{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,16]],"date-time":"2026-05-16T09:07:02Z","timestamp":1778922422991,"version":"3.51.4"},"reference-count":24,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,5,11]],"date-time":"2026-05-11T00:00:00Z","timestamp":1778457600000},"content-version":"vor","delay-in-days":130,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pediatrics International"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Dengue remains a major public health burden in Malaysia, with vaccination offering a promising strategy for control. Following conditional approval of the TAK\u2010003 vaccine for individuals aged 4\u2009years and above, understanding acceptance among public and healthcare workers is essential.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This cross\u2010sectional study was conducted from November 2024 to April 2025 at a tertiary hospital in Negeri Sembilan, Malaysia. Parents\/guardians of pediatric patients and healthcare workers completed a questionnaire on vaccine acceptance, decision\u2010making factors, and perceived promoters and barriers. Data were analyzed using descriptive statistics and univariate logistic regression.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Of 386 participants (57% parents\/guardians, 43% healthcare workers), 59.8% expressed willingness to receive the vaccine, while 53.7% of parents\/guardians were willing to vaccinate their children. The most important decision\u2010making factors were vaccine efficacy, advice from healthcare professionals, and long\u2010term safety. Promoters included fears of severe dengue and belief in vaccine efficacy, while barriers included potential side effects, long\u2010term safety, and doubts about vaccine efficacy. No sociodemographic factor was significantly associated with vaccine acceptance.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This study, conducted within the first year of the dengue vaccine's approval in Malaysia, found a moderate level of acceptance. These early perceptions may evolve as awareness of the vaccine grows.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ped.70412","type":"journal-article","created":{"date-parts":[[2026,5,11]],"date-time":"2026-05-11T08:10:47Z","timestamp":1778487047000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Factors Influencing Dengue Vaccine Acceptance Among Parents and Healthcare Workers in a Pediatric Setting in Malaysia"],"prefix":"10.1111","volume":"68","author":[{"ORCID":"https:\/\/orcid.org\/0009-0003-2173-7220","authenticated-orcid":false,"given":"Shang Yie","family":"Lau","sequence":"first","affiliation":[{"name":"School of Medicine IMU University Clinical Campus  Seremban Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-0645-0239","authenticated-orcid":false,"given":"Jun Yi","family":"Lee","sequence":"additional","affiliation":[{"name":"School of Medicine IMU University Clinical Campus  Seremban Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-4780-3428","authenticated-orcid":false,"given":"Shi Peng","family":"Lee","sequence":"additional","affiliation":[{"name":"School of Medicine IMU University Clinical Campus  Seremban Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-0091-2269","authenticated-orcid":false,"given":"Zhan Jet","family":"Lim","sequence":"additional","affiliation":[{"name":"School of Medicine IMU University Clinical Campus  Seremban Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-9273-9754","authenticated-orcid":false,"given":"Wei En","family":"Loh","sequence":"additional","affiliation":[{"name":"School of Medicine IMU University Clinical Campus  Seremban Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3977-8293","authenticated-orcid":false,"given":"Ming Lee","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Paediatrics, School of Medicine IMU University  Seremban Negeri Sembilan Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9665-3054","authenticated-orcid":false,"given":"David Chun\u2010Ern","family":"Ng","sequence":"additional","affiliation":[{"name":"Hospital Tuanku Ja'afar  Seremban Negeri Sembilan Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2026,5,11]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12887-021-02947-y"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12879-021-06788-z"},{"key":"e_1_2_11_4_1","unstructured":"\u201cCodeBlue. 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