Predictors for inadequate knowledge and negative attitude towards childhood immunization among parents in Hulu Langat, Selangor, Malaysia

Vaccine hesitancy among parents has led to re-emergence of vaccine preventable diseases. In Malaysia, measles cases had increased by three times in 2015 compared to previous year. Immunization coverage has always been above 95% since 2009. However, in 2014, Mumps-Measles-Rubella (MMR) coverage has a...

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Main Authors: Che Abdullah, Azreena, Mohd Zulkefli, Nor Afiah, Abdul Manaf, Rosliza
Format: Article
Language:English
Published: Malaysian Public Health Physicians Association 2018
Online Access:http://psasir.upm.edu.my/id/eprint/73592/1/Predictors%20for%20inadequate%20knowledge%20and%20negative%20attitude%20towards%20childhood%20immunization%20among%20parents%20in%20Hulu%20Langat%2C%20Selangor%2C%20Malaysia.pdf
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author Che Abdullah, Azreena
Mohd Zulkefli, Nor Afiah
Abdul Manaf, Rosliza
author_facet Che Abdullah, Azreena
Mohd Zulkefli, Nor Afiah
Abdul Manaf, Rosliza
author_sort Che Abdullah, Azreena
collection UPM
description Vaccine hesitancy among parents has led to re-emergence of vaccine preventable diseases. In Malaysia, measles cases had increased by three times in 2015 compared to previous year. Immunization coverage has always been above 95% since 2009. However, in 2014, Mumps-Measles-Rubella (MMR) coverage has a significant drop to 93.4%. The aim of the study was to identify predictors for inadequate knowledge and negative attitude towards childhood immunization among parents in Hulu Langat, Selangor. A cross sectional study design was conducted from January to July 2016 with760 respondents. Respondents were selected by cluster random sampling and a validated self-administered questionnaire was used. The majority of respondents were female (70%), Malay (87%), employed (92%) and parents with tertiary education (99.7%). In this study, 12.8% parents have an inadequate knowledge on childhood immunization and 47.6% parents have a negative attitude towards childhood immunization. The predictors for inadequate knowledge on childhood immunizations were last child’s age of 2 years old or more (AOR=1.413 95% CI 0.28-0.69); parents without tertiary education (AOR=2.02 95% CI 1.15-3.54); parents withouteducational exposure on childhood immunization (AOR=2.87 95% CI 1.59-5.18) and parents who obtained information on childhood immunization from non-healthcare provider (AOR=2.66 95% CI 1.50-4.70). Predictors for negative attitude on childhood immunizations were being male (AOR=1.44 95% CI 1.04-2.01); parents without tertiary education (AOR=1.67 95% CI 1.04-2.68); household income of less than RM5000 (AOR=1.85 95% CI 1.28-2.67) and unsatisfactory religious belief (AOR=2.76 95% CI 2.03-3.75). Therefore, these predictors should be considered in any health intervention on childhood immunizations for parents in Malaysia.
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spelling upm.eprints-735922020-07-07T03:20:36Z http://psasir.upm.edu.my/id/eprint/73592/ Predictors for inadequate knowledge and negative attitude towards childhood immunization among parents in Hulu Langat, Selangor, Malaysia Che Abdullah, Azreena Mohd Zulkefli, Nor Afiah Abdul Manaf, Rosliza Vaccine hesitancy among parents has led to re-emergence of vaccine preventable diseases. In Malaysia, measles cases had increased by three times in 2015 compared to previous year. Immunization coverage has always been above 95% since 2009. However, in 2014, Mumps-Measles-Rubella (MMR) coverage has a significant drop to 93.4%. The aim of the study was to identify predictors for inadequate knowledge and negative attitude towards childhood immunization among parents in Hulu Langat, Selangor. A cross sectional study design was conducted from January to July 2016 with760 respondents. Respondents were selected by cluster random sampling and a validated self-administered questionnaire was used. The majority of respondents were female (70%), Malay (87%), employed (92%) and parents with tertiary education (99.7%). In this study, 12.8% parents have an inadequate knowledge on childhood immunization and 47.6% parents have a negative attitude towards childhood immunization. The predictors for inadequate knowledge on childhood immunizations were last child’s age of 2 years old or more (AOR=1.413 95% CI 0.28-0.69); parents without tertiary education (AOR=2.02 95% CI 1.15-3.54); parents withouteducational exposure on childhood immunization (AOR=2.87 95% CI 1.59-5.18) and parents who obtained information on childhood immunization from non-healthcare provider (AOR=2.66 95% CI 1.50-4.70). Predictors for negative attitude on childhood immunizations were being male (AOR=1.44 95% CI 1.04-2.01); parents without tertiary education (AOR=1.67 95% CI 1.04-2.68); household income of less than RM5000 (AOR=1.85 95% CI 1.28-2.67) and unsatisfactory religious belief (AOR=2.76 95% CI 2.03-3.75). Therefore, these predictors should be considered in any health intervention on childhood immunizations for parents in Malaysia. Malaysian Public Health Physicians Association 2018 Article PeerReviewed text en http://psasir.upm.edu.my/id/eprint/73592/1/Predictors%20for%20inadequate%20knowledge%20and%20negative%20attitude%20towards%20childhood%20immunization%20among%20parents%20in%20Hulu%20Langat%2C%20Selangor%2C%20Malaysia.pdf Che Abdullah, Azreena and Mohd Zulkefli, Nor Afiah and Abdul Manaf, Rosliza (2018) Predictors for inadequate knowledge and negative attitude towards childhood immunization among parents in Hulu Langat, Selangor, Malaysia. Malaysian Journal of Public Health Medicine, 18 (1). 102 - 112. ISSN 1675-0306
spellingShingle Che Abdullah, Azreena
Mohd Zulkefli, Nor Afiah
Abdul Manaf, Rosliza
Predictors for inadequate knowledge and negative attitude towards childhood immunization among parents in Hulu Langat, Selangor, Malaysia
title Predictors for inadequate knowledge and negative attitude towards childhood immunization among parents in Hulu Langat, Selangor, Malaysia
title_full Predictors for inadequate knowledge and negative attitude towards childhood immunization among parents in Hulu Langat, Selangor, Malaysia
title_fullStr Predictors for inadequate knowledge and negative attitude towards childhood immunization among parents in Hulu Langat, Selangor, Malaysia
title_full_unstemmed Predictors for inadequate knowledge and negative attitude towards childhood immunization among parents in Hulu Langat, Selangor, Malaysia
title_short Predictors for inadequate knowledge and negative attitude towards childhood immunization among parents in Hulu Langat, Selangor, Malaysia
title_sort predictors for inadequate knowledge and negative attitude towards childhood immunization among parents in hulu langat selangor malaysia
url http://psasir.upm.edu.my/id/eprint/73592/1/Predictors%20for%20inadequate%20knowledge%20and%20negative%20attitude%20towards%20childhood%20immunization%20among%20parents%20in%20Hulu%20Langat%2C%20Selangor%2C%20Malaysia.pdf
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