Dengue vaccine acceptance and associated factors in Indonesia: A community-based cross-sectional survey in Aceh

Harapan, Harapan and Anwar, Samsul and Setiawan, Abdul Malik and Sasmono, R. Tedjo (2016) Dengue vaccine acceptance and associated factors in Indonesia: A community-based cross-sectional survey in Aceh. Vaccine, 34 (32). pp. 3670-3675. ISSN 0264410X

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Full text available at: http://doi.org/10.1016/j.vaccine.2016.05.026

Abstract

Background The first dengue vaccine (DV) has been licensed in some countries, but an assessment of the public's acceptance of DV is widely lacking. This study aimed to explore and understand DV acceptance and its associated explanatory variables among healthy inhabitants of Aceh, Indonesia. Methods A community-based cross-sectional survey was conducted from November 2014 to March 2015 in nine regencies of Aceh that were selected randomly. A set of validated questionnaires covering a range of explanatory variables and DV acceptance was used to conduct the interviews. A multi-step logistic regression analysis and Spearman's rank correlation were employed to assess the role of explanatory variables in DV acceptance. Results We included 652 community members in the final analysis and found that 77.3% of them were willing to accept the DV. Gender, monthly income, socioeconomic status (SES), attitude toward dengue fever (DF) and attitude toward vaccination practice were associated with DV acceptance in bivariate analyses (P < 0.05). A correlation analysis confirmed that attitude toward vaccination practice and attitude toward DF were strongly correlated with DV acceptance, rs = 0.41 and rs = 0.39, respectively (P < 0.001). The multivariate analysis revealed that a high monthly income, high SES, and a good attitude toward vaccination practice and toward DF were independent predictors of DV acceptance. Conclusion The acceptance rate of the DV among inhabitants of Aceh, Indonesia was relatively high, and the strongest associated factors of higher support for the DV were a good attitude toward vaccination practices and a good attitude toward DF.

Item Type: Journal Article
Keywords: Aceh; Dengue; Dengue fever; Dengue vaccination; Dengue vaccine acceptance; Indonesia; dengue vaccine; dengue vaccine, adolescent; adult; aged; Article; attitude; correlation analysis; cross-sectional study; dengue; female; health survey; human; income; Indonesia; interview; male; middle aged; poverty; priority journal; questionnaire; sex difference; single drug dose; social status; vaccination; attitude to health; dengue; patient attitude; social class; statistics and numerical data; very elderly; young adult, Adolescent; Adult; Aged; Aged, 80 and over; Cross-Sectional Studies; Dengue; Dengue Vaccines; Female; Health Knowledge, Attitudes, Practice; Humans; Income; Indonesia; Male; Middle Aged; Patient Acceptance of Health Care; Social Class; Surveys and Questionnaires; Vaccination; Young Adult
Divisions: Faculty of Medical and Health Sciences > Department of Medical Education
Depositing User: Indar Ristamonika Erdiana
Date Deposited: 28 May 2018 02:57

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