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Vaxx-Confident and Vaxx-Hesitant Agents: Factors Affecting COVID-19 Vaccination Willingness Among Young Adults in Klang Valley, Malaysia

Puspa Melati Wan, Affezah Ali and Miew Luan Ng

Pertanika Journal of Social Science and Humanities, Volume 31, Issue 1, March 2023

DOI: https://doi.org/10.47836/pjssh.31.1.18

Keywords: Agents of socialization, contributing factors, COVID-19, Malaysia, vaccination willingness

Published on: 17 March 2023

In February 2021, the government of Malaysia started the rollout of COVID-19 vaccination with the frontlines, such as healthcare personnel, essential services, and defense and security personnel. This effort was followed by the second phase of vaccination between April to August 2021 with senior citizens and high-risk groups, followed by the third phase from May 2021 to February 2022 with individuals aged 18 and above. Though this plan has been widely publicized and seemed to be carried out as planned, not much is known about the reaction of young adults getting vaccinated. As such, the current research was conducted to examine the (1) willingness of Malaysian young adults to get vaccinated, (2) contributing factors, and (3) hindrance factors towards vaccination among young adults. A self-administered online survey method was employed in this study, with 306 Malaysian young adults living in Klang Valley as research samples. The findings indicated that 74.5% of the respondents were willing to get vaccinated and that most of them, regardless of their vaccination willingness, emphasized the salient role that reliable and trusted information plays in shaping their inclinations. Based on their reported willingness, the respondents were categorized into two categories: vaxx-confident and vaxx-hesitant agents. The agents of socialization that were analyzed and discussed were news and media, family members, government, and opinion leaders. The two-way socialization processes that promote and hinder their COVID-19 vaccination were further discussed and highlighted.

  • Benoit, S. L., & Mauldin, R. F. (2021). The “anti-vax” movement: A quantitative report on vaccine beliefs and knowledge across social media. BMC Public Health, 21, Article 2106. https://doi.org/10.1186/s12889-021-12114-8

  • Bernama. (2021, June 5). PM wants JKJAV to study automatic Covid-19 vaccine registration proposal to ensure more people get vaccinated. Malay Mail. https://www.malaymail.com/news/malaysia/2021/06/05/pm-wants-jkjav-to-study-automatic-vaccine-registration-proposal-to-ensure-m/1979775

  • Britannica. (n.d.). Socialization. In Encyclopedia Britannica. Retrieved May 20, 2022, from https://www.britannica.com/science/socialization

  • Che Awang, A. H. (2021, February 14). You may refuse to receive COVID-19 vaccine but do not spread false news - Kedah Mufti. Astro Awani. https://www.astroawani.com/berita-malaysia/you-may-refuse-receive-covid19-vaccine-do-not-spread-false-news-kedah-mufti-282889

  • College of Physicians of Philadelphia. (2022). Vaccine timeline: Before Jenner and after COVID-19. History of Vaccine. https://historyofvaccines.org/history/vaccine-timeline/overview

  • Countering vaccine hesitancy: Lessons from India, Indonesia and the Philippines. (2021, April 29). Asian Development Bank. https://www.adb.org/news/features/countering-vaccine-hesitancy-lessons-india-indonesia-philippines

  • COVID-19 vaccine: First person receives Pfizer jab in UK. (2020, December 8). BBC News. https://www.bbc.com/news/uk-55227325

  • COVID-19: First vaccine given in US as rollout begins. (2020, December 14). BBC News. https://www.bbc.com/news/world-us-canada-55305720

  • de Figueiredo, A., & Larson, H. J. (2021). Exploratory study of the global intent to accept COVID-19 vaccinations. Communications Medicine, 1, Article 30. https://doi.org/10.1038/s43856-021-00027-x

  • Department of Statistics Malaysia. (2021). Current population estimates, Malaysia, 2021. https://www.dosm.gov.my/v1/index.php?r=column/cthemeByCat&cat=155&bul_id=ZjJOSnpJR21sQWVUcUp6ODRudm5JZz09&menu_id=L0pheU43NWJwRWVSZklWdzQ4TlhUUT09

  • Durbach, N. (2000). They might as well brand us: Working class resistance to compulsory vaccination in Victorian England. The Society for the Social History of Medicine, 13, 45-62.

  • Ergur, A. (2020). Social causes of vaccine rejection-vaccine indecision attitudes in the context of criticisms of modernity. Eurasian Journal of Medicine, 52(2), 217-223. https://doi.org/10.5152/eurasianjmed.2020.20132

  • European Center of Disease Prevention and Control. (n.d.). Vaccine hesitancy. https://www.ecdc.europa.eu/en/immunisation-vaccines/vaccine-hesitancy

  • Heath, D. (2021, June 4). First in line, still no shot: Surprising number of hospital workers refuse vaccines. USA Today. https://www.usatoday.com/in-depth/news/investigations/2021/06/03/covid-19-vaccines-refused-surprising-number-hospital-workers/7432058002/

  • Herr, O. (2021). Young people and vaccine hesitancy - what role does social media play? British Science Association. https://www.britishscienceassociation.org/blog/young-people-and-vaccine-hesitancy-what-role-does-social-media-play

  • Idris, S. R. (2021, March 20). Covid-19 vaccination: Government to track down registered no-shows among frontliners. New Straits Times. https://www.nst.com.my/news/nation/2021/03/675556/covid-19-vaccination-government-track-down-registered-no-shows-among

  • Johns Hopkins Coronavirus Resource Center. (2022, April 6). COVID-19 Dashboard. Coronavirus Research Center. https://coronavirus.jhu.edu/map.html

  • JoJack, B. (2021, January 11). Which US demographics are more likely to refuse a COVID-19 vaccine? Medical News Today. https://www.medicalnewstoday.com/articles/which-us-demographics-are-more-likely-to-refuse-a-covid-19-vaccine

  • Kumar, D., Chandra, R., Mathur, M., Samdariya, S., & Kapoor, N. (2016). Vaccine hesitancy: Understanding better to address better. Israel Journal of Healthy Policies Research, 5, Article 2. https://doi.org/10.1186/s13584-016-0062-y

  • Lazarus, J. V., Ratzan, S. C., Palayew, A., Gostin, L. O., Larson, H. J., Rabin, K., Kimball, S., & El-Mohandes, A. (2021). A global survey of potential acceptance of a COVID-19 vaccine. Nature Medicine, 27, 225-228. https://doi.org/10.1038/s41591-020-1124-9

  • Ministry of Health Malaysia. (2021). Vaksin COVID-19 [COVID-19 Vaccine; Infographic]. https://www.infosihat.gov.my/vaksin-covid-19.html

  • Pertiwi, S. B. (2021, February 19). Why do people still reject COVID-19 Vaccine in Indonesia? We need to solve structural problems behind the anti-vaccine movement. The Conversation. https://theconversation.com/why-do-people-still-reject-covid-19-vaccines-in-indonesia-we-need-to-solve-structural-problems-behind-the-anti-vaccine-movement-154568

  • Roberts, H. A., Clark, D. A., Kalina, C., Sherman, C., Brislin, S., Heitzeg, M. M., & Hicks, B. M. (2022). To vax or not to vax: Predictors of anti-vax attitudes and COVID-19 vaccine hesitancy prior to widespread vaccine availability. PLoS ONE 17(2), Article e0264019. https://doi.org/10.1371/journal.pone.0264019

  • Share of people willing to be vaccinated against COVID-19 in Malaysia from December 2020 to May 2021. (2021, May 26). Statista. https://www.statista.com/statistics/1200540/malaysia-vaccination-Willingness-against-covid-19/

  • Soucheray, S. (2021, March 9). Poll: 1 of 4 Americans will refuse COVID-19 vaccine. Center for Infectious Disease Research and Policy University of Minnesota. https://www.cidrap.umn.edu/news-perspective/2021/03/poll-1-4-americans-will-refuse-covid-19-vaccine

  • States turning down Covid-19 vaccine doses as US demand declines. (2021, May 8). The Guardian. https://www.theguardian.com/world/2021/may/08/us-coronavirus-vaccine-demand-states-turning-down-doses

  • Statista. (n.d.). Malaysia: Age structure from 2011 to 2021. https://www.statista.com/statistics/318729/age-structure-in-malaysia/

  • Strategic Advisory Group of Experts. (2014). Report of the SAGE working group on vaccine hesitancy. https://www.asset-scienceinsociety.eu/sites/default/files/sage_working_group_revised_report_vaccine_hesitancy.pdf

  • Syed Alwi, S. A. R., Rafidah, E., Zurraini, A. Juslina, O., Brohi, I. B., & Lukas, S. (2021). A survey on COVID-19 vaccine acceptance and concern among Malaysians. BMC Public Health, 21, Article 1129. https://doi.org/10.1186/s12889-021-11071-6

  • United Nations Children’s Fund Malaysia & United Nations Population Fund. (2021). Families on the edge [Report]. https://www.unicef.org/malaysia/media/1976/file/Families%20on%20Edge%20part%204.pdf

  • World Health Organization. (2020, December 31). WHO issues its first emergency use validation for a COVID-19 vaccine and emphasizes need for equitable global access. https://www.who.int/news/item/31-12-2020-who-issues-its-first-emergency-use-validation-for-a-covid-19-vaccine-and-emphasizes-need-for-equitable-global-access#:~:text=The%20World%20Health%20Organization%20(WHO,outbreak%20began%20a%20year%20ago

  • World Health Organization. (2021, June 1). WHO validates Sinovac COVID-19 vaccine for emergency use and issues interim policies recommendations. https://www.who.int/news/item/01-06-2021-who-validates-sinovac-covid-19-vaccine-for-emergency-use-and-issues-interim-policy-recommendations

  • Yiğit, M., Özkaya-Parlakay, A., & Senel, E. (2021). Evaluation of Covid-19 vaccine refusal in parents. The Pediatrics Infectious Disease Journal, 40(4), e134-e136. https://doi.org/10.1097/INF.0000000000003042

ISSN 0128-7702

e-ISSN 2231-8534

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