Amanda Yufika, Abram Luther Wagner, Yusuf Nawawi, Nur Wahyuniati, Samsul Anwar, Fitria Yusri, Novi Haryanti, Nanda Putri Wijayanti, Rizal Rizal, Devi Fitriani, Nurul Fadhliati Maulida, Muhammad Syahriza, Ikram Ikram, Try Purwo Fandoko, Muniati Syahadah, Febrivan Wahyu Asrizal, Alma Aletta, Sotianingsih Haryanto, Kurnia Fitri Jamil, Mudatsir Mudatsir, Harapan Harapan
Background: Hesitancy towards vaccination has been studied as a barrier to vaccination among children, as well as participation in vaccine trials. This study aimed to investigate hesitancy towards vaccination among parents in Indonesia, as a part of the Indonesia Zika Vaccine Study. Methods: A cross-sectional study was conducted in eleven regencies and municipalities in Aceh and West Sumatra province, Indonesia. Parents were recruited from families at outpatient clinics of community health centers or hospitals. The survey included various questions about sociodemographic factors and the Parent Attitudes about Childhood Vaccination (PACV) scale. Linear regression was employed to assess the association between explanatory variables and vaccine hesitancy. Results: A total of 956 parents were interviewed and 26.4% of participants had heard about Zika. Overall, 152 parents (15.9%) were vaccine hesitant, and this proportion was the highest in the safety and efficacy subdomain (61.6%). In the unadjusted analysis, having a diploma certificate, working in the health sector, and having heard about Zika were significantly associated with non-hesitancy towards children vaccination. Having heard about Zika was the only factor that was significantly associated with hesitancy towards vaccination in multivariate model (aOR: 0.43, 95% CI: 0.26–0.71). Mothers, younger parents (aged 20–29 years old), and those with only a primary school education were more concerned about vaccine safety and efficacy compared to fathers, older groups, and individuals with more education, respectively. Conclusions: Hesitancy towards pediatric vaccination is observed in 15% of respondents and most of the hesitancy was expressed in terms of vaccine safety and efficacy. Therefore, continuous dissemination of vaccine information needs to be carried out to earn parents’ trust and increase vaccination coverage in Indonesia. © 2020 Elsevier Ltd
Medical Research Unit, School of Medicine, Universitas Syiah Kuala, Banda Aceh, Aceh, Indonesia; Department of Family Medicine, School of Medicine, Universitas Syiah Kuala, Banda Aceh, Aceh, Indonesia; Department of Epidemiology, University of Michigan, Ann Arbor, MI, United States; Department of Statistics, Faculty of Mathematics and Natural Sciences, Universitas Syiah Kuala, Banda Aceh, Aceh, Indonesia; School of Medicine, Malikussaleh University, Lhokseumawe, Aceh, Indonesia; Community Health Centre of Meurah Mulia, North Aceh, Aceh, Indonesia; Community Health Centre of Tapaktuan, South Aceh, Aceh, Indonesia; Bunda Hospital, Lhokseumawe, Aceh, Indonesia; Community Health Centre of Teunom, Aceh Jaya, Aceh, Indonesia; Meuraxa Hospital, Banda Aceh, Aceh, Indonesia; Department of Public Health and Community Medicine, School of Medicine, Universitas Syiah Kuala, Banda Aceh, Aceh, Indonesia; Community Health Centre of Gunung, Padang Panjang, West Sumatra, Indonesia; Community Health Centre of Lima Kaum, Tanah Datar, West Sumatra, Indonesia; Community Health Centre of Tanjung Paku, Solok, West Sumatra, Indonesia; Department of Clinical Pathology, Faculty of Medicine and Health Sciences, Jambi University, Jambi, Indonesia; Department of Internal Medicine, School of Medicine, Universitas Syiah Kuala, Banda Aceh, Aceh, Indonesia; Tropical Disease Centre, School of Medicine, Universitas Syiah Kuala, Banda Aceh, Aceh, Indonesia; Department of Microbiology, School of Medicine, Universitas Syiah Kuala, Banda Aceh, Aceh, Indonesia
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