Journal Screenshot

International Journal of Academic Research in Business and Social Sciences

Open Access Journal

ISSN: 2222-6990

The Influence of Health Literacy, Social Media Exposure, and Peer Influence on Vaccine Hesitancy among Malaysian Youth

Widad Emir Mohamad Arrif Emir, Aini Azeqa Ma’rof

http://dx.doi.org/10.6007/IJARBSS/v14-i12/24012

Open access

This study examines the influence of health literacy, social media exposure, and peer influence on vaccine hesitancy among Malaysian youth. A sample of 425 participants, aged 18-30, was surveyed using validated instruments to measure these variables. Pearson correlation and multiple regression analyses were used to assess the relationships between the independent variables and vaccine hesitancy. The findings revealed that health literacy was the strongest negative predictor of vaccine hesitancy, indicating that youth with higher health literacy levels were less likely to resist vaccines. Social media exposure significantly increased vaccine hesitancy, supporting previous findings that misinformation spread via social media platforms fuels distrust toward vaccines. Peer influence also contributed to vaccine hesitancy, demonstrating the substantial impact of social networks on health decision-making. These results underscore the importance of enhancing health literacy, counteracting misinformation on social media, and addressing peer group dynamics in strategies to reduce vaccine hesitancy among Malaysian youth. Health policymakers and public health programs should focus on these key areas to improve vaccine uptake in this population.

Abd Rahman, S. S. A., Hassan, M. R., & Ling, M. (2020). Factors influencing vaccine hesitancy among youth in Malaysia. Journal of Public Health Research, 9(3), 20-28.
Abdullah, A. S., Hasmiza, A., & Mahmood, S. (2022). Health literacy and vaccine hesitancy among adolescents: An emerging public health challenge. Journal of Adolescent Health, 70(2), 245-251.
Allison, M. A., Reyes, M., Young, P., Calame, L., & Yassir, I. (2020). Peer influence and vaccine hesitancy among youth: A systematic review. Vaccine, 38(7), 1129-1143.
Biasio, L. R. (2019). Vaccine hesitancy and health literacy. Human Vaccines & Immunotherapeutics, 15(2), 255-257.
Brewer, N. T., Chapman, G. B., Rothman, A. J., Leask, J., & Kempe, A. (2017). Increasing vaccination: Putting psychological science into action. Psychological Science in the Public Interest, 18(3), 149-207.
Burki, T. (2020). Vaccine misinformation and social media. The Lancet Digital Health, 2(10), e503-e504.
Cairns, G., de Andrade, M., & MacDonald, L. (2021). Influencing social norms and vaccine behavior: A review of peer influence mechanisms. Health Promotion International, 36(3), 547-558.
Dubé, E., Gagnon, D., & MacDonald, N. E. (2021). Strategies to address vaccine hesitancy: A systematic review. Human Vaccines & Immunotherapeutics, 17(5), 1505-1515.
Fadda, M., Galimberti, E., Fiordelli, M., Schulz, P. J. (2020). Can health literacy help tackle the spread of vaccine misinformation? Vaccine, 38(5), 1041-1044.
Holt, N. L., Neely, K. C., Newton, A. S., & Smits, J. A. (2020). Peer influence on youth health behavior: A social network analysis. International Journal of Behavioral Medicine, 27(1), 56-68.
Jiang, L. C., Yan, Y. Y., & Feng, Z. Y. (2021). Social media and misinformation: Its role in shaping vaccine hesitancy among youth. Vaccine, 39(4), 1108-1114.
Kata, A. (2020). A postmodern Pandora's box: Anti-vaccination misinformation on the Internet. Vaccine, 28(7), 1709-1716.
Loomba, S., de Figueiredo, A., Piatek, S. J., de Graaf, K., & Larson, H. J. (2021). Measuring the impact of COVID-19 vaccine misinformation on vaccine hesitancy in the UK and USA. Nature Human Behaviour, 5(3), 337-348.
MacDonald, N. E. (2015). Vaccine hesitancy: Definition, scope, and determinants. Vaccine, 33(34), 4161-4164.
Nguyen, J. D., & Catalan-Matamoros, D. (2020). The role of social media in vaccine hesitancy: A review. Journal of Communication in Healthcare, 13(1), 31-41.
Paakkari, L., & Okan, O. (2020). COVID-19: Health literacy is an underestimated problem. The Lancet Public Health, 5(5), e249-e250.
Schmid, P., Rauber, D., Betsch, C., Lidolt, G., & Denker, M. L. (2021). Barriers of influenza vaccination intention and behavior – A systematic review of influenza vaccine hesitancy, 2005–2016. PLoS ONE, 12(1), e0170550.
Sørensen, K., Van den Broucke, S., Fullam, J., et al. (2017). Health literacy and public health: A systematic review and integration of definitions and models. BMC Public Health, 12(80), 1-13.
Velikonja, T., Dobrowolska, B., Stanisavljevic, S., & Eržen, I. (2021). Health literacy and the impact on COVID-19 vaccine hesitancy among university students. Nursing & Health Sciences, 23(4), 795-804.
Yang, X., & Sani, A. M. (2022). Peer influence on health behavior: Understanding vaccine hesitancy among youth. Journal of Health Psychology, 27(4), 528-541.
Zhao, Y., & Hu, Z. (2022). The role of social media in vaccine hesitancy: An empirical study on the impact of misinformation. Journal of Public Health Policy, 43(1), 12-24.
Zhao, Y., Du, J., Li, T., Sun, L., Zhang, J., & Wu, M. (2020). The role of social influence in vaccine hesitancy among youth. Journal of Public Health Policy, 41(2), 99-111.

Emir, W. E. M. A., & Ma’rof, A. A. (2024). The Influence of Health Literacy, Social Media Exposure, And Peer Influence on Vaccine Hesitancy among Malaysian Youth. International Journal of Academic Research in Business and Social Sciences, 14(12), 634–647.