Evaluation of Childhood Vaccine Refusal and Hesitancy Intentions in Turkey

Topçu, Seda; Almış, Habip; Başkan, Semih; Turğut, Mehmet; Orhon, Filiz Şimşek; Ulukol, Betül

doi:10.1007/s12098-018-2714-0

Cited by 40 publications

(28 citation statements)

References 23 publications

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“…In one study from the US, parents were found to get their information about vaccines from health workers, followed by print materials such as books and magazines, and friends and relatives, and it was revealed that about half of families used the internet as their source of information (28). Although television, radio, and newspapers were mentioned as the sources of information in some studies, internet and social media are becoming more and more popular as an source of information on vaccines (13,29). On the other hand, only 3.0% of the content about vaccines on the internet was found to be created by health professional (30).…”

Section: Discussionmentioning

confidence: 99%

Opinions of parents concerning childhood vaccine refusal and factors affecting vaccination in Konya

İlter¹,

Demir²

2021

GMJ

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The purpose of this study was to reveal the opinions, knowledge, and attitudes of parents in Konya, who refuse vaccination, concerning vaccine refusal. Methods:The study has a cross-sectional design. The research data were collected in 2019 using a survey form developed by the researchers. The survey form was filled out by the parents of children in the 0-4 age group who had not been vaccinated in Konya and its districts in 2017. We were able to reach 801 out of 923 children who had not been vaccinated and still living in Konya. The parents of 590 children (73.7%) who agreed to participate in the study were interviewed. Results:The most commonly refused type of vaccination was hepatitis A, whereas the least was hepatitis B. The most common reasons for vaccine refusal were believing that vaccines were not safe (63.9%), not believing that vaccines were useful and necessary (57.6%), and not trusting vaccines because they were produced overseas (47.3%). While 65.9% of the families reported that a family health worker tried to convince them to have their children vaccinated, 32.4% reported that a family physician tried to convince them. 48.8% of the parents believed that vaccines caused autism. 70.0% of the parents named their family physician as their source of information, 65.4% named internet/social media. Conclusions:The families had difficulty with trusting health workers and disregarded the information provided by health workers. Additionally, it was found that gynecologists did not sufficiently inform pregnant women regarding vaccination during the follow-up process.

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Section: Discussionmentioning

confidence: 99%

Opinions of parents concerning childhood vaccine refusal and factors affecting vaccination in Konya

İlter¹,

Demir²

2021

GMJ

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“…This study is the first national report on vaccine refusal in Turkey. Previous publications include surveys conducted on families or doctors, covering only a few hospitals in one or two provinces [ 10 , 14 , 62 ]. Additionally, the populations of these studies included only families already receiving health care or presenting at hospital because of a health problem.…”

Section: Discussionmentioning

confidence: 99%

“…The salary deduction of the FP is reimbursed if there is no negligence. Despite these implementations, an increase in cases of vaccine refusal has been observed in recent years in Turkey [ 14 , 15 ]. The prevalence of unvaccinated children aged 15–26 months increased from 1.6 to 2.9% between the Turkish Demographic Health Surveys (TDHS) of 2008 and 2013 [ 16 , 17 ].…”

Section: Introductionmentioning

confidence: 99%

Unvaccinated children as community parasites in National Qualitative Study from Turkey

2020

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Background: This national qualitative study explores (1) the experiences, observations, and opinions of health care workers (HCWs) about beliefs, socioeconomic, cultural, and environmental characteristics of parents refusing vaccination and (2) regional differences in the identified risk factors; (3) recommended solutions to improve vaccine acceptance in each of 12 regions in Turkey. Methods: In total, we carried out 14 individual semi-structured in-depth interviews and 10 focus group discussions with 163 HCWs from 36 provinces. A thematic analysis was performed to explore HCWs' observations about the parents' decisions to reject vaccination and possible solutions for vaccine advocacy. Results: Within the analyzed data framework, vaccine refusal statements could be defined as vaccine safety, the necessity of vaccines, assumptions of freedom of choice, health workers' vaccine hesitancy, lack of information about national vaccination schedule and components, not trusting the health system, anti-vaccine publications in social media and newspapers, and refugees. Suggestions based on the HCWs suggestions can be summarized as interventions including (1) creating visual cards with scientific data on vaccine content and disease prevention and using them in counseling patients, (2) writing the vaccine components in a way understandable to ordinary people, (3) highlighting the national quality control and production in the vaccine box and labels, (4) conducting interviews with community opinion leaders, (5) training anti-vaccine HCWs with insufficient scientific knowledge and (6) reducing the tax of parents whose children are fully and punctually vaccinated. Conclusions: The solution to vaccine rejection begins with the right approaches to vaccination during pregnancy. Prepared written and visual information notes should present the information as "vaccination acceptance" rather than "vaccination refusal". Further studies on vaccine refusal rates should be carried out in various regions of the world so that region-specific actions are implemented to decrease the anti-vaxxer movement and to prevent an outbreak of infectious diseases.

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“…Çalışmamızda üniversitede çalışan hekimlerde %10'a yakın aşı tereddüdü görülmesi üzerinde durulması gereken bir (16). Sağlık çalışanları, özellikle hekimler aşılarla ilgili her başvuruda bağışıklama sorgusuyla güvenilir bilgi kaynağı olarak modern tıbbın savunucusu olmalıdır.…”

Section: İrdelemeunclassified

Immunization Attitudes of Physicians at a University Hospital

Yekdes¹,

Altunok²,

Eskiocak³

et al. 2020

Klimik Dergisi

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Amaç: Bu çalışmanın amacı hastanemizin hekimlerinin bağışıklama konusundaki tutumlarını ve herhangi bir aşıya karşı tereddüt varlığını değerlendirmektir. Yöntemler: Bu çalışma hastanemizin hekimlerine uygulanan tanımlayıcı tipte bir anket çalışmasıdır. Hekim sayısı toplamda 604 olup örneklem sayısı çok aşamalı tabakalama örneklemi yoluyla 151 olarak belirlenmiştir. Verilerin analizi, tanımlayıcı istatistik ve χ 2 yöntemiyle yapılmış ve p<0.05 düzeyi istatistiksel olarak anlamlı kabul edilmiştir. Bulgular: Araştırma grubu 151 kişi olup, yaş ortalaması 33.6±8.8 yıldır. Katılımcıların 137 (%90.7)'si yakınlarına, aile bireylerine bağışıklama konusunda destek olduğunu bildirmiştir. 113 (%74.8) kişinin son bir yıl içerisinde aşı yaptırmadığı öğrenilmiştir. Erişkin dönemde aşılandığını belirten hekim sayısı 134 (%88.7) olarak bulunmuştur. Hekimlerin %67'si günlük pratiklerinde risk faktörü varsa, bağışıklama durumunu sorguladığını belirtmiştir. Hekimlerin 16 (%10.5)'sı herhangi bir aşıya yönelik tereddüde sahip olup, bunların 2 (%12)'si Genişletilmiş Bağışıklama Programı çerçevesinde uygulanan aşılara yönelik tereddüde sahip olduğunu ifade etmiştir. Hekimlerin yalnızca 39 (%26)'u bağışıklama hizmetlerinin tüm basamaklarda yer alması gerektiğini belirtmiştir. Sonuçlar: Aşı tereddüdünün arttığı ülkemizde, hekimlerin bağışıklamaya ilişkin tutumları ve herhangi bir aşıya karşı tereddüt içinde olmaları, hizmet sundukları bireyleri de etkilemektedir. Hekimlerin günlük pratiklerinde hastaların bağışıklama durumunu sorgulaması, bununla ilgili eksiklik saptadığında gereken hizmetin sunulması ve bağışıklama hizmetlerinin tüm basamaklarda yer alması aşılanmama düzeylerinin azalması sağlayabilir.

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Evaluation of Childhood Vaccine Refusal and Hesitancy Intentions in Turkey

Cited by 40 publications

References 23 publications

Opinions of parents concerning childhood vaccine refusal and factors affecting vaccination in Konya

Opinions of parents concerning childhood vaccine refusal and factors affecting vaccination in Konya

Unvaccinated children as community parasites in National Qualitative Study from Turkey

Immunization Attitudes of Physicians at a University Hospital

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