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Article ; Online: Exposure to Misinformation, Risk Perception, and Confidence towards the Government as Factors Influencing Negative Attitudes towards COVID-19 Vaccination in Malaysia.

Mohamad, Emma / Tham, Jen Sern / Mohd Ajis, Siti Zaiton / Hamzah, Mohammad Rezal / Ayub, Suffian Hadi / Tri Sakti, Andi Muhammad / Azlan, Arina Anis

International journal of environmental research and public health

2022 Volume 19, Issue 22

Abstract: Introduction: This study explored exposure to misinformation, COVID-19 risk perception, and confidence towards the government as predictors of negative attitudes toward the COVID-19 vaccine.: Methods: A cross-sectional survey was carried out from 30 ... ...

Abstract	Introduction: This study explored exposure to misinformation, COVID-19 risk perception, and confidence towards the government as predictors of negative attitudes toward the COVID-19 vaccine. Methods: A cross-sectional survey was carried out from 30 June to 30 August 2021 involving 775 respondents. The survey instrument for the questionnaire was an adaptation from various different studies consisting of five main variables: (1) misinformation about vaccination; (2) risk perception toward COVID-19; (3) attitudes toward the vaccination programme; (4) intention to get vaccinated; and (5) public confidence in the government in executing the vaccination programme. Results: The results of this study indicate that higher exposure to misinformation led to higher levels of negative attitudes toward the COVID-19 vaccine. When the perceived risk of COVID-19 infection was high, mistrust of vaccine benefits was low but there were also higher worries about the future effects of the vaccine. Confidence in the government was associated with lower negative attitudes toward the COVID-19 vaccine. Conclusion: The results of this study may help develop an understanding of negative attitudes toward vaccinations in Malaysia and its contributing factors.
MeSH term(s)	Humans ; COVID-19 Vaccines ; Cross-Sectional Studies ; COVID-19/prevention & control ; Malaysia ; Health Knowledge, Attitudes, Practice ; Vaccination ; Government ; Communication ; Vaccines ; Perception
Chemical Substances	COVID-19 Vaccines ; Vaccines
Language	English
Publishing date	2022-11-08
Publishing country	Switzerland
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	2175195-X
ISSN	1660-4601 ; 1661-7827
ISSN (online)	1660-4601
ISSN	1661-7827
DOI	10.3390/ijerph192214623
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Public knowledge, attitudes and practices towards COVID-19: A cross-sectional study in Malaysia.

Azlan, Arina Anis / Hamzah, Mohammad Rezal / Sern, Tham Jen / Ayub, Suffian Hadi / Mohamad, Emma

PloS one

2020 Volume 15, Issue 5, Page(s) e0233668

Abstract: In an effort to mitigate the outbreak of COVID-19, many countries have imposed drastic lockdown, movement control or shelter in place orders on their residents. The effectiveness of these mitigation measures is highly dependent on cooperation and ... ...

Abstract	In an effort to mitigate the outbreak of COVID-19, many countries have imposed drastic lockdown, movement control or shelter in place orders on their residents. The effectiveness of these mitigation measures is highly dependent on cooperation and compliance of all members of society. The knowledge, attitudes and practices people hold toward the disease play an integral role in determining a society's readiness to accept behavioural change measures from health authorities. The aim of this study was to determine the knowledge levels, attitudes and practices toward COVID-19 among the Malaysian public. A cross-sectional online survey of 4,850 Malaysian residents was conducted between 27th March and 3rd April 2020. The survey instrument consisted of demographic characteristics, 13 items on knowledge, 3 items on attitudes and 3 items on practices, modified from a previously published questionnaire on COVID-19. Descriptive statistics, chi-square tests, t-tests and one-way analysis of variance (ANOVA) were conducted. The overall correct rate of the knowledge questionnaire was 80.5%. Most participants held positive attitudes toward the successful control of COVID-19 (83.1%), the ability of Malaysia to conquer the disease (95.9%) and the way the Malaysian government was handling the crisis (89.9%). Most participants were also taking precautions such as avoiding crowds (83.4%) and practising proper hand hygiene (87.8%) in the week before the movement control order started. However, the wearing of face masks was less common (51.2%). This survey is among the first to assess knowledge, attitudes and practice in response to the COVID-19 pandemic in Malaysia. The results highlight the importance of consistent messaging from health authorities and the government as well as the need for tailored health education programs to improve levels of knowledge, attitudes and practices.
MeSH term(s)	Adolescent ; Adult ; Aged ; Betacoronavirus ; COVID-19 ; Coronavirus Infections/epidemiology ; Coronavirus Infections/prevention & control ; Cross-Sectional Studies ; Female ; Health Knowledge, Attitudes, Practice ; Humans ; Malaysia ; Male ; Middle Aged ; Pandemics/prevention & control ; Pneumonia, Viral/epidemiology ; Pneumonia, Viral/prevention & control ; SARS-CoV-2 ; Surveys and Questionnaires ; Young Adult
Keywords	covid19
Language	English
Publishing date	2020-05-21
Publishing country	United States
Document type	Journal Article
ISSN	1932-6203
ISSN (online)	1932-6203
DOI	10.1371/journal.pone.0233668
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Relationship Between COVID-19 Information Sources and Attitudes in Battling the Pandemic Among the Malaysian Public: Cross-Sectional Survey Study.

Mohamad, Emma / Tham, Jen Sern / Ayub, Suffian Hadi / Hamzah, Mohammad Rezal / Hashim, Hasrul / Azlan, Arina Anis

Journal of medical Internet research

2020 Volume 22, Issue 11, Page(s) e23922

Abstract: Background: There are multiple media platforms and various resources available for information on COVID-19. Identifying people's preferences is key to building public confidence and planning for successful national health intervention strategies.: ... ...

Abstract	Background: There are multiple media platforms and various resources available for information on COVID-19. Identifying people's preferences is key to building public confidence and planning for successful national health intervention strategies. Objective: This study examines the sources of information for COVID-19 used by the Malaysian public and identifies those that are associated with building public confidence and positive perceptions toward the Malaysian government. Methods: A cross-sectional online survey of 4850 Malaysian residents was conducted. Participant demographics, media use, information sources, and attitudes surrounding COVID-19 were assessed. Descriptive statistics and multiple logistic regression analyses were conducted to gauge the relationship between demographics, information sources, and attitudes toward COVID-19. Results: Malaysians primarily used television and internet news portals to access information on COVID-19. The Malaysian Ministry of Health was the most preferred source of COVID-19 information. Respondents who referred to the Ministry of Health, television, and the Malaysian National Security Council for information were more likely to believe that the country could win the battle against COVID-19 and that the government was handling the health crisis well compared to those who referred to other information sources. Those who used the World Health Organization, friends, YouTube, family, and radio as sources of information were less likely to harbor confidence and positive belief toward combating COVID-19. Conclusions: Managing information and sustaining public confidence is important during a pandemic. Health authorities should pay considerable attention to the use of appropriate media channels and sources to allow for more effective dissemination of critical information to the public.
MeSH term(s)	Adult ; Attitude ; COVID-19/epidemiology ; Cross-Sectional Studies ; Female ; Humans ; Malaysia ; Male ; SARS-CoV-2/pathogenicity ; Surveys and Questionnaires
Keywords	covid19
Language	English
Publishing date	2020-11-12
Publishing country	Canada
Document type	Journal Article
ZDB-ID	2028830-X
ISSN	1438-8871 ; 1439-4456
ISSN (online)	1438-8871
ISSN	1439-4456
DOI	10.2196/23922
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Associations between Health Literacy and Sociodemographic Factors: A Cross-Sectional Study in Malaysia Utilising the HLS-M-Q18.

Azlan, Arina Anis / Hamzah, Mohammad Rezal / Tham, Jen Sern / Ayub, Suffian Hadi / Ahmad, Abdul Latiff / Mohamad, Emma

International journal of environmental research and public health

2021 Volume 18, Issue 9

Abstract: Health literacy is progressively seen as an indicator to describe a nation's health status. To improve health literacy, countries need to address health inequalities by examining different social demographic factors across the population. This assessment ...

Abstract	Health literacy is progressively seen as an indicator to describe a nation's health status. To improve health literacy, countries need to address health inequalities by examining different social demographic factors across the population. This assessment is crucial to identify and evaluate the strengths and limitations of a country in addressing health issues. By addressing these health inequalities, a country would be better informed to take necessary steps to improve the nation's health literacy. This study examines health literacy levels in Malaysia and analyses socio-demographic factors that are associated with health literacy. A cross-sectional survey was carried out using the HLS-M-Q18 instrument, which was validated for the Malaysian population. Multi-stage random sampling strategy was used in this study, utilising several sampling techniques including quota sampling, cluster sampling, and simple random sampling to allow random data collection. A total of 855 respondents were sampled. Our results showed that there were significant associations between health literacy and age, health status, and health problems. Our findings also suggest that lower health literacy levels were associated with the younger generation. This study's findings have provided baseline data on Malaysians' health literacy and provide evidence showing potential areas of intervention.
MeSH term(s)	Cross-Sectional Studies ; Factor Analysis, Statistical ; Health Literacy ; Malaysia ; Surveys and Questionnaires
Language	English
Publishing date	2021-05-02
Publishing country	Switzerland
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ISSN	1660-4601
ISSN (online)	1660-4601
DOI	10.3390/ijerph18094860
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Health Related Campaigns in Social Media and Its Practical Aspects for Youths in Malaysia

Ayub Suffian Hadi / Manickam Yesuselvi / Hamzah Mohammed Rezal / Suanda Julinawati / Mohd Yusoff Husna Afifi

SHS Web of Conferences, Vol 33, p

2017 Volume 00061

Abstract: The paper discusses the importance of social media in today’s society and review how health related campaign could penetrate the youths in Malaysia. In the internet age, the youths are divided into two; the digital natives (born after 1980) and digital ... ...

Abstract	The paper discusses the importance of social media in today’s society and review how health related campaign could penetrate the youths in Malaysia. In the internet age, the youths are divided into two; the digital natives (born after 1980) and digital immigrants (born before 1980). Further to that, the paper provides an insight on how past efforts by relevant stakeholders were utilised in creating awareness to Malaysian youths through the social media. Upon identifying the efforts through extensive literature review, the usage of social media in propagating behavioural changes in youths’ were also discussed. Several meaningful impacts were discovered and must be carefully considered in terms of its practical implications to suit Malaysian youths.
Keywords	Social Sciences ; H
Language	English
Publishing date	2017-01-01T00:00:00Z
Publisher	EDP Sciences
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Establishing the HLS-M-Q18 short version of the European health literacy survey questionnaire for the Malaysian context.

Mohamad, Emma Mirza Wati / Kaundan, Manimaran Krishnan / Hamzah, Mohammad Rezal / Azlan, Arina Anis / Ayub, Suffian Hadi / Tham, Jen Sern / Ahmad, Abdul Latiff

BMC public health

2020 Volume 20, Issue 1, Page(s) 580

Abstract: Background: The European Health Literacy Survey Questionnaire (HLS-EU-Q47) is becoming a widely used tool to measure health literacy (HL), including in Malaysia. There are efforts to reduce the 47-item scale to parsimonious short item scales that still ... ...

Abstract	Background: The European Health Literacy Survey Questionnaire (HLS-EU-Q47) is becoming a widely used tool to measure health literacy (HL), including in Malaysia. There are efforts to reduce the 47-item scale to parsimonious short item scales that still reflect the assumptions and requirements of the conceptual model. This study used confirmatory factor analysis to reduce the 47-item scale to a short scale that can offer a feasible HL screening tool with sufficient psychometric properties. Methods: A cross-sectional survey was conducted on the Malaysian population based on ethnic distribution to ensure that the short version instrument reflects the country's varied ethnicities. The survey was administered by well-trained interviewers working for the Ministry of Health Malaysia. A total of 866 responses were obtained. Data was analysed using multi-factorial confirmatory factor analysis (CFA) with categorical variables. Results: The analysis resulted in a satisfactory 18-item model. There were high correlations among the 18 items. The internal consistency reliability was robust, with no floor/ceiling effects. These results represented equivalence and consistency among the responses to items, suggesting that these items were homogenous in measuring Malaysian health literacy. The strong convergent and discriminant validity of the model makes the proposed 18 items a suitable short version of the health literacy instrument for Malaysia. Conclusions: The researchers propose the 18-item instrument to be named HLS-M-Q18. This short version instrument may be used in measuring health literacy in Malaysia as it achieved robust reliability, structural validity and construct validity that fulfilled goodness-of-fit criteria.
MeSH term(s)	Adult ; Cross-Sectional Studies ; Ethnic Groups ; Factor Analysis, Statistical ; Feasibility Studies ; Female ; Health Literacy/statistics & numerical data ; Humans ; Malaysia ; Male ; Mass Screening/methods ; Mass Screening/standards ; Middle Aged ; Psychometrics ; Reproducibility of Results ; Surveys and Questionnaires/standards
Language	English
Publishing date	2020-04-28
Publishing country	England
Document type	Evaluation Study ; Journal Article
ISSN	1471-2458
ISSN (online)	1471-2458
DOI	10.1186/s12889-020-08704-7
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Public knowledge, attitudes and practices towards COVID-19

Azlan, Arina Anis / Hamzah, Mohammad Rezal / Sern, Tham Jen / Ayub, Suffian Hadi / Mohamad, Emma

PLOS ONE

A cross-sectional study in Malaysia

2020 Volume 15, Issue 5, Page(s) e0233668

Keywords	General Biochemistry, Genetics and Molecular Biology ; General Agricultural and Biological Sciences ; General Medicine ; covid19
Language	English
Publisher	Public Library of Science (PLoS)
Publishing country	us
Document type	Article ; Online
ISSN	1932-6203
DOI	10.1371/journal.pone.0233668
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article: Public knowledge, attitudes and practices towards COVID-19: A cross-sectional study in Malaysia

Azlan, Arina Anis / Hamzah, Mohammad Rezal / Sern, Tham Jen / Ayub, Suffian Hadi / Mohamad, Emma

PLoS One

Abstract	In an effort to mitigate the outbreak of COVID-19, many countries have imposed drastic lockdown, movement control or shelter in place orders on their residents. The effectiveness of these mitigation measures is highly dependent on cooperation and compliance of all members of society. The knowledge, attitudes and practices people hold toward the disease play an integral role in determining a society's readiness to accept behavioural change measures from health authorities. The aim of this study was to determine the knowledge levels, attitudes and practices toward COVID-19 among the Malaysian public. A cross-sectional online survey of 4,850 Malaysian residents was conducted between 27th March and 3rd April 2020. The survey instrument consisted of demographic characteristics, 13 items on knowledge, 3 items on attitudes and 3 items on practices, modified from a previously published questionnaire on COVID-19. Descriptive statistics, chi-square tests, t-tests and one-way analysis of variance (ANOVA) were conducted. The overall correct rate of the knowledge questionnaire was 80.5%. Most participants held positive attitudes toward the successful control of COVID-19 (83.1%), the ability of Malaysia to conquer the disease (95.9%) and the way the Malaysian government was handling the crisis (89.9%). Most participants were also taking precautions such as avoiding crowds (83.4%) and practising proper hand hygiene (87.8%) in the week before the movement control order started. However, the wearing of face masks was less common (51.2%). This survey is among the first to assess knowledge, attitudes and practice in response to the COVID-19 pandemic in Malaysia. The results highlight the importance of consistent messaging from health authorities and the government as well as the need for tailored health education programs to improve levels of knowledge, attitudes and practices.
Keywords	covid19
Publisher	WHO
Document type	Article
Note	WHO #Covidence: #327328
Database	COVID19

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Article ; Online: Public knowledge, attitudes and practices towards COVID-19: A cross-sectional study in Malaysia

Mohamad, Emma MW / Azlan, Arina Anis / Hamzah, Mohammad Rezal / Tham, Jen Sern / Ayub, Suffian Hadi

medRxiv

Abstract	In an effort to mitigate the outbreak of COVID-19, many countries have imposed drastic lockdown, movement control or shelter in place orders on their residents. The effectiveness of these mitigation measures is highly dependent on cooperation and compliance of all members of society. The knowledge, attitudes and practices people hold toward the disease play an integral role in determining a society9s readiness to accept behavioural change measures from health authorities. The aim of this study was to determine the knowledge levels, attitudes and practices toward COVID-19 among the Malaysian public. A cross-sectional online survey of 4,850 Malaysian residents was conducted between 27th March and 3rd April 2020. The survey instrument consisted of demographic characteristics, 13 items on knowledge, 3 items on attitudes and 3 items on practices, modified from a previously published questionnaire on COVID-19. Descriptive statistics, chi-square tests, t-tests and oneway analysis of variance (ANOVA) were conducted. The overall correct rate of the knowledge questionnaire was 80.5%. Most participants held positive attitudes toward the successful control of COVID-19 (83.1%), the ability of Malaysia to conquer the disease (95.9%) and the way the Malaysian government was handling the crisis (89.9%). Most participants were also taking recautions such as avoiding crowds (83.4%) and practising proper hand hygiene (87.8%) in the week before the movement control order started. However, the wearing of face masks was less common (51.2%). This survey is among the first to assess knowledge, attitudes and practice in response to the COVID-19 pandemic in Malaysia. The results highlight the importance of consistent messaging from health authorities and the government as well as the need for tailored health education programs to improve levels of knowledge, attitudes and practices.
Keywords	covid19
Language	English
Publishing date	2020-05-05
Publisher	Cold Spring Harbor Laboratory Press
Document type	Article ; Online
DOI	10.1101/2020.04.29.20085563
Database	COVID19

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Article ; Online: Relationship Between COVID-19 Information Sources and Attitudes in Battling the Pandemic Among the Malaysian Public

Mohamad, Emma / Tham, Jen Sern / Ayub, Suffian Hadi / Hamzah, Mohammad Rezal / Hashim, Hasrul / Azlan, Arina Anis

Journal of Medical Internet Research, Vol 22, Iss 11, p e

Cross-Sectional Survey Study

2020 Volume 23922

Abstract: BackgroundThere are multiple media platforms and various resources available for information on COVID-19. Identifying people’s preferences is key to building public confidence and planning for successful national health intervention strategies. ... ...

Abstract	BackgroundThere are multiple media platforms and various resources available for information on COVID-19. Identifying people’s preferences is key to building public confidence and planning for successful national health intervention strategies. ObjectiveThis study examines the sources of information for COVID-19 used by the Malaysian public and identifies those that are associated with building public confidence and positive perceptions toward the Malaysian government. MethodsA cross-sectional online survey of 4850 Malaysian residents was conducted. Participant demographics, media use, information sources, and attitudes surrounding COVID-19 were assessed. Descriptive statistics and multiple logistic regression analyses were conducted to gauge the relationship between demographics, information sources, and attitudes toward COVID-19. ResultsMalaysians primarily used television and internet news portals to access information on COVID-19. The Malaysian Ministry of Health was the most preferred source of COVID-19 information. Respondents who referred to the Ministry of Health, television, and the Malaysian National Security Council for information were more likely to believe that the country could win the battle against COVID-19 and that the government was handling the health crisis well compared to those who referred to other information sources. Those who used the World Health Organization, friends, YouTube, family, and radio as sources of information were less likely to harbor confidence and positive belief toward combating COVID-19. ConclusionsManaging information and sustaining public confidence is important during a pandemic. Health authorities should pay considerable attention to the use of appropriate media channels and sources to allow for more effective dissemination of critical information to the public.
Keywords	Computer applications to medicine. Medical informatics ; R858-859.7 ; Public aspects of medicine ; RA1-1270
Subject code	302
Language	English
Publishing date	2020-11-01T00:00:00Z
Publisher	JMIR Publications
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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