Factors influencing COVID-19 vaccination intention among university students: A cross-sectional study in Malaysia.
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SUBMITTER: Wong CY
PROVIDER: S-EPMC9792187 | biostudies-literature | 2023 Feb
REPOSITORIES: biostudies-literature
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Factors influencing COVID-19 vaccination intention among university students: A cross-sectional study in Malaysia.
Wong Chee Yin CY Tham Jen Sern JS Foo Chai Nien CN Ng Foong Leng FL Shahar Saleha S Zahary Mohd Nizam MN Ismail Mohd Nazri MN Tan Cheng Siang CS Hoh Boon Peng BP Vijay Kumar Subbiah S Lim Yang Mooi YM
Biosafety and health 20221226 1
Vaccination is crucial in controlling the spread of the coronavirus disease 2019 (COVID-19) that triggered the pandemic, but herd immunity can only work with high vaccination coverage in the population. This study aims to measure the COVID-19 knowledge level and determine the factors influencing COVID-19 vaccination intention among university students in Malaysia. A cross-sectional online survey was carried out with 1,274 Malaysian university students in July 2021. Univariate and multivariate an ...[more]
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Project description:IntroductionHealthcare students are more likely to become infected than other university students as they may encounter patients with COVID-19 during clinical training. Vaccination uptake is essential to prevent infection. This study explored factors related to COVID-19 vaccination uptake among healthcare students.MethodsThis cross-sectional study conducted online surveys of undergraduate and graduate nursing and healthcare graduate students from four medical universities in the Tokyo Metropolitan Area of Japan. Data were collected from June to August 2022, when the fourth vaccination program was initiated.ResultsData from 1,169 students were analyzed (response rate = 37.3%). The mean age was 25.1 ± 7.6 years, and most were female (82.3%). Academic majors included nursing (68.0%), medicine (16.3%), dentistry (9.3%), and others (6.4%). Thirty students (2.6%) were not vaccinated, one student (0.1%) had received one vaccination, 997 (85.3%) had received three, and 27 (2.3%) had received four. The major reason for not being vaccinated was insufficient confirmation of its safety (n = 25). Students who had received at least one vaccination (n = 1,139), 965 (84.7%) reported experiencing adverse side effects, the most frequent being pain at the injection site (76.2%), followed by fever (68.3%). In the logistic regression, a greater number of vaccinations (3-4 times) was associated with older age (odds ratio, OR = 1.53), working (OR = 1.67), and more frequent infection-preventive behaviors (OR = 1.05). Significantly fewer students were vaccinated at University B than at University A (OR = 0.46). Additionally, those majoring in subjects other than nursing (OR = 0.28), and students from non-Asian countries (OR = 0.30) were less likely to be vaccinated.DiscussionIt is necessary to pay attention to and encourage the vaccination of students who engage in low levels of preventive behavior, students who are young, international, or unemployed, and those in non-healthcare professional majors.
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Project description:Background and objectivesThe aim of the present study was to assess the effect of sociodemographic factors on knowledge, attitudes, motivation and potential barriers of university students towards blood donation in the order to more effective donation promotion.DesignThe cross-sectional study was conducted on 1000 participants (500 non-blood donors-NBD, 276 first time blood donors-FTBD and 224 regular blood donors-RBD) from the 14 faculties of the University of Novi Sad, Serbia. The measurement tool used was a pretested survey questionnaire that included 22 questions focused on the factors influencing blood donation.ResultsMales accounted for 61.5% of participants. Average age of participants was 23.19 years, and over 80% were pursuing basic academic studies. University students: (1) correctly answered 65% of the questions about blood donation (NBD 59.2%, FTBD 59.7%, RBD 84.3%); (2) expressed 70.5% positive attitude towards donating blood (NBD 58.6%, FTBD 76.9%, RBD 89.1%), in both cases statistically significantly higher in RBD. Helping others who need blood (47.5%) was the main reason for donating blood and fear of needles (41.4%) was the most common potential barrier, with a significant statistical difference among the other factors.ConclusionsThe study demonstrates that university students show good knowledge and philanthropic attitude towards blood donation. Donation promotion should be focused on addressing potential barriers.
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Project description:IntroductionMental health issues, particularly anxiety and depression, are on the rise among university students globally, including in Bangladesh. However, comprehensive data on the factors influencing mental health outcomes in this group remain limited, hindering the development of effective programmes and interventions.ObjectivesThis study aims to assess the mental health status of university students in Bangladesh and examine the key factors influencing mental health outcomes.DesignA cross-sectional online survey was conducted in Bangladesh from December 2022 to March 2023.SettingUniversities in Bangladesh.ParticipantsUniversity students aged 18 and older.Outcome measuresData were collected through a structured survey that assessed depression and anxiety using the Patient Health Questionnaire and the Generalized Anxiety Disorder scale, as well as dietary diversity through the Individual Dietary Diversity Score.ResultsThe results showed that while female students exhibited greater dietary diversity, they also had higher obesity rates, whereas male students reported more physical activity. Mental health assessments revealed that 36.1% of participants experienced mild anxiety, 11.5% severe anxiety, 39.8% mild depression and 8.3% severe depression. Binary logistic regression analysis identified significant predictors of anxiety and depression, including gender, personal income, body mass index and screen time. Females were less likely to experience anxiety (crude odds ratios (COR): 0.531, p =0.034) and depression (COR: 0.591, p =0.023) compared with males. Furthermore, low intake of wheat, rice (COR: 2.123, p=0.050) and pulses (COR: 1.519, p=0.050), as well as high consumption of fats, oils (COR: 2.231, p=0.024) and sugary foods (COR: 2.277, p=0.001), were associated with anxiety, while inadequate intake of vitamin A- and C-rich fruits (COR: 1.435, p =0.018) was linked to depression. Overweight students were found to be more susceptible to depression.ConclusionThe findings of the study emphasise the necessity for targeted interventions that promote healthier lifestyles to enhance mental health outcomes among university students in Bangladesh.
| S-EPMC11881177 | biostudies-literature
Project description:Medical students represent a significant part of the health-care community and are active members of the coronavirus disease 2019 (COVID-19) response. This study aimed to evaluate various factors associated with COVID-19 vaccine intention among medical students via an online anonymous survey. A total of 370 students completed the online survey, with 229 (61.89%) not vaccinated for COVID-19. Of students not yet vaccinated, 45 (19.65%) were unsure or did not intend to accept the vaccine, while 184 (80.35%) intend to be vaccinated within 6 months. Overall, female gender, health status, clinical science enrollment, and the practice of COVID-19 preventative behaviors significantly correlated with the intention to be vaccinated within 6 months. Greater perceived risk for contracting COVID-19, lesser beliefs that the COVID-19 vaccination trials were rushed, and greater beliefs that being vaccinated would help complete their medical education were uniquely associated with the intention to be vaccinated within 6 months. Collectively, this study identified several factors that influenced medical students' intention to receive the COVID-19 vaccination. This information may be used in future immunization strategies to increase the vaccination rates among this group of future medical professionals.
| S-EPMC8993062 | biostudies-literature
Project description:ObjectivesTo explore predictors of university students' intention to receive a recommended vaccine and the main sources of vaccine-related information accessed by university students.SettingParticipants were recruited from University College London (UK) in summer 2015.Participants177 university students participated. The majority of participants were female (58%), White (68%) and had no religion (58%). Participants were aged 18 to 42 (mean age=23.6).Primary and secondary outcome measuresPrimary outcome measures included vaccine attitude, perceived subjective norm, perceived behavioural control, perceived self-efficacy, past receipt of recommended childhood vaccines, perceived adverse reaction to past vaccination and needle fear. As a secondary outcome sources of vaccine-related information were assessed.ResultsStudents classified as high intenders were more likely to have received all recommended childhood vaccines (OR 3.57; 95% CI 1.21 to 10.59; p=0.022), be less afraid of needles (OR 2.44; 95% CI 1.12 to 5.36; p=0.026) and to have lived in the UK until at least the age of 4 compared with those not living in the UK until at least the age of 4 (OR 0.39; 95% CI 0.18 to 0.83; p=0.015) and those who lived both in the UK and elsewhere (OR 0.42; 95% CI 0.04 to 4.06; p=0.424). The multivariable model explained 25.5% of variance in intention to receive a recommended vaccine. The internet was the most commonly reported source of vaccination information.ConclusionsFindings provide an indication of the factors that may need to be addressed by interventions aiming to increase uptake of recommended vaccines in a university population. Future research is recommended using a prospective cohort design.
| S-EPMC5642662 | biostudies-literature
Project description:BackgroundWidespread vaccination coverage is essential for reducing the COVID-19 havoc and regarded as a crucial tool in restoring normal life on university campuses. Therefore, our research aimed to understand the intention to be vaccinated for COVID-19 among Pakistani university students.MethodsThis cross-sectional study was conducted in five administrative units of Pakistan, i.e., Punjab, Sindh, Balochistan, Azad Jammu and Kashmir, and Khyber Pakhtunkhwa. We obtained data from 2,865 university students between 17th January and 2nd February, 2021, using a semi-structured and self-administered questionnaire. We used Stata (version 16.1, StataCorp LLC) for data management and analysis.ResultsThe majority (72.5%) of our respondents were willing to take COVID-19 vaccine. The current level of education had a statistically significant relationship with the intention to be vaccinated (p < 0.05). Respondents answered 11 questions encompassing five different domains of the Health Belief Model (HBM). All the items of HBM were significantly associated with the positive intention towards receiving the vaccine (p < 0.05). We conducted a multivariable logistic regression analysis to assess the relative contribution of different factors towards the intention to receive COVID-19 vaccine. Multiple factors such as belief that vaccination should be mandatory for everyone (AOR: 3.99, 95% CI: 3.20-4.98) and willingness to take vaccine even if it is not free (AOR: 3.91, 95% CI: 3.18-4.81) were observed to be associated with high odds of showing willingness to be vaccinated against COVID-19.ConclusionMost of our study participants intended to take vaccines based on their belief regarding the high effectiveness of COVID-19 vaccine. But as rumor-mongers are generating and spreading conspiracy theories daily, the health department and policymakers need to undertake evidence-based campaigns through electronic and social media to ensure expected countrywide vaccination coverage. In this case, our study findings can serve as a foundation for them to ensure mass vaccination coverage among university students, which is crucial now to reopen the dormitories and restore everyday life on campuses.
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Project description:BackgroundDespite the significant global burden of sexually transmitted infections (STI), detection rates are poor. Acceptance of these tests is influenced by several factors that have not been explored among Colombian medical students.ObjectivesThe aim of this study was to describe the behaviors and psychosocial factors toward STI screening among medical students of two universities in Pereira, Colombia, between March and June 2020.MethodsAn observational, cross-sectional study was conducted with 284 medical students in the first 3 years of undergraduate at two universities. An online, self-administered survey was conducted between March 2020 and June 2020, using an instrument from the "STI Testing Questionnaire," to assess behaviors and psychosocial factors toward STI testing. Frequencies and percentages were used for descriptive analysis. The association between characteristics and psychosocial factors with STI testing intention was obtained using a logistic regression model. A p-value <0.05 was accepted as statistically significant for all analyses.ResultsA total of 284 medical students participated in this study. The majority were female (56.7%), and 53.2% were from private universities. Eighty-four point 5% (84.5%) had risky sexual behaviors, and only 32.4% reported intentions to be tested for STIs. Among the psychosocial factors, 64.1% reported high social pressure, and 43.0% reported social fear. An association with the intention to undergo STI testing was identified in those who had been previously tested (OR = 2.486; 95% CI: 1.492-4.142) and in those who engaged in risky sexual behaviors (OR = 3.537; 95% CI: 1.437-8.704).ConclusionMedical students exhibit a high prevalence of risky sexual behaviors but show a disturbing lack of intention to undergo STI screening. Prior experiences significantly influence screening intentions, while social pressure and fear also play a role. These insights can serve as a basis for targeted interventions to improve STI screening rates and enhance sexual health education among Colombian medical students.
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Project description:Objectives: This study aimed to evaluate the level and factors affecting the perioperative exercise intention in China. Design: This study was a cross-sectional survey in Southwest China. Methods: Four hundred and ninety nine participants were randomly sampled in eight medical centers from November 23, 2020 to November 27, 2020. The survey included sociodemographic information and a 24-item modified questionnaire, which aimed to evaluate the attitude toward daily exercise, perception of perioperative exercise, social support and the perioperative exercise intention. A multivariable linear regression model was used to evaluate the effect of different items on the patients' intention for perioperative exercise. Results: A total of 523 responses (95.09%) were collected and 499 (95.41%) were analyzed. The level of exercise intention of the patients during the perioperative period was: 14.83% planned to exercise every day in the hospital, 21.04% planned to exercise every other day, and 35.87% planned to exercise every week. Intensity of daily exercise (P = 0.016), positive attitude of daily exercise (P < 0.001), positive attitude of perioperative exercise (P < 0.001) and social support (P < 0.001) were positively associated with the intention for perioperative exercise. Female (P = 0.012), non-tertiary center (P = 0.011), and preoperative anxiety (P = 0.023) was negatively associated with it. Conclusions: The intention for perioperative exercise was low in Southwest China. The authors aimed to relieve preoperative anxiety, promote the education of perioperative exercise, design perioperative exercise programs, and provide more social support from medical staff and family for inpatients undergoing elective surgery.
| S-EPMC8172588 | biostudies-literature
Project description:Objectives To assess University students’ intention to seek help for depression from health professional and associated factors among University of Gondar students, Northwest, Ethiopia. Methods An institution-based cross-sectional study was conducted among 487 students. Multistage sampling technique was used to select study participants. Self-administered questionnaire was employed to collect the data. General help seeking questionnaire with major depressive disorder case vignette was used to assess students’ intention to seek help for depression. The collected data was analyzed using SPSS version 20. Simple and multiple linear regression analysis were performed to identify factors for intention to seek help for depression. Association was described by using adjusted unstandardized β coefficient along with 95% confidence interval. Finally, P-values < 0.05 in adjusted analysis were taken as a cut off for significant association. Results The mean score of intention to seek help from health professionals was 3.84 (±0.76)with a range of (1 “very unlikely” to 5 “very likely”). About 67.8% of the study participants would seek help from health professionals if they would have depressive symptoms which was depicted in the case vignette. In the multiple linear regression analyses, student age (unstandardized ß = 0.07, 95% CI: (0.05, 0.10)), good attitude towards seeking professional help (ß = 0.03, 95% CI: (0.02, 0.04)) were factors positively associated with intention to seek help. Conclusion The current study showed that more than three-fifth of the study participants reported they were likely or very likely to seek help for depression from health professionals. Increased age and favorable attitude were factors associated with intention to seek help for depression. Working on awareness creation and attitude change towards depression would be necessary to increase students’ intention to seek help for depression from health professional.
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Project description:Background:Antibiotic resistance has become one of the major global health threats. The lack of knowledge on antibiotics contributes to the indiscriminate use of these medications and subsequent antibiotic resistance. Objective:To evaluate the knowledge and attitude of university students regarding antibiotics. Methods:A cross-sectional study was conducted on university students at a private university in Malaysia in 2018, using a self-administered validated questionnaire. Results:Of the 424 respondents included in this study, 25.7% had taken antibiotics in the previous month while 22.6% had good knowledge about antibiotics. The faculty to which the respondents were attached was the only determinant associated with the respondents' knowledge level on antibiotics. The odds of respondents from other faculties having poor knowledge level on antibiotics were significantly higher than those from the Faculty of Health and Medical Sciences (P<0.001). The study found that 77.8% of the respondents knew the roles of antibiotics in treating bacterial infections, but only 27.4% knew that antibiotics were not for viral infections. However, 46.5% of the respondents recognized that penicillin is an antibiotic, but only 35.4% and 9.2% knew that aspirin and diphenhydramine, respectively, are not antibiotics. More than 70% of the respondents were aware that antibiotics have side effects and that overuse of antibiotics could lead to resistance. However, 35.6% expected antibiotics to be prescribed for common colds and 33% would not complete their course of antibiotics. Conclusion:The study shows that university students do not have adequate knowledge and about one-third have misconceptions about antibiotics. This calls for health education interventions at university level as this target population will be the future leaders of the country.
| S-EPMC7443416 | biostudies-literature