had adequate knowledge about HIV/AIDS, their attitude towards this group of people was negative. From the study, fear of HIV contagion was observed as a major reason for the negative attitude of students towards HIV/AIDS patients.

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439. Corowa-kun: Impact of a COVID-19 Vaccine Information Chatbot on Vaccine Hesitancy, Japan 2021

Open Forum Infectious Diseases ◽

10.1093/ofid/ofab466.638 ◽

2021 ◽

Vol 8 (Supplement_1) ◽

pp. S321-S322

Author(s):

Takaaki Kobayashi ◽

Yuka Nishina ◽

Hana Tomoi ◽

Ko Harada ◽

Eiyu Matsumoto ◽

...

Keyword(s):

Logistic Regression ◽

Text Messages ◽

Vaccine Hesitancy ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Vaccine Acceptance ◽

Factors Associated ◽

Significant Difference ◽

Vaccine Information ◽

The Impact

Abstract Background Japan has one of the highest vaccine hesitancy rates in the world. According to a previous study, less than 30% of people strongly agreed that vaccines were safe, important, or effective. We created a COVID-19 vaccine information chatbot in a popular messenger app in Japan to answer COVID-19 vaccine frequently asked questions (FAQs) via text messages. We assessed the impact of chatbot text messages on COVID-19 vaccine hesitancy by conducting a cross-sectional survey among chatbot users. Methods LINE is the most popular messenger app in Japan; about 86 million people in Japan (roughly two-thirds of the population) use this messenger app. Corowa-kun, a free chatbot, was created in LINE on February 6, 2021. Corowa-kun provides instant, automated answers to frequently asked COVID-19 vaccine questions. A cross-sectional survey assessing COVID-19 vaccine hesitancy was conducted via Corowa-kun during April 5 to 12, 2021. We included persons ages 16 years old and older who had not received a COVID-19 vaccine. The survey was written in Japanese and consisted of 21 questions. Corowa-kun’s Consultation Room Corowa-kun is the mascot of an online chatbot. This chatbot in LINE is used to answer COVID-19 vaccine frequently asked questions (FAQs) via text messages. As of May 10th, 70 FAQs are available. Results A total of 59,676 persons used Corowa-kun during February to April 2021. The most commonly accessed message categories were: “I have (select comorbidity), can I get a COVID-19 vaccine?” (23%); followed by questions on adverse reactions (22%) and how the vaccine works (20%). 10,192 users (17%) participated in the survey. Median age was 55 years (range 16 to 97), and most were female (74%). Intention to receive a COVID-19 vaccine increased from 59% to 80% after using Corowa-kun (p < 0.01). Overall, 20% remained hesitant: 16% (1,675) were unsure, and 4% (364) did not intend to be vaccinated. Factors associated with vaccine hesitancy were: age 16 to 34 (odds ratio [OR] = 3.7, 95% confidential interval [CI]: 3.0–4.6, compared to age ≥65), female sex (OR = 2.4, Cl: 2.1–2.8), and history of another vaccine side-effect (OR = 2.5, Cl: 2.2–2.9). Being a physician (OR = 0.2, Cl: 0.1-0.4) and having received a flu vaccine the prior season (OR = 0.4, Cl: 0.3-0.4) were protective. COVID-19 vaccine acceptance increased and hesitancy decreased after using Corowa-kun, Japan, 2021 (n=10,192) *There was a statistically significant difference in responses between before and after using Corowa-kun (p < 0.01, Chi-square test). Univariable logistic regression models of factors associated with COVID-19 vaccine hesitancy, Japan, 2021 (n=10,192) Ref: reference NA: Logistic regression was not performed due to too small number (n≤3) Conclusion Corowa-kun reduced vaccine hesitancy by providing COVID-19 vaccine information in a messenger app. Mobile messenger apps could be leveraged to increase COVID-19 vaccine acceptance. Disclosures All Authors: No reported disclosures

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A cross-sectional study on knowledge and attitude toward Traditional Chinese Medicine (TCM) among adults in selected regions of Malaysia

Journal of Complementary and Integrative Medicine ◽

10.1515/jcim-2013-0068 ◽

2015 ◽

Vol 12 (4) ◽

Cited By ~ 3

Author(s):

Suresh Kumar ◽

Kingston Rajiah ◽

Sajesh Kalkandi Veettil ◽

Ng Sze Wei

Keyword(s):

Chinese Medicine ◽

Traditional Chinese Medicine ◽

Herbal Medicines ◽

Knowledge Score ◽

Attitude Score ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Significant Difference ◽

The Mean ◽

Knowledge And Attitude

Abstract: The objectives of this study were to determine the knowledge and attitude of adult Malaysians about Traditional Chinese Medicine (TCM), to understand the variation in the knowledge and attitude toward TCM among different demographic groups of adult Malaysian population and to determine the pattern of TCM use among adult Malaysians.: This study was a descriptive, cross-sectional survey using the convenience sampling method. A total of 400 adult Malaysians were recruited for this study. An interview-administered questionnaire was used. Descriptive statistics Mann-Whitney U Test and Kruskal–Wallis H test were used to analyze the data. The reliability of survey data in this study may affect since closed-ended questions are used.: The more commonly utilized therapy was herbal medicine (n=192, 82.1%), acupuncture (n=79, 33.8%) and oriental massage (n=58, 24.8%). The mean knowledge score and mean attitude score for the respondents were 5.00±1.71 and 7.17±2.10 respectively. There was a significant difference in the mean knowledge score between genders, among TCM users and non-TCM users, people of different education levels and ethnicity.: There were more TCM users than non-TCM users and the use of TCM was higher in females than males. The most popularly used TCM modalities were herbal medicines and acupuncture. Gender, education, ethnicity and use of TCM had a significant effect on adults’ knowledge toward TCM.

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Readiness, Availability and Utilization of Rural Vietnamese Health Facilities for Community Based Primary Care of Non-communicable Diseases: A CrossSectional Survey of 3 Provinces in Northern Vietnam

International Journal of Health Policy and Management ◽

10.15171/ijhpm.2018.104 ◽

2018 ◽

Vol 8 (3) ◽

pp. 150-157 ◽

Cited By ~ 5

Author(s):

David B. Duong ◽

Hoang Van Minh ◽

Long H. Ngo ◽

Andrew L. Ellner

Keyword(s):

Communicable Diseases ◽

Mental Illnesses ◽

Government Support ◽

Service Availability ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Non Communicable Diseases ◽

Northern Vietnam ◽

Significant Difference ◽

Service Readiness

Background: Vietnam’s network of commune health centers (CHCs) have historically managed acute infectious diseases and implemented national disease-specific vertical programs. Vietnam has undergone an epidemiological transition towards non-communicable diseases (NCDs). Limited data exist on Vietnamese CHC capacity to prevent, diagnose, and treat NCDs. In this paper, we assess NCD service readiness, availability, and utilization at rural CHCs in 3 provinces in northern Vietnam. Methods: Between January 2014 and April 2014, we conducted a cross-sectional survey of a representative sample of 89 rural CHCs from 3 provinces. Our study outcomes included service readiness, availability of equipment and medications, and utilization for five NCD conditions: hypertension, diabetes, chronic pulmonary diseases, cancer, and mental illnesses. Results: NCD service availability was limited, except for mental health. Only 25% of CHCs indicated that they conducted activities focused on NCD prevention. Patient utilization of CHCs was approximately 223 visits per month or 8 visits per day. We found a statistically significant difference (P<.05) for NCD service availability, medication availability and CHC utilization among the 3 provinces studied. Conclusion: This is the first multi-site study on NCD service availability in Vietnam and the first study in a mountainous region consisting predominately of ethnic minorities. Despite strong government support for NCD prevention and control, Vietnam’s current network of CHCs has limited NCD service capacity.

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AWARENESS ABOUT INDOOR AIR POLLUTION IN GENERAL POPULATION OF RAWALPINDI AND ISLAMABAD

Pakistan Journal of Public Health ◽

10.32413/pjph.v8i2.118 ◽

2018 ◽

Vol 8 (2) ◽

pp. 80-83

Author(s):

Nadia Tariq ◽

Tamkeen Jaffry ◽

Rahma Fiaz ◽

Abdul Majid Rajput ◽

Sadaf Khalid

Keyword(s):

Air Pollution ◽

General Population ◽

Indoor Air ◽

Indoor Air Pollution ◽

Economic Status ◽

Educational Status ◽

Epidemiological Studies ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Significant Difference

Background: Indoor air pollutants are increasingly being associated with respiratory illnesses leading to high degree of morbidity and mortality. There are not sufficient epidemiological studies from Pakistan which assess level of awareness of indoor air pollution resulting in respiratory diseases in population. Methods: This cross sectional survey was carried out on general population of Rawalpindi/Islamabad. Sample size was 223 study subjects selected by non-probability convenient sampling. Knowledge of the study subjects was determined with regard to indoor air pollution, its effects on health and different sources of indoor air pollution with the help of a questionnaire. The influence of age, gender, educational status and socio economic status on the level of awareness was also analyzed. Results: Out of total 223 participants, 115 were males and108 females. Participants aware of indoor air pollution were 91.5% and adequate awareness about its sources was 80.7%. Those who knew indoor air pollution is detrimental to health were 95.1%. Awareness about building construction dust as source of indoor air pollution was maximum (84.8%). There was significant difference in awareness among participants with different monthly incomes and educational status and also between males and females. Conclusion: This study concludes that general population of Rawalpindi/Islamabad has fairly good awareness about sources of indoor air pollution. Use of harmful material causing indoor air pollution should be limited or substituted with better ones where possible.

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Hand Hygiene Knowledge, Perception, and Practices among Domestic Visitors to the Prophet’s Mosque in Al Madinah City Amid the COVID-19 Pandemic: A Cross-Sectional Study

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18020673 ◽

2021 ◽

Vol 18 (2) ◽

pp. 673

Author(s):

Hashim A. Mahdi ◽

Hamza M. Assaggaf ◽

Mohammad Alfelali ◽

Omar B. Ahmed ◽

Radi Alsafi ◽

...

Keyword(s):

Hand Hygiene ◽

Graduate Education ◽

Formal Education ◽

Demographic Data ◽

Knowledge Score ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional Survey ◽

Cross Sectional

This study aimed to assess hand hygiene knowledge, perception, and practices of visitors to the Prophet’s Mosque in Al Madinah City, Saudi Arabia. Using a self-administered electronic questionnaire, a cross-sectional survey was conducted among domestic residents, who visited the mosque between 31 July and 3 August 2020. Participants’ demographic data, hand hygiene knowledge, perception, and practices were collected. Four hundred participants aged 18–65 (median 36) years completed the survey, of which 215 (53.8%) were female. The visitors’ mean knowledge score about hand hygiene was 6.4 (± standard deviation (SD) 1.35) of total 12. Most participants (392, 98%) were aware of the role of hand hygiene in preventing Coronavirus Disease 2019 (COVID-19); nevertheless, 384 (96%) said hand hygiene lowers body immunity and 316 (79%) thought <60% alcohol is sufficient for hand disinfection. Males had a higher knowledge score than females (6.46 (±1.41) vs. 6.14 (±1.27), p = 0.02) and, visitors who had no formal education scored higher than those with post-graduate education (6.88 (±1.45) vs 5.73 (±1.12), p = 0.01). Washing hands with soap and water was the predominant method practiced after a meal (365, 91.7%), after toilet visit (354, 88.5%), after touching a surface (262, 65.7%), after waste disposal (332, 83.2%), and when hands were visibly dirty (357, 89.5%). Al Madinah visitors had moderate knowledge about hand hygiene, but demonstrated some knowledge gaps and negligence in practice that are crucial to curb the spread of COVID-19.

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