Official publication of Rawalpindi Medical University
Perception And Attitude Towards COVID-19 Vaccine: A Cross-Sectional Study From Pakistan

Supplementary Files

PDF

Keywords

COVID-19, vaccine hesitancy, Pakistan, public awareness, myths

How to Cite

1.
Malik K, Batool F, Bari S, Malik F, Dar SI, Meraj L. Perception And Attitude Towards COVID-19 Vaccine: A Cross-Sectional Study From Pakistan. JRMC [Internet]. 2023 Sep. 26 [cited 2024 Apr. 28];27(3). Available from: http://journalrmc.com/index.php/JRMC/article/view/2205

Abstract

ABSTRACT

  1. Objective: The aim of this study was to investigate the awareness regarding COVID-19 vaccines and identify the factors underlying refusal.
  2. Methodology: A cross-sectional study was carried out amongst the general population from different walk of life regarding awareness and myths about COVID-19 vaccine selected by convenient sampling method. To collect data, we developed an online survey using questionnaires regarding beliefs and myths about vaccination. The study was started in March 2021 after approval from the ethical committee. Survey consisting of several questions was created using google form. The link was shared on different social media applications and participants were requested to fill the questionnaires. Some patients and their attendants who were visiting HIT hospital Taxila for any reason were also included in the study and they were requested to fill the form at the spot. Participants were given a brief summary of the survey and its purpose, as well as the study protocol and a declaration of confidentiality and privacy, before beginning the questionnaire.

Data was collected on online server form. Demographic information was noted. They were asked about their registration, vaccination status and their fear regarding vaccine and its complications. They were questioned about myths and misbeliefs about covid 19 vaccine. Post vaccination symptoms, their preference for different types of available vaccine, and need of booster dose were also inquired. Their beliefs regarding effectiveness of vaccine in prevention of covid-19 symptoms and severity and following the SOPs released by health authorities were noted.

  1. Results: Total 287 individuals were included in this study. 62% were females and 31% were males. 50% were doctors and 30% were not registered for vaccination. 70% of individuals were vaccinated and 83% were not afraid to get vaccination while 50% of people thought that they will get COVID-19 after vaccination. 35% participants were afraid that they will get allergic reaction post vaccination and 9% thought that COVID-19 is fake i.e., there is no such disease as COVID-19. 82% were aware that they will need vaccine even if they had COVID-19. Only 7% of population thought that COVID-19 will change their DNA.

Chi square test was applied to find out statistically significant difference in opinion between three groups i.e., age, gender and academic qualification. Majority of the statistical correlation was found in these questions on the basis of qualification. There was statistically significant difference in opinion depending on academic qualification, health care and  non-health care workers shown by p value less than 0.05. Health care professionals think there is need for new vaccinations for every new variant, there were mild covid symptoms post vaccination and there was need of booster dose every year while others have contrary opinion. Medical students didn’t believe in DNA alteration.

Their was also statistically significant difference in opinion between male and female gender. Most female participants believe that there was requirement of new vaccine for every new variant, there were more chances of covid after vaccination and they need booster dose every year to prevent covid while males have opposite opinion. Majority of the post vaccination symptoms were observed in femaleswhile male observed pain on the injection site only

  1. Conclusion: Awareness and education of general population regarding safety, efficacy and benefits of covid-19 vaccination is the cornerstone of the path to eradicate this pandemic. Different platform of social, print and electronic media plays a pivotal role in this regard. However, the importance of health authorities, religious scholars, social activists and politicians in creating awareness cannot be denied either. Collectively all these factors attribute towards the COVID free Pakistan.
  2. Key Words: COVID-19, vaccine hesitancy, Pakistan, public awareness, myths
https://doi.org/10.37939/jrmc.v27i3.2205

References

Zhao S, Lin Q, Ran J, Musa SS, Yang G, Wang W, Lou Y, Gao D, Yang L, He D, Wang MH. Preliminary estimation of the basic reproduction number of novel coronavirus (2019-nCoV) in China, from 2019 to 2020: A data-driven analysis in the early phase of the outbreak. International journal of infectious diseases. 2020 Mar 1;92:214-7. https://doi.org/10.1016/j.ijid.2020.01.050

Dooling K, Marin M, Wallace M, McClung N, Chamberland M, Lee GM, Talbot HK, Romero JR, Bell BP, Oliver SE. The Advisory Committee on Immunization Practices’ updated interim recommendation for allocation of COVID-19 vaccine—United States, December 2020. Morbidity and Mortality Weekly Report. 2021 Jan 1;69(51-52):1657. doi: 10.15585/mmwr.mm695152e2

Pearson CA, Bozzani F, Procter SR, Davies NG, Huda M, Jensen HT, Keogh-Brown M, Khalid M, Sweeney S, Torres-Rueda S, CHiL COVID-19 Working Group. COVID-19 vaccination in Sindh Province, Pakistan: A modelling study of health impact and cost-effectiveness. PLoS Medicine. 2021 Oct 4;18(10):e1003815. https://doi.org/10.1371/journal.pmed.1003815

Ullah I, Khan KS, Tahir MJ, Ahmed A, Harapan H. Myths and conspiracy theories on vaccines and COVID-19: Potential effect on global vaccine refusals. Vacunas. 2021 May 1;22(2):93-7. https://doi.org/10.1016/j.vacun.2021.01.001

Cornwall W. Officials gird for a war on vaccine misinformation. Science 369,14-15(2020). DOI: 10.1126/science.369.6499.14

Khan YH, Mallhi TH, Alotaibi NH, Alzarea AI, Alanazi AS, Tanveer N, Hashmi FK. Threat of COVID-19 vaccine hesitancy in Pakistan: the need for measures to neutralize misleading narratives. The American journal of tropical medicine and hygiene. 2020 Aug;103(2):603. doi: 10.4269/ajtmh.20-0654

Yigit M, Ozkaya-Parlakay A, Senel E. Evaluation of COVID-19 vaccine refusal in parents. The Pediatric infectious disease journal. 2021 Apr 1;40(4):e134-6. doi: 10.1097/INF.0000000000003042

Wong RS. COVID-19 vaccines and herd immunity: Perspectives, challenges and prospects. The Malaysian journal of pathology. 2021 Aug 1;43(2):203-17. http://www.mjpath.org.my/2021/v43n2/COVID-19-vaccines.pdf

John TJ, Samuel R. Herd immunity and herd effect: new insights and definitions. European journal of epidemiology. 2000 Jul;16:601-6. https://doi.org/10.1023/A:1007626510002

Kricorian K, Civen R, Equils O. COVID-19 vaccine hesitancy: misinformation and perceptions of vaccine safety. Human Vaccines & Immunotherapeutics. 2022 Jan 31;18(1):1950504. https://doi.org/10.1080/21645515.2021.1950504

European Parliament. European Parliament resolution of 19 April 2018 on vaccine hesitancy and drop in vaccination rates in Europe (2017/2951 RSP). https://www.europarl.europa.eu/doceo/document/TA-8-2018-0188_EN.pdf

Shah SZ, Saad M, Khattak MH, Rizwan M, Haidari A, Idrees F. Why we could not eradicate polio from Pakistan and how can we?. Journal of Ayub Medical College Abbottabad. 2016 Jun 1;28(2):423-5. http://www.demo.ayubmed.edu.pk/index.php/jamc/article/view/208

Butt M, Mohammed R, Butt E, Butt S, Xiang J. Why have immunization efforts in Pakistan failed to achieve global standards of vaccination uptake and infectious disease control?. Risk management and healthcare policy. 2020 Feb 12:111-24. https://doi.org/10.2147/RMHP.S211170

El-Elimat T, AbuAlSamen MM, Almomani BA, Al-Sawalha NA, Alali FQ. Acceptance and attitudes toward COVID-19 vaccines: A cross-sectional study from Jordan. PLoS One. 2021 Apr 23;16(4):e0250555. doi: 10.1371/journal.pone.0250555. eCollection 2021.

Lazarus JV, Ratzan SC, Palayew A, Gostin LO, Larson HJ, Rabin K, Kimball S, El-Mohandes A. A global survey of potential acceptance of a COVID-19 vaccine. Nature medicine. 2021 Feb;27(2):225-8. https://doi.org/10.1038/s41591-020-1124-9

Batool F, Saddiq S, Malik K. Awareness of hepatitis C infection among medical and engineering students. Rawal Medical Journal. 2018 Jul 1;43(3):373. http://rmj.org.pk/fulltext/27-1506002200.pdf

Kricorian K, Civen R, Equils O. COVID-19 vaccine hesitancy: misinformation and perceptions of vaccine safety. Hum Vaccin Immunother. 2022 Dec 31;18(1):1950504. https://doi.org/10.1080/21645515.2021.1950504

Abbas S, Zareen S, Nisar S, Farooq A, Rasheed A, Saleem M. COVID-19 Vaccines: Community Myths Vs Facts. Pak Armed Forces Med J. 2022 May 1 ;72(2):497-00. https://doi.org/10.51253/pafmj.v72i2.6970

Jain J, Saurabh S, Kumar P, Verma MK, Goel AD, Gupta MK, et al. COVID-19 vaccine hesitancy among medical students in India. Epidemiology & Infection. 2021;149:e132. DOI: https://doi.org/10.1017/S0950268821001205

Din MU, Shahid U, Qudoos A, Ahmed R, Sohail M, Javed S. Covid-19 vaccine acceptance and hesitancy among medical students of Faisalabad. JRMC [Internet]. 2023 Jun. 24 [cited 2023 Jul. 7];27(2). https://www.journalrmc.com/index.php/JRMC/article/view/1804

Creative Commons License

This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

Copyright (c) 2023 Kausar Malik, Faiza Batool, Saba Bari, Fatima Malik, Savida Ilyas Dar, Lubna Meraj