Patient Preference and Adherence (Oct 2021)
Factors associated with COVID-19 Vaccine Hesitancy in Thai Seniors
Abstract
Saran Thanapluetiwong,1 Sirintorn Chansirikarnjana,1 Orapitchaya Sriwannopas,1 Taweevat Assavapokee,1 Pichai Ittasakul2 1Division of Geriatric Medicine, Department of Medicine, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand; 2Department of Psychiatry, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, ThailandCorrespondence: Pichai IttasakulDepartment of Psychiatry, Faculty of Medicine Ramathibodi Hospital, Mahidol University, 270 Rama VI Road, Ratchathewi, Bangkok, 10400, ThailandTel +66 2-201-1235Fax +66 2-354-7299Email [email protected]: Older people are the most vulnerable group for developing SARS-CoV-2 infection. Although vaccination against coronavirus disease 2019 (COVID-19) reduces infection, hospitalization, and mortality rates, some older people have refused to get vaccinated. Our study aimed to evaluate factors associated with COVID-19 vaccine hesitancy among Thai seniors.Methods: We conducted a cross-sectional telephone survey on vaccine hesitancy in a geriatric clinic at Ramathibodi Hospital in Bangkok, Thailand. Patients aged ≥ 60 years were contacted and interviewed by trained interviewers between June 20 and July 25, 2021.Results: In total, we interviewed 282 participants aged 60– 93 years (mean age 73.0± 7.5 years). We found that 44.3% of participants were hesitant to get a COVID-19 vaccination. Factors associated with high vaccine hesitancy were low education, lack of confidence in the healthcare system’s ability to treat patients with COVID-19, vaccine manufacturers, being offered a vaccine from an unexpected manufacturer, and a low number of new COVID-19 cases per day.Conclusion: The prevalence of COVID-19 vaccine hesitancy among Thai seniors is relatively high, and is associated with specific factors. These findings will help in promoting COVID-19 vaccination among Thailand’s senior citizens.Keywords: vaccine acceptance, vaccine refusal, elderly, older adult, SARS-CoV-2