Public’s Willingness to Perform COVID-19 Self-Testing During the Transition to the Endemic Phase in Malaysia – A Population-Based Cross-Sectional Study

Diana-Leh-Ching Ng,1 Mohd Amirulikhmar Bin Jamalludin,2 Xhi-Yan Gan,3 Siew-Yoong Ng,3 Muhammad Zulhusni Bin Mohamad Rasidin,4 Beverlyn Anak Felix,1 Nicholas M Jagang,5 Woweham Sindeh,6 Mohd Abdul Hafiz Bin Mohd Abdul Rahim,7 Seng-Beng Tan,8 Chee-Shee Chai1 1Department of Medicine, Faculty of Medicin...

Full description

Bibliographic Details
Main Authors: Ng DLC, Bin Jamalludin MA, Gan XY, Ng SY, Bin Mohamad Rasidin MZ, Felix BA, Jagang NM, Sindeh W, Bin Mohd Abdul Rahim MAH, Tan SB, Chai CS
Format: Article
Language:English
Published: Dove Medical Press 2023-11-01
Series:Risk Management and Healthcare Policy
Subjects:
Online Access:https://www.dovepress.com/publics-willingness-to-perform-covid-19-self-testing-during-the-transi-peer-reviewed-fulltext-article-RMHP
_version_ 1797536468116176896
author Ng DLC
Bin Jamalludin MA
Gan XY
Ng SY
Bin Mohamad Rasidin MZ
Felix BA
Jagang NM
Sindeh W
Bin Mohd Abdul Rahim MAH
Tan SB
Chai CS
author_facet Ng DLC
Bin Jamalludin MA
Gan XY
Ng SY
Bin Mohamad Rasidin MZ
Felix BA
Jagang NM
Sindeh W
Bin Mohd Abdul Rahim MAH
Tan SB
Chai CS
author_sort Ng DLC
collection DOAJ
description Diana-Leh-Ching Ng,1 Mohd Amirulikhmar Bin Jamalludin,2 Xhi-Yan Gan,3 Siew-Yoong Ng,3 Muhammad Zulhusni Bin Mohamad Rasidin,4 Beverlyn Anak Felix,1 Nicholas M Jagang,5 Woweham Sindeh,6 Mohd Abdul Hafiz Bin Mohd Abdul Rahim,7 Seng-Beng Tan,8 Chee-Shee Chai1 1Department of Medicine, Faculty of Medicine and Health Science, University Malaysia Sarawak, Kota Samarahan, Malaysia; 2Department of Emergency and Trauma, Sarawak General Hospital, Kuching, Malaysia; 3Department of Medicine, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia; 4Department of Obstetrics and Gynaecology, Hospital Raja Perempuan Zainab II, Kota Bharu, Malaysia; 5Membakut Health Clinic, Ministry of Health, Beaufort, Malaysia; 6Telupid Health Clinic, Ministry of Health, Beluran, Malaysia; 7Department of Medicine, Sungai Buloh Hospital, Sungai Buloh, Malaysia; 8Palliative Care Unit, Subang Jaya Medical Center, Subang Jaya, Selangor, MalaysiaCorrespondence: Chee-Shee Chai, Department of Medicine, Faculty of Medicine and Health Science, University Malaysia Sarawak, Kota Samarahan, Malaysia, Tel +6019-8188265, Email cschai@unimas.myIntroduction: Malaysia entered the transition to the endemic phase of Coronavirus 2019 (COVID-19) on 1st April 2022. This study aims to determine the public’s willingness to perform COVID-19 self-testing. Factors that influenced their willingness were also assessed.Methods: A nationwide, cross-sectional, and population-based study was conducted online in Malaysia from 28th April 2023 to 4th June 2023. Individuals aged 18 years and above were enrolled through the snowball sampling method. Data were analyzed by using the Chi-Square test, independent t-test, and binary logistic regression.Results: One thousand four hundred fifty-three responses were included in the analysis. Of these respondents, 89.3% were willing, 4.1% were reluctant, and 6.6% remained hesitant to perform COVID-19 self-testing, The common reasons given by those willing to perform COVID-19 self-testing included being able to self-isolate (99.0%) and seek treatment (96.3%) earlier if tested positive. The common reasons against COVID-19 self-testing included the belief that COVID-19 is equivalent to the common flu (91.7%) and having received the COVID-19 vaccine (78.3%). The isolation policy for COVID-19 was the most significant consideration for those who were still hesitant (85.4%). Women [adjusted odds ratios (OR): 2.1, 95% confidence intervals (95% CI): 1.44– 3.00, p < 0.001], individuals with tertiary education (OR: 2.1, 95% CI: 1.32– 3.26, p = 0.002), those vaccinated against COVID-19 (OR: 8.1, 95% CI: 2.63– 24.82, p < 0.001), and individuals with prior experience of COVID-19 self-testing (OR: 4.2, 95% CI: 2.84– 6.12, p < 0.001) showed a significantly higher willingness to engage in COVID-19 self-testing.Conclusion: The public exhibited a high willingness to perform COVID-19 self-testing during the transition to the endemic phase in Malaysia. Future strategies to promote COVID-19 self-testing uptake in Malaysia should focus on vulnerable groups, address the common concerns among those hesitant and reluctant, and highlight the advantages of COVID-19 self-testing.Keywords: COVID-19, self-testing, endemic, willingness, hesitant, Malaysia
first_indexed 2024-03-10T12:00:07Z
format Article
id doaj.art-a2a7400403394408b3da641b61837588
institution Directory Open Access Journal
issn 1179-1594
language English
last_indexed 2024-03-10T12:00:07Z
publishDate 2023-11-01
publisher Dove Medical Press
record_format Article
series Risk Management and Healthcare Policy
spelling doaj.art-a2a7400403394408b3da641b618375882023-11-21T17:01:06ZengDove Medical PressRisk Management and Healthcare Policy1179-15942023-11-01Volume 162505251988348Public&rsquo;s Willingness to Perform COVID-19 Self-Testing During the Transition to the Endemic Phase in Malaysia &ndash; A Population-Based Cross-Sectional StudyNg DLCBin Jamalludin MAGan XYNg SYBin Mohamad Rasidin MZFelix BAJagang NMSindeh WBin Mohd Abdul Rahim MAHTan SBChai CSDiana-Leh-Ching Ng,1 Mohd Amirulikhmar Bin Jamalludin,2 Xhi-Yan Gan,3 Siew-Yoong Ng,3 Muhammad Zulhusni Bin Mohamad Rasidin,4 Beverlyn Anak Felix,1 Nicholas M Jagang,5 Woweham Sindeh,6 Mohd Abdul Hafiz Bin Mohd Abdul Rahim,7 Seng-Beng Tan,8 Chee-Shee Chai1 1Department of Medicine, Faculty of Medicine and Health Science, University Malaysia Sarawak, Kota Samarahan, Malaysia; 2Department of Emergency and Trauma, Sarawak General Hospital, Kuching, Malaysia; 3Department of Medicine, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia; 4Department of Obstetrics and Gynaecology, Hospital Raja Perempuan Zainab II, Kota Bharu, Malaysia; 5Membakut Health Clinic, Ministry of Health, Beaufort, Malaysia; 6Telupid Health Clinic, Ministry of Health, Beluran, Malaysia; 7Department of Medicine, Sungai Buloh Hospital, Sungai Buloh, Malaysia; 8Palliative Care Unit, Subang Jaya Medical Center, Subang Jaya, Selangor, MalaysiaCorrespondence: Chee-Shee Chai, Department of Medicine, Faculty of Medicine and Health Science, University Malaysia Sarawak, Kota Samarahan, Malaysia, Tel +6019-8188265, Email cschai@unimas.myIntroduction: Malaysia entered the transition to the endemic phase of Coronavirus 2019 (COVID-19) on 1st April 2022. This study aims to determine the public’s willingness to perform COVID-19 self-testing. Factors that influenced their willingness were also assessed.Methods: A nationwide, cross-sectional, and population-based study was conducted online in Malaysia from 28th April 2023 to 4th June 2023. Individuals aged 18 years and above were enrolled through the snowball sampling method. Data were analyzed by using the Chi-Square test, independent t-test, and binary logistic regression.Results: One thousand four hundred fifty-three responses were included in the analysis. Of these respondents, 89.3% were willing, 4.1% were reluctant, and 6.6% remained hesitant to perform COVID-19 self-testing, The common reasons given by those willing to perform COVID-19 self-testing included being able to self-isolate (99.0%) and seek treatment (96.3%) earlier if tested positive. The common reasons against COVID-19 self-testing included the belief that COVID-19 is equivalent to the common flu (91.7%) and having received the COVID-19 vaccine (78.3%). The isolation policy for COVID-19 was the most significant consideration for those who were still hesitant (85.4%). Women [adjusted odds ratios (OR): 2.1, 95% confidence intervals (95% CI): 1.44– 3.00, p < 0.001], individuals with tertiary education (OR: 2.1, 95% CI: 1.32– 3.26, p = 0.002), those vaccinated against COVID-19 (OR: 8.1, 95% CI: 2.63– 24.82, p < 0.001), and individuals with prior experience of COVID-19 self-testing (OR: 4.2, 95% CI: 2.84– 6.12, p < 0.001) showed a significantly higher willingness to engage in COVID-19 self-testing.Conclusion: The public exhibited a high willingness to perform COVID-19 self-testing during the transition to the endemic phase in Malaysia. Future strategies to promote COVID-19 self-testing uptake in Malaysia should focus on vulnerable groups, address the common concerns among those hesitant and reluctant, and highlight the advantages of COVID-19 self-testing.Keywords: COVID-19, self-testing, endemic, willingness, hesitant, Malaysiahttps://www.dovepress.com/publics-willingness-to-perform-covid-19-self-testing-during-the-transi-peer-reviewed-fulltext-article-RMHPcovid-19self-testingendemicwillingnesshesitantmalaysia
spellingShingle Ng DLC
Bin Jamalludin MA
Gan XY
Ng SY
Bin Mohamad Rasidin MZ
Felix BA
Jagang NM
Sindeh W
Bin Mohd Abdul Rahim MAH
Tan SB
Chai CS
Public&rsquo;s Willingness to Perform COVID-19 Self-Testing During the Transition to the Endemic Phase in Malaysia &ndash; A Population-Based Cross-Sectional Study
Risk Management and Healthcare Policy
covid-19
self-testing
endemic
willingness
hesitant
malaysia
title Public&rsquo;s Willingness to Perform COVID-19 Self-Testing During the Transition to the Endemic Phase in Malaysia &ndash; A Population-Based Cross-Sectional Study
title_full Public&rsquo;s Willingness to Perform COVID-19 Self-Testing During the Transition to the Endemic Phase in Malaysia &ndash; A Population-Based Cross-Sectional Study
title_fullStr Public&rsquo;s Willingness to Perform COVID-19 Self-Testing During the Transition to the Endemic Phase in Malaysia &ndash; A Population-Based Cross-Sectional Study
title_full_unstemmed Public&rsquo;s Willingness to Perform COVID-19 Self-Testing During the Transition to the Endemic Phase in Malaysia &ndash; A Population-Based Cross-Sectional Study
title_short Public&rsquo;s Willingness to Perform COVID-19 Self-Testing During the Transition to the Endemic Phase in Malaysia &ndash; A Population-Based Cross-Sectional Study
title_sort public rsquo s willingness to perform covid 19 self testing during the transition to the endemic phase in malaysia ndash a population based cross sectional study
topic covid-19
self-testing
endemic
willingness
hesitant
malaysia
url https://www.dovepress.com/publics-willingness-to-perform-covid-19-self-testing-during-the-transi-peer-reviewed-fulltext-article-RMHP
work_keys_str_mv AT ngdlc publicrsquoswillingnesstoperformcovid19selftestingduringthetransitiontotheendemicphaseinmalaysiandashapopulationbasedcrosssectionalstudy
AT binjamalludinma publicrsquoswillingnesstoperformcovid19selftestingduringthetransitiontotheendemicphaseinmalaysiandashapopulationbasedcrosssectionalstudy
AT ganxy publicrsquoswillingnesstoperformcovid19selftestingduringthetransitiontotheendemicphaseinmalaysiandashapopulationbasedcrosssectionalstudy
AT ngsy publicrsquoswillingnesstoperformcovid19selftestingduringthetransitiontotheendemicphaseinmalaysiandashapopulationbasedcrosssectionalstudy
AT binmohamadrasidinmz publicrsquoswillingnesstoperformcovid19selftestingduringthetransitiontotheendemicphaseinmalaysiandashapopulationbasedcrosssectionalstudy
AT felixba publicrsquoswillingnesstoperformcovid19selftestingduringthetransitiontotheendemicphaseinmalaysiandashapopulationbasedcrosssectionalstudy
AT jagangnm publicrsquoswillingnesstoperformcovid19selftestingduringthetransitiontotheendemicphaseinmalaysiandashapopulationbasedcrosssectionalstudy
AT sindehw publicrsquoswillingnesstoperformcovid19selftestingduringthetransitiontotheendemicphaseinmalaysiandashapopulationbasedcrosssectionalstudy
AT binmohdabdulrahimmah publicrsquoswillingnesstoperformcovid19selftestingduringthetransitiontotheendemicphaseinmalaysiandashapopulationbasedcrosssectionalstudy
AT tansb publicrsquoswillingnesstoperformcovid19selftestingduringthetransitiontotheendemicphaseinmalaysiandashapopulationbasedcrosssectionalstudy
AT chaics publicrsquoswillingnesstoperformcovid19selftestingduringthetransitiontotheendemicphaseinmalaysiandashapopulationbasedcrosssectionalstudy