PMID- 37643925 OWN - NLM STAT- MEDLINE DCOM- 20230925 LR - 20231004 IS - 1873-2518 (Electronic) IS - 0264-410X (Linking) VI - 41 IP - 41 DP - 2023 Sep 22 TI - COVID-19 vaccine hesitancy among older adult Thai Muslim people: A case-control study. PG - 6048-6054 LID - S0264-410X(23)00994-5 [pii] LID - 10.1016/j.vaccine.2023.08.050 [doi] AB - The highest death toll during the COVID-19 pandemic in Thailand was among unvaccinated older adults. Deaths among older adults in Narathiwat Province were related to a lower COVID-19 vaccination rate. This study explored the factors influencing COVID-19 vaccination hesitancy in a Muslim community with low vaccination rates. A case-control study was conducted with participants assigned to the unvaccinated "case" group and the vaccinated "control" group. The sample was Thai older adults who practiced Islam and lived in Narathiwat Province. Purposive sampling was conducted by selecting a case house and finding the control around the case house in a 1:2 ratio. This study included 141 participants with a median age of 67 years (interquartile range [IQR], 8). More than 80% of both groups were retired and lived with their extended relatives. More participants in the vaccinated group believed that vaccines could prevent death from COVID-19 than in the unvaccinated group. In the multivariable analysis, factors related to the low perceived importance of the COVID-19 vaccination (odds ratio [OR] = 2.63) and a lack of vaccine recommendation from religious leaders (OR = 4.67) significantly influenced COVID-19 vaccination refusal. The COVID-19 guidance from religious leaders and the perceived importance of COVID-19 vaccination influence vaccination uptake among Muslim older adults in Thailand. CI - Copyright (c) 2023 The Authors. Published by Elsevier Ltd.. All rights reserved. FAU - Phiriyasart, Farooq AU - Phiriyasart F AD - MPH Program, Faculty of Public Health, Mahidol University and Su-ngai Kolok Hospital, Narathiwat Provincial Public Health Office, 96120, Thailand. Electronic address: farooq.phi@student.mahidol.ac.th. FAU - Aimyong, Natnaree AU - Aimyong N AD - Department of Epidemiology, Faculty of Public Health, Mahidol University, 10400, Thailand. Electronic address: Natnaree.aim@mahidol.ac.th. FAU - Jirapongsuwan, Ann AU - Jirapongsuwan A AD - Department of Public Health Nursing, Faculty of Public Health, Mahidol University, 10400, Thailand. Electronic address: ann.jir@mahidol.ac.th. FAU - Roseh, Norisan AU - Roseh N AD - Kampong Baru Community Public Healthcare Center, Social Medicine Department, Naradhiwas Rajanagarindra Hospital, Narathiwat Province 96000, Thailand. Electronic address: kk-sunny@hotmail.com. LA - eng PT - Journal Article DEP - 20230827 PL - Netherlands TA - Vaccine JT - Vaccine JID - 8406899 RN - 0 (COVID-19 Vaccines) SB - IM MH - Aged MH - Humans MH - Case-Control Studies MH - *COVID-19/prevention & control MH - *COVID-19 Vaccines MH - Islam MH - Pandemics MH - Southeast Asian People MH - Thailand MH - *Vaccination Hesitancy OTO - NOTNLM OT - COVID-19 OT - Muslim older adults OT - Vaccination uptake OT - Vaccine hesitancy COIS- Declaration of Competing Interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper. EDAT- 2023/08/30 00:41 MHDA- 2023/09/25 06:42 CRDT- 2023/08/29 21:53 PHST- 2022/12/22 00:00 [received] PHST- 2023/08/06 00:00 [revised] PHST- 2023/08/19 00:00 [accepted] PHST- 2023/09/25 06:42 [medline] PHST- 2023/08/30 00:41 [pubmed] PHST- 2023/08/29 21:53 [entrez] AID - S0264-410X(23)00994-5 [pii] AID - 10.1016/j.vaccine.2023.08.050 [doi] PST - ppublish SO - Vaccine. 2023 Sep 22;41(41):6048-6054. doi: 10.1016/j.vaccine.2023.08.050. Epub 2023 Aug 27.