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Exploring Attitudes of Cancer Patients Towards Vaccination in a Multiethnic Middle-Income Country: A Qualitative
Harenthri Devy Alagir Rajah1, Yek Ching Kong1, Marniza Saad2
1Department of Social and Preventive Medicine, Faculty of Medicine, Universiti Malaya, Malaysia.
Asian Pacific Journal of Cancer Prevention : APJCP
|October 28, 2025
Summary
Cancer patients in Malaysia showed mixed attitudes towards COVID-19 vaccination, influenced by perceived benefits, vulnerability, and barriers like misinformation. Tailored education is crucial for improving vaccine acceptance in this group.
Area of Science:
- Oncology
- Public Health
- Vaccinology
Background:
- COVID-19 significantly impacts cancer patients, increasing risks and complications.
- Vaccine hesitancy among cancer patients stems from safety and efficacy concerns.
- Limited understanding exists regarding cancer patient attitudes toward COVID-19 vaccination in diverse, middle-income settings.
Purpose of the Study:
- To explore the attitudes of Malaysian cancer patients towards COVID-19 vaccination.
- To identify factors influencing vaccine acceptance and hesitancy in this population.
- To inform culturally sensitive interventions for improving vaccination rates.
Main Methods:
- Qualitative study involving 12 semi-structured interviews with cancer patients.
- Participants selected from the iRESPOND@MY prospective study.
- Thematic analysis of transcribed interviews using NVivo V.12.
Main Results:
- Positive attitudes linked to perceived benefits, vulnerability, and adherence to mandates.
- Negative attitudes stemmed from perceived barriers, media-driven fear, misinformation, and conspiracy theories.
- Skepticism regarding vaccine development and efficacy contributed to hesitancy.
Conclusions:
- Tailored vaccination education is essential for cancer patients.
- Addressing misinformation and fears is key to enhancing vaccine uptake.
- Findings can guide strategies to improve vaccine acceptance in vulnerable cancer populations.
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