VAX SAVVY: EXPLORING KNOWLEDGE, AWARENESS, AND PERCEPTIONS OF COVID-19 VACCINES AMONG VACCINATED STUDENTS
Abstract
Abstract: Efforts to control COVID-19 continue to be a global priority, with ongoing research and public health measures aimed at minimizing the impact of the disease. In response to the COVID-19 pandemic, vaccines have emerged as a vital tool for mitigating its impact. This cross-sectional study involved the distribution of structured questionnaires to 165 vaccinated pharmacy students at a Malaysian public university. The study aimed to investigate the knowledge, awareness, and perceptions of COVID-19 vaccines among this specific cohort. The findings underscore a commendable level of knowledge (between 88.5% and 98.9%) as well as awareness and perceptions among the respondents regarding COVID-19 and its vaccines. They exhibited a clear understanding of the importance of vaccination in curbing the disease and expressed a willingness to educate others on its significance. Moreover, the respondents held positive perceptions about vaccine safety, the elicited immune response, and the protective efficacy conferred by vaccination. The study's outcomes reveal the pharmacy students' robust grasp of the importance, safety, and effectiveness of COVID-19 vaccines. Their positive attitude towards vaccination emphasizes its role in controlling the pandemic and underscores the importance of disseminating this knowledge. This study offers valuable insights into the knowledge and perceptions of a specific population group, contributing to our broader understanding of various aspects of COVID-19 vaccine.
Keywords: Awareness; COVID-19; Knowledge; Perception; Students; Vaccine
References
Abbasí, J. (2021). Study Suggests Lasting Immunity After COVID-19, With a Big Boost From Vaccination. JAMA, 326(5), 376-377.
Alhazmi, A. H., Alamer, E., Daws, D., Hakami, M., Darraj, M., Abdelwahab, S. I., Maghfuri, A. H., & Algaissi, A. (2021). Evaluation of Side Effects Associated with COVID-19 Vaccines in Saudi Arabia. Vaccines, 9.
Alsayedahmed, H. H. (2021). Get Vaccinated to Quash the COVID-19 Pandemic. Journal of Community Medicine & Public Health. 5, 217. doi: 10.29011/2577-2228.100217
Al-Sharify, Z. T., Nussrat, H. H., Al-Najjar, S. Z., Onyeaka, H., Al-Sharify, N. T., Al-majeed, M. A., & Abdulhussein, A. A. (2021). The emergence of covid-19 and its pandemic potentialas a global health security threat and its effect on future life strategy. Systematic Reviews in Pharmacy, 12, 259-269. doi:10.31838/SRP.2021.3.42
Andrews, N., Tessier, E., Stowe, J., Gower, C., Kirsebom, F., Simmons, R., Gallagher, E., Thelwall, S., Groves, N., Dabrera, G., Myers, R., Campbell, C.N., Amirthalingam, G., Edmunds, M., Zambon, M., Brown, K. E., Hopkins, S., Chand, M., Ladhani, S. N., Ramsay, M. E., & Lopez Bernal, J. (2022). Duration of Protection against Mild and Severe Disease by Covid-19 Vaccines. The New England Journal of Medicine, 386(4), 340-350. doi:10.1056/NEJMoa2115481
Barbour, V. (2023). COVID‐19: no longer a global health emergency, now a long term challenge. Medical Journal of Australia, 218. doi:10.5694/mja2.51976
Beatty, A. L., Peyser, N. D., Butcher, X. E., Cocohoba, J., Lin, F., Olgin, J. E., Pletcher, M. J., & Marcus, G. M. (2021). Analysis of COVID-19 Vaccine Type and Adverse Effects Following Vaccination. JAMA Network Open, 4. doi:10.1001/jamanetworkopen.2021.40364
Birhane, M. G., Bressler, S. S., Chang, G., Clark, T. A., Dorough, L., Fischer, M. A., Watkins, L. F., Goldstein, J. M., Kugeler, K. J., Langley, G. E., Lecy, K. D., Martin, S. W., Medalla, F., Mitruka, K., Nolen, L. D., Sadigh, K., Spratling, R., Thompson, G., & Trujillo, A. (2021). COVID-19 Vaccine Breakthrough Infections Reported to CDC — United States, January 1–April 30, 2021. Morbidity and Mortality Weekly Report, 70, 792 - 793.
Calina, D., Docea, A. O., Petrakis, D., Egorov, A. M., Ishmukhametov, A. A., Gabibov, A. G., Shtilman, M. I., Kostoff, R., Carvalho, F., Vinceti, M., Spandidos, D. A., & Tsatsakis, A. (2020). Towards effective COVID 19 vaccines: Updates, perspectives and challenges (Review). International Journal of Molecular Medicine, 46(1), 3–16. https://doi.org/10.3892/ijmm.2020.4596.
Chakraborty, R., & Parvez, S. (2020). COVID-19: An overview of the current pharmacological interventions, vaccines, and clinical trials. Biochemical Pharmacology, 180, 114184. doi:10.1016/j.bcp.2020.114184
Chan, H. K., Soelar, S. A., Md Ali, S. M., Ahmad, F., & Abu Hassan, M. R. (2018). Trends in Vaccination Refusal in Children Under 2 Years of Age in Kedah, Malaysia: A 4-Year Review From 2013 to 2016. Asia Pacific Journal of Public Health, 30(2), 137–146. doi: 10.1177/1010539517751312.
Chan, N. N., Ong, K. W., Siau, C.S., Lee, K. W., Peh, S. C., Yacob, S., Chia, Y. C., Seow, V. K., & Ooi, P. B. (2022a). The lived experiences of a COVID-19 immunization programme: vaccine hesitancy and vaccine refusal. BMC Public Health, 22, 296. https://doi.org/10.1186/s12889-022-12632-z
Chan, S-K., Azrizal, M. S. A., Kamal Ariffin, A. H. D. A., Fahmi Mohd Zukri, M. I. F., Anwar, M. A. M., Muhamad Sharman, A. U. A., & Aziz Shah, M. A. S. M. (2022b). Knowledge and Acceptance of COVID-19 (SARS CoV2) Vaccination among Foundation students in a College in Kedah, Malaysia. Malaysian Journal of Medicine & Health Sciences, 18(5), 79-85. doi:10.47836/mjmhs18.5.12
Chen, J., & Lu, H. (2021). New challenges to fighting COVID-19: Virus variants, potential vaccines, and development of antivirals. Bioscience Trends, 15(2), 126-128. doi:10.5582/bst.2021.01092
Chen, H., Li, X., Liu, X., Mao, Y., Wang, R., Dai, J., Gao, J., Fu, H., Zheng, P., Xiao, Q., & Jia, Y. (2021). Health Belief Model Perspective on the Control of COVID-19 Vaccine Hesitancy and the Promotion of Vaccination in China: Web-Based Cross-sectional Study. Journal of Medical Internet Research, 23.
Chirico, F., Teixeira da Silva, J.A., Tsigaris, P., & Sharun, K. (2022). Safety & effectiveness of COVID-19 vaccines: A narrative review. Indian Journal of Medical Research, 155, 91-104. doi: 10.4103/ijmr.IJMR_474_21
Earle, K., Ambrosino, D.M., Fiore-Gartland, A.J., Goldblatt, D., Gilbert, P.B., Siber, G., Dull, P.M., & Plotkin, S.A. (2021). Evidence for antibody as a protective correlate for COVID-19 vaccines. Vaccine, 39, 4423-4428.
Elengoe, A. (2020). COVID-19 Outbreak in Malaysia. Osong Public Health and Research Perspectives, 11(3),93-100. doi:10.24171/j.phrp.2020.11.3.08
Fragkou, P. C., & Dimopoulou, D. (2021). Serious complications of COVID-19 vaccines: A mini-review. Metabolism Open, 12, 100145-100145.
Goyal, L., Zapata, M. R., Ajmera, K. M., Chourasia, P., Pandit, R., & Pandit, T. (2022). A Hitchhiker's Guide to Worldwide COVID-19 Vaccinations: A Detailed Review of Monovalent and Bivalent Vaccine Schedules, COVID-19 Vaccine Side Effects, and Effectiveness Against Omicron and Delta Variants. Cureus, 14(10), e29837. doi: 10.7759/cureus.29837
Güner, R., Hasanoğlu, I., & Aktaş, F. (2020). COVID-19: Prevention and control measures in community. Turkish Journal of Medical Sciences, 50, 571 - 577. doi:10.3906/sag-2004-146
Haidere, M. F., Ratan, Z. A., Nowroz, S., Zaman, S. B., Jung, Y., Hosseinzadeh, H., & Cho, J. Y. (2021). COVID-19 Vaccine: Critical Questions with Complicated Answers. Biomolecules & Therapeutics, 29, 1-10.
Hashim, J. H., Adman, M. A., Hashim, Z., Mohd Radi, M. F., & Kwan, S. C. (2021). COVID-19 Epidemic in Malaysia: Epidemic Progression, Challenges, and Response. Frontiers in Public Health, 9, 560592. https://doi.org/10.3389/fpubh.2021.560592
Huang, Y., & Kuan, C. C. (2022). Vaccination to reduce severe COVID-19 and mortality in COVID-19 patients: a systematic review and meta-analysis. European Review for Medical and Pharmacological Sciences, 26(5), 1770-1776.
Iboi, E. A., Ngonghala, C. N., & Gumel, A. B. (2020). Will an imperfect vaccine curtail the COVID-19 pandemic in the U.S.? Infectious Disease Modelling, 5, 510 - 524. doi:10.1101/2020.05.10.20097428
Kaur, R., Dutta, S., Bhardwaj, P., Charan, J., Dhingra, S., Mitra, D., Singh, K., Yadav, D., Sharma, P., & Misra, S. (2021). Adverse Events Reported From COVID-19 Vaccine Trials: A Systematic Review. Indian Journal of Clinical Biochemistry, 36, 427 - 439. doi:10.1007/s12291-021-00968-z
Kim, D., & Lee, Y.J. (2021). Vaccination strategies and transmission of COVID-19: Evidence across advanced countries. Journal of Health Economics, 82, 102589 - 102589. doi:10.1016/j.jhealeco.2022.102589
Klugar, M., Riad, A., Mekhemar, M., Conrad, J., Buchbender, M., Howaldt, H.P., & Attia, S. (2021). Side Effects of mRNA-Based and Viral Vector-Based COVID-19 Vaccines among German Healthcare Workers. Biology, 10.
Koirala, A., Joo, Y. J., Khatami, A., Chiu, C. K., & Britton, P. N. (2020). Vaccines for COVID-19: The current state of play. Paediatric Respiratory Reviews, 35, 43-49.
Kudlay, D. A., & Svistunov, A. A. (2022). COVID-19 Vaccines: An Overview of Different Platforms. Bioengineering, 9, 72. doi:10.3390/bioengineering9020072
Lee, Y. W., Lim, S. Y., Lee, J. H., Lim, J. S., Kim, M., Kwon, S., Joo, J. Y., Kwak, S. H., Kim, E. O., Jung, J., Kwon, H., Kim, T. B., Kim, S. H., & Bae, S. (2021). Adverse Reactions of the Second Dose of the BNT162b2 mRNA COVID-19 Vaccine in Healthcare Workers in Korea. Journal of Korean Medical Science, 36. doi:10.3346/jkms.2021.36.e153
Lim, V. K. E. L, Adnan, A., Chang, K. M., Isahak, I., Sani, N. M., Ariffin, L., Chidambaram, S. K., & William, T. (2014). Guidelines for Adult Immunisation, 2nd Edition. Malaysian Society of Infectious Diseases and Chemotherapy. https://www.Adult-Immunisation-Guideline2nd-Edition-2014.pdf
Lin, D. Y., Zeng, D., & Gilbert, P. B. (2021). Evaluating the long-term efficacy of coronavirus disease 2019 (COVID-19) vaccines. Clinical Infectious Diseases, 73(10), 1927-1939.
Loo, K-Y., & Letchumanan, V. (2021). COVID-19: Malaysia's fight against this deadly virus. Progress in Microbes and Molecular Biology. 4, a0000204. doi:10.36877/PMMB.A0000204
Lurie, N., Sharfstein, J. M., & Goodman, J.L. (2020). The Development of COVID-19 Vaccines: Safeguards Needed. JAMA, 324(5), 439-440.
Lv, H., Wu, N. C., & Mok, C. K. (2020). COVID‐19 vaccines: knowing the unknown. European Journal of Immunology, 50(7), 939-943. doi:10.1002/eji.202048663
Mahase, E. (2020). Covid-19: Pfizer vaccine efficacy was 52% after first dose and 95% after second dose, paper shows. BMJ, 371, m4826. doi: 10.1136/bmj.m4826
Mallapaty, S., & Callaway, E. (2021). What scientists do and don’t know about the Oxford-AstraZeneca COVID vaccine. Nature, 592(7852), 15-17.
Matta, S., Rajpal, S., Chopra, K. K. & Arora, V. K. (2021) Covid-19 vaccines and new mutant strains impacting the pandemic. Indian Journal of Tuberculosis, 68, 171–173.
Mohammed, I., Nauman, A., Paul, P., Ganesan, S., Chen, K., Jalil, S. M., Jaouni, S. H., Kawas, H., Khan, W., Vattoth, A. L., Al-Hashimi, Y. A., Fares, A., Zeghlache, R., & Zakaria, D. (2022). The efficacy and effectiveness of the COVID-19 vaccines in reducing infection, severity, hospitalization, and mortality: a systematic review. Human Vaccines & Immunotherapeutics, 18.
Ng, C. W., Liang, S., & Li, Y. (2021). A comprehensive comparison between COVID-19 vaccines: a review. ScienceOpen Preprints. doi: 10.14293/S2199-1006.1.SOR-.PPUC2QO.v1
Nurul, A. M., Hana, M. S., Mohd, D. M. R., Muslimah, I., & Che Ilina, C. I. (2021). Knowledge, acceptance and perception on COVID-19 vaccine among Malaysians: A web-based survey. PLOS ONE, 13. doi:101371/journal. pone0256110.
Oliver, S. E., Gargano, J. W., Marin, M., Wallace, M., Curran, K. G., Chamberland, M., McClung, N., Campos-Outcalt, D., Morgan, R. L., Mbaeyi, S., & Dooling, K. (2020). The advisory committee on immunization practices’ interim recommendation for use of Pfizer-BioNTech COVID-19 vaccine—United States, December 2020. Morbidity and Mortality Weekly Report, 69(50), 1922.
Othman, M. I., Sulaiman, S., Najib, M. N. M., & Ismail, W. N. H. W. (2022a). Covid-19 Transmission and Prevention: Knowledge and Awareness among Diploma in Pharmacy Students. International Journal of Education, Psychology and Counselling, 7(46), 430-448. doi: 10.35631/IJEPC.746033
Othman, M., Sulaiman, S., Mohd Najib, M., & Wan Ismail, W. (2022b). Forced Online and Distance Learning (ODL) During COVID-19 Pandemic: Revealing Students’ Perceptions and Experiences. Asian Journal Of University Education, 18(4), 894-905. doi:10.24191/ajue.v18i4.19994
Othman, M. I., Najib, M. N. M., & Sulaiman, S. (2023). Forced Transition Into Online Assessments: Exploring Perceptions And Challenges Amongst Pharmacy Students. International Journal of Modern Education, 5 (17), 228-243. doi: 10.35631/IJMOE.517019
Özüdoğru, O., Acer, Ö., & Genç Bahçe, Y. (2022). Risks of catching COVID‐19 according to vaccination status of healthcare workers during the SARS‐CoV‐2 Delta variant dominant period and their clinical characteristics. Journal of Medical Virology, 94, 3706 - 3713.
Pormohammad, A., Zarei, M., Ghorbani, S., Mohammadi, M., Mh, R., & Rj, T. (2021). Efficacy and Safety of COVID-19 Vaccines: A Systematic Review and Meta-Analysis of Randomized Clinical Trials. Vaccines, 9.
Qaderi, K., Golezar, M. H., Mardani, A., Mallah, M. A., Moradi, B., Kavoussi, H., Shamsabadi, A., & Golezar, S. (2022). Cutaneous adverse reactions of COVID‐19 vaccines: A systematic review. Dermatologic Therapy, 35. DOI: https://doi.org/10.21203/rs.3.rs-1000625/v1
Rosenberg, E. S., Holtgrave, D. R., Dorabawila, V., Conroy, M., Greene, D., Lutterloh, E. C., Backenson, B. P., Hoefer, D., Morne, J. E., Bauer, U. E., & Zucker, H. A. (2021). New COVID-19 Cases and Hospitalizations Among Adults, by Vaccination Status — New York, May 3–July 25, 2021. Morbidity and Mortality Weekly Report, 70, 1150 - 1155.
Saeed, H., Ali, K., Nabeel, M., Rasool, M. F., Islam, M., Hashmi, F. K., Saeed, A., & Saleem, Z. (2023). Knowledge, Attitudes, Perceptions, and Acceptance of COVID-19 Vaccination among Pharmacy and Non-Pharmacy Students. Vaccines, 11, 176. doi:10.3390/vaccines11010176
Samsuri, A. S., Hussin, S. M., Badaruddin, M. N. A., Arifin, T. R. T., Zainol, S. S. & Mohamad, Z. Z. (2022). Antecedents of User Satisfaction and Continuance Usage of Mobile Health Applications: A Study on MySejahtera Apps in Malaysia. Asian Journal of Behavioural Sciences, 4(2), 91-105. doi:10.55057/ajbs.2022.4.2.6
Sharma, A., Ahmad Farouk, I., & Lal, S. K. (2021). COVID-19: A Review on the Novel Coronavirus Disease Evolution, Transmission, Detection, Control and Prevention. Viruses, 13(2), 202. doi:10.3390/v13020202
Shukor, S. F., Ghazali, F., & Razak, S. S. A. (2023). Herd Immunity Against Covid-19: Considerations for Compulsory Vaccination for Employees in Malaysia. International Journal of Academic Research in Business and Social Sciences, 13(7), 1048-1064.
Sri, A. H. (2021). Kesedaran, Pengetahuan dan Sikap Masyarakat Awam Terhadap Vaksin Covid-19 Konvensional dan Berasaskan Bioteknologi Moden di Malaysia (Public Awareness, Knowledge, and Attitude towards Conventional and Modern Biotechnology Based Vaccines in Malaysia). MALIM: Jurnal Pengajian Umum Asia Tenggara, 22, 198-214.
Su, Z., Wen, J., McDonnell, D., Goh, E., Li, X., Šegalo, S., Ahmad, J., Cheshmehzangi, A., & Xiang, Y. (2021). Vaccines are not yet a silver bullet: The imperative of continued communication about the importance of COVID-19 safety measures. Brain, Behavior, & Immunity - Health, 12. doi: 10.1016/j.bbih.2021.100204.
Syed Alwi, S. A. R., Rafidah, E., Zurraini, A., Juslina, O., Brohi, I. B., & Lukas, S. (2021). A survey on COVID-19 vaccine acceptance and concern among Malaysians. BMC Public Health, 21(1), 1-12. doi:10.1186/s12889-021-11071-6
Thomas, N. S., Thakkar, M., & Ghanekar, J. (2021). Student’s perception on online teaching,learning and evaluation during the covid-19 pandemic: a survey. International Journal of Health and Clinical Research, 4(1), 61–67.
van Riel, D., & de Wit, E. (2020). Next-generation vaccine platforms for COVID-19. Nature Materials, 19, 810-812.
Wang, J., Jing, R., Lai, X., Zhang, H., Lyu, Y., Knoll, M. D., & Fang, H. (2020). Acceptance of COVID-19 Vaccination during the COVID-19 Pandemic in China. Vaccines, 8.
Wang, K., Wong, E. L., Ho, K., Cheung, A. W., Yau, P. S., Dong, D., Wong, S. Y., & Yeoh, E. K. (2021). Change of Willingness to Accept COVID-19 Vaccine and Reasons of Vaccine Hesitancy of Working People at Different Waves of Local Epidemic in Hong Kong, China: Repeated Cross-Sectional Surveys. Vaccines, 9.
Yuan, P., Ai, P., Liu, Y., Ai, Z., Wang, Y., Cao, W., Xia, X., & Zheng, J.C. (2020). Safety, Tolerability, and Immunogenicity of COVID-19 Vaccines: A Systematic Review and Meta-Analysis. medRxiv. doi:10.1101/2020.11.03.20224998
Zhang, Z., Shen, Q., & Chang, H. (2022). Vaccines for COVID-19: A Systematic Review of Immunogenicity, Current Development, and Future Prospects. Frontiers in Immunology, 13. 843928. doi: 10.3389/fimmu.2022.843928
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