The Role of Knowledge, Attitude, Confidence, and Sociodemographic Factors in COVID-19 Vaccination Adherence among Adolescents in Indonesia: A Nationwide Survey

Efendi, Defi; Rifani, Sabira Ridha; Milanti, Ariesta; Efendi, Ferry; Wong, Cho Lee; Rustina, Yeni; Wanda, Dessie; Sari, Dian Purnama; Fabanjo, Ivonne Junita; Fretes, Elzina Dina De; Mohamad, Rini Wahyuni; Sawasemariay, Oktoviandi; Faidiban, Ruth Harriet; Nur, Qoriah; Tiwery, Indah Benita; Huda, Mega Hasanul; Mobalen, Oktovina; Nuraidah,

doi:10.3390/vaccines10091489

Cited by 10 publications

(5 citation statements)

References 44 publications

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“…In both cases—child age and parental age—older ages were predictive of the child being vaccinated [ 25 ]. Studies in other settings, including Indonesia [ 26 ] and the United States [ 27 , 28 ] also reported positive associations between age and COVID-19 vaccination coverage within child/adolescent populations.…”

Section: Resultsmentioning

confidence: 95%

Within-Country Inequality in COVID-19 Vaccination Coverage: A Scoping Review of Academic Literature

et al. 2023

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Since December 2020, COVID-19 vaccines have become increasingly available to populations around the globe. A growing body of research has characterised inequalities in COVID-19 vaccination coverage. This scoping review aims to locate, select and assess research articles that report on within-country inequalities in COVID-19 vaccination coverage, and to provide a preliminary overview of inequality trends for selected dimensions of inequality. We applied a systematic search strategy across electronic databases with no language or date restrictions. Our inclusion criteria specified research articles or reports that analysed inequality in COVID-19 vaccination coverage according to one or more socioeconomic, demographic or geographic dimension of inequality. We developed a data extraction template to compile findings. The scoping review was carried out using the PRISMA-ScR checklist. A total of 167 articles met our inclusion criteria, of which half (n = 83) were conducted in the United States. Articles focused on vaccine initiation, full vaccination and/or receipt of booster. Diverse dimensions of inequality were explored, most frequently relating to age (n = 127 articles), race/ethnicity (n = 117 articles) and sex/gender (n = 103 articles). Preliminary assessments of inequality trends showed higher coverage among older population groups, with mixed findings for sex/gender. Global research efforts should be expanded across settings to understand patterns of inequality and strengthen equity in vaccine policies, planning and implementation.

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Section: Resultsmentioning

confidence: 95%

Within-Country Inequality in COVID-19 Vaccination Coverage: A Scoping Review of Academic Literature

et al. 2023

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“…Efendi D. et al demonstrated that people with higher levels of knowledge are more likely to adhere to vaccination against SARS-CoV-2. Lack of knowledge about vaccination can lead to misperceptions and misunderstandings of vaccination [ 21 ]. Similar conclusions were reached by Birmingham et al, who demonstrated that people who lacked knowledge about HPV and the HPV vaccine were more likely to be unvaccinated than those who had a greater level of knowledge about the virus [ 22 ].…”

Section: Discussionmentioning

confidence: 99%

Parents’ Awareness of Infectious Diseases Epidemiology in Poland and Ukraine

Stępień,

Cholewik,

Żuromski

et al. 2024

Healthcare

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Background: There has been a decline in vaccine-related confidence in Ukraine over the past few years, resulting in high rates of infectious diseases. Due to the arrival of a large number of refugees in Poland following the outbreak of war in Ukraine in February 2022, the risk of infectious diseases in Poland among children and adults has increased. The present study aimed to analyze the relationship between parents’ knowledge of the epidemiological situation of infectious diseases in Poland and Ukraine and socio-demographic factors and their attitudes towards vaccination. Material and methods: A cross-sectional survey study was designed. Data were collected through an online questionnaire between November 2022 and January 2023, where the inclusion criteria was having a child under 18 years of age. Study participants’ stratification was based on responses to seven knowledge questions; those who answered all questions correctly were allocated to group 1, and the others to group 2 for further analysis. Results: A total of 547 parents were included. Their median age was 34 years [IQR: 31–39]. There were 233 (42.60%) participants who answered all the knowledge questions correctly. Respondents from group 1 were older (p = 0.033), were more likely to be in favor of recommended vaccination (p = 0.040), to be vaccinated with four doses against SARS-CoV-2 (p = 0.014), to have their children vaccinated against SARS-CoV-2 (p < 0.001), and to believe that the influx of migrants from Ukraine would increase the incidence rate of infectious diseases in Poland in the future (p < 0.001). They also declared awareness of the impact of migration on the epidemiological situation in Poland (p < 0.001) more often. According to the logistic regression model, older parents (OR = 1.31, p = 0.029), those who were willing to receive additional vaccinations due to migration (OR = 4.29, p = 0.003), those who were aware of the impact of migration on the epidemiological situation (OR = 2.38, p < 0.001), and those who believed that migration would have affected the incidence rate of infectious diseases in Poland (OR = 2.28, p = 0.003) were significantly more likely to belong to group 1. However, parents who were willing to vaccinate their children with additional vaccinations due to migration were significantly less likely to answer all the questions correctly (OR = 0.21, p = 0.002). Conclusions: Awareness of the epidemiological situation in Poland and Ukraine among parents is related to a greater awareness of the impact of migration and the use of recommended vaccinations and those against SARS-CoV-2. Additional vaccinations should be further promoted among both Poles and migrants.

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“…As evidenced by the knowledge score analysis, participants’ knowledge of SARS-CoV-2 is a determining factor in their intention to be vaccinated; in fact, other studies have highlighted that a better knowledge of the COVID-19 vaccine (OR = 1.96; 95% CI = 1.57–2.45) can have a positive impact on vaccine acceptance among young people [ 29 ]. Not understanding the extent of the COVID-19 pandemic led to vaccine hesitancy or refusal [ 10 ].…”

Section: Discussionmentioning

confidence: 99%

Knowledge, Attitude, and Behavior toward COVID-19 Vaccination in Young Italians

et al. 2023

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Purpose: The knowledge, attitudes, and behavior of young Italians towards the COVID-19 vaccination were analyzed in order to provide information useful to elaborate the strategies that can be implemented to obtain the best possible vaccination coverage in this population. Methods: A cross-sectional study was conducted on 5313 young people aged between 11 and 30 years. Data were collected through an online survey during the period from 1 to 10 March 2021. The answers to the questionnaire were analyzed using SPSS statistical software. Intention to vaccinate was studied by univariate analysis using Pearson’s chi-square test to assess differences between groups for categorical variables, and by multivariate analysis applying the binary logistic regression model, and the Hosmer–Lemeshow test was performed to assess goodness of fit. Results: Television (32.1%), internet/search engine (25.9%), and social networks (10.4%) were the main sources of information for young Italians. The survey analysis showed that 74.5% (3956) of the respondents were willing to be vaccinated against COVID-19 versus 25.5% (1357) who were against it. Demographic data, in particular, age, gender, experience with influenza vaccine, and level of knowledge about the disease, were significant determinants (p < 0.001) for the choice to vaccinate against COVID-19. Discussion: These results suggest that in order to implement the vaccination campaign, correct information is needed to improve awareness of the vaccine and COVID-19, while also taking into account the target group, which differs not only in age but also in the sources of information used compared to the adult population.

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The Role of Knowledge, Attitude, Confidence, and Sociodemographic Factors in COVID-19 Vaccination Adherence among Adolescents in Indonesia: A Nationwide Survey

Cited by 10 publications

References 44 publications

Within-Country Inequality in COVID-19 Vaccination Coverage: A Scoping Review of Academic Literature

Within-Country Inequality in COVID-19 Vaccination Coverage: A Scoping Review of Academic Literature

Parents’ Awareness of Infectious Diseases Epidemiology in Poland and Ukraine

Knowledge, Attitude, and Behavior toward COVID-19 Vaccination in Young Italians

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