Abstract

BackgroundVaccination is an effective way to curtail the burden of COVID-19 in which success depends on a high acceptance of the vaccine. However, addressing concerns among vaccine-hesitant individuals is essential to avoid failure of the immunisation programme. This study sought to assess the concerns and acceptance rates regarding the COVID-19 vaccine among Malaysians.MethodsAn online questionnaire was distributed to 1411 respondents via a snowball sampling method among Malaysians aged 18 years and above.ResultsThe majority of the respondents were young adults (40.7%), female (62.8%), Malay (63.8%), Muslim (72.3%), married (52.9%), with tertiary education (86.8%) and without medical illness (85%). Social media (97.4%) was the primary source of information regarding COVID-19. The overall acceptance rate was high (83.3%), with the lowest rates among the elderly aged 60 years and above (63.4%) and pensioners (64.6%). Hesitance was caused by concerns regarding side effects (95.8%), safety (84.7%), lack of information (80.9%), effectiveness (63.6%) and religious (20.8%) and cultural factors related to the COVID-19 vaccine (6.8%). Respondents with diabetes mellitus (24.7%) and hypercholesterolemia (23%) were more hesitant to accept the COVID-19 vaccine, at 16.1 and 15.8%, respectively. Predictors of COVID-19 vaccine hesitance were age, religion, and current residence.ConclusionsThe results indicate a high rate of acceptance of the COVID-19 vaccine among Malaysians. Thus, the Malaysian government and other related agencies should increase their campaign and prepare to implement the COVID-19 mass immunisation programme among Malaysians. However, despite the high acceptance rate, it remains important to address concerns among hesitant individuals by building trust in vaccine safety and effectiveness through adequate information regarding the vaccine.

Highlights

  • Vaccination is an effective way to curtail the burden of COVID-19 in which success depends on a high acceptance of the vaccine

  • COVID-19 vaccine acceptance in Malaysia (83.3%) was substantially higher than hesitance (16.7%)

  • Out of 1411 respondents, the acceptance rate of the COVID-19 vaccine in Malaysia was 83.3%, much higher than the hesitance rate (16.7%)

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Summary

Introduction

Vaccination is an effective way to curtail the burden of COVID-19 in which success depends on a high acceptance of the vaccine. This study sought to assess the concerns and acceptance rates regarding the COVID-19 vaccine among Malaysians. The COVID-19 pandemic caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has infected more than 108 million people in over 150 countries. A safe and effective prophylactic vaccine is urgently needed to contain the pandemic, which has had devastating medical, economic, and social repercussions [8]. Several vaccines have been developed and approved for emergency immunisation [9,10,11]. This has given a glimpse of hope for preventing the spread of COVID-19 infection. Countries and governments worldwide have spent billions of dollars in preparing to immunise the population of their

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