TY  - JOUR
T1  - Comparison of COVID-19 Vaccine Hesitancy Between Healthcare Workers and Community Members: Implications for Future Vaccination Strategies
TT  - Sağlık Çalışanları ve Toplum Bireyleri Arasında COVID-19 Aşı Tereddüdünün Karşılaştırılması: Gelecekteki Aşılama Stratejilerine Yönelik Çıkarımlar
AU  - Ersoy Şen, Banu
AU  - Akın, Levent
PY  - 2025
DA  - November
Y2  - 2025
DO  - 10.35232/estudamhsd.1697945
JF  - Eskişehir Türk Dünyası Uygulama ve Araştırma Merkezi Halk Sağlığı Dergisi
JO  - ESTUDAM Public Health Journal
PB  - Eskişehir Osmangazi University
WT  - DergiPark
SN  - 2564-6311
SP  - 299
EP  - 312
VL  - 10
IS  - 3
LA  - en
AB  - The COVID-19 pandemic has significantly reshaped global perceptions of vaccination. While vaccine hesitancy existed before the pandemic, the rapid development of vaccines and the emergence of new variants have further amplified concerns, making vaccine acceptance a pressing public health issue. This cross-sectional study was conducted between March and April 2021 in the Mamak district of Ankara, Türkiye, with 316 contact tracing personnel and 310 community members. The study aimed to evaluate COVID-19 vaccine hesitancy, attitudes toward rapidly developed vaccines, and differences between healthcare workers and the general public. Based on the data collected from the participants, it was determined that 49.1% of the contact tracing teams and 31.6% of the community members scored above the average score of all participants on the COVID-19 vaccine hesitancy questions. Among healthcare workers, the main reasons for hesitancy were concerns about long-term side effects and the duration of vaccine protection. In contrast, among community members, the primary concerns were insufficient knowledge about vaccines and doubts regarding the short-term effectiveness of the vaccine. Regression analysis showed that vaccination status, pandemic-related fear levels, prior influenza vaccination, and frequency of following pandemic-related news were significant predictors of vaccine attitudes. These findings suggest that vaccine hesitancy is not limited to COVID-19 specific concerns but is also associated with broader issues such as trust in the vaccine development process and confidence in public health authorities. Addressing these complex factors at both the healthcare and community levels is essential for future pandemic preparedness and for building resilient public health systems.
KW  - COVID-19
KW  - vaccine hesitancy
KW  - healthcare workers
N2  - COVID-19 pandemisi, aşılamaya yönelik küresel algıları köklü biçimde değiştirmiştir. Pandemi öncesinde de var olan aşı tereddüdü, yeni aşıların hızla geliştirilmesi ve ortaya çıkan varyantlarla birlikte daha da artmış; bu durum, aşı kabulünü önemli bir halk sağlığı sorunu haline getirmiştir. Bu çalışmada, Mart-Nisan 2021 tarihleri arasında Ankara ili Mamak ilçesinde 316 filyasyon ekibi üyesi ve 310 mahalle sakini ile yürütülen kesitsel bir araştırma kapsamında, COVID-19 aşı tereddüdü ve hızla geliştirilen aşılara yönelik tutumlar değerlendirilmiş; sağlık çalışanları ile toplum bireyleri arasındaki farklılıklar incelenmiştir. Katılımcılardan toplanan veriler doğrultusunda, filyasyon ekiplerinin %49,1’inin, mahalle sakinlerinin ise %31,6’sının, çalışmaya katılan tüm bireylerin aşı tereddüdü sorularından aldıkları puanların ortalamasının üzerinde puan aldığı saptanmıştır. Sağlık çalışanlarında tereddüdün temel nedenleri, aşının uzun vadeli yan etkileri ve koruyuculuk süresine yönelik endişeler olarak öne çıkarken; toplum bireylerinde ise aşılar hakkında yeterli bilgiye sahip olmama ve aşının etkinliğinin kısa süreli olacağına dair kaygılar belirleyici olmuştur. Regresyon analizleri, COVID-19 aşılanma durumu, pandemiyle ilişkili korku düzeyi, grip aşısı geçmişi ve pandemi haberlerini takip etme sıklığının, aşıya yönelik tutumların anlamlı belirleyicileri olduğunu ortaya koymuştur. Bulgular, aşı tereddüdünün yalnızca COVID-19’a özgü kaygılarla sınırlı kalmadığını; aynı zamanda aşı geliştirme sürecine duyulan güven ve sağlık otoriteleriyle ilgili genel algılarla yakından ilişkili olduğunu göstermektedir. Gelecekteki pandemilere hazırlık ve halk sağlığı sistemlerinin dayanıklılığının artırılması açısından, bu çok yönlü faktörlerin özellikle sağlık çalışanları ve toplumdaki bireyler düzeyinde ele alınması büyük önem taşımaktadır.
CR  - U.S. Food and Drug Administration. Vaccine development – 101 [Internet]. Silver Spring (MD): U.S. Food and Drug Administration; [cited 2023 Dec 22]. Available from: https://www.fda.gov/vaccines-blood-biologics/development-approval-process-cber/vaccine-development-101
CR  - World Health Organization. Ten threats to global health in 2019 [Internet]. Geneva: World Health Organization; 2019 [cited 2023 Dec 22]. Available from: https://www.who.int/news-room/spotlight/ten-threats-to-global-health-in-2019
CR  - World Health Organization. Report of the SAGE Working Group on Vaccine Hesitancy [Internet]. Geneva: World Health Organization; 2014 [cited 2023 Dec 26]. Available from: https://www.who.int/immunization/sage/meetings/2014/october/1_ Report_WORKING_GROUP_vaccine_hesitancy_ final.pdf
CR  - World Health Organization. More than 150 countries engaged in COVID-19 vaccine global access facility [Internet]. Geneva: World Health Organization; 2020 [cited 2023 Dec 22]. Available from: https://www.who.int/news/item/15-07-2020-more-than-150-countries-engaged-in-covid-19-vaccine-global-access-facility
CR  - Etzioni-Friedman T, Etzioni A. Adherence to Immunization: Rebuttal of Vaccine Hesitancy. Acta Haematol. 2020:1-5.
CR  - Booton RD, Fu G, MacGregor L, Li J, Ong JJ, Tucker JD, et al. Estimating the impact of disruptions due to COVID-19 on HIV transmission and control among men who have sex with men in China. medRxiv. 2020.
CR  - World Health Organization. Health and care worker deaths during COVID-19 [Internet]. Geneva: World Health Organization; 2021 [cited 2023 Jan 4]. Available from: https://www.who.int/news/item/20-10-2021-health-and-care-worker-deaths-during-covid-19
CR  - Turkish Statistical Institute. Address-Based Population Registration System [Internet].Ankara: Turkish Statistical Institute; [cited 2020 Dec 29]. Available from: https://biruni.tuik.gov.tr/medas/?kn=95&locale=tr
CR  - Salali GD, Uysal MS. COVID-19 vaccine hesitancy is associated with beliefs on the origin of the novel coronavirus in the UK and Turkey. Psychol Med. 2020:1-3.
CR  - Bakioglu F, Korkmaz O, Ercan H. Fear of COVID-19 and Positivity: Mediating Role of Intolerance of Uncertainty, Depression, Anxiety, and Stress. Int J Ment Health Addict. 2020:1.
CR  - Genis B, Gurhan N, Koc M, Genis C, Sirin B, Cirakoglu OC, et al. Development of perception and attitude scales related with COVID-19 pandemia.
CR  - Adhikari B, Yeong Cheah P, von Seidlein L. Trust is the common denominator for COVID-19 vaccine acceptance: A literature review. Vaccine X. 2022;12:100213.
CR  - Lin CJ, Nowalk MP, Toback SL, Rousculp MD, Raymund M, Ambrose CS, et al. Importance of vaccination habit and vaccine choice on influenza vaccination among healthy working adults. Vaccine. 2010;28(48):7706-12.
CR  - Alqudeimat Y, Alenezi D, AlHajri B, Alfouzan H, Almokhaizeem Z, Altamimi S, et al. Acceptance of a COVID-19 Vaccine and Its Related Determinants among the General Adult Population in Kuwait. Med Princ Pract. 2021;30(3):262-71.
CR  - Gagneux-Brunon A, Detoc M, Bruel S, Tardy B, Rozaire O, Frappe P, et al. Intention to get vaccinations against COVID-19 in French healthcare workers during the first pandemic wave: a cross-sectional survey. J Hosp Infect. 2021;108:168-73.
CR  - Khatiwada M, Nugraha RR, Dochez C, Harapan H, Mutyara K, Rahayuwati L, et al. Understanding COVID-19 Vaccine Acceptance among Healthcare Workers in Indonesia: Lessons from Multi-Site Survey. Vaccines (Basel). 2024;12(6):654.
CR  - Nakhostin-Ansari A, Zimet GD, Khonji MS, Aghajani F, Teymourzadeh A, Rastegar Kazerooni AA, et al. Acceptance or Rejection of the COVID-19 Vaccine: A Study on Iranian People’s Opinions toward the COVID-19 Vaccine. Vaccines (Basel). 2022;10(5):670.
CR  - Burki T. The online anti-vaccine movement in the age of COVID-19. Lancet Digit Health. 2020;2(10):e504-5.
CR  - Karafillakis E, Dinca I, Apfel F, Cecconi S, Würz A, Takacs J, et al. Vaccine hesitancy among healthcare workers in Europe: A qualitative study. Vaccine. 2016;34(41):5013-20.
CR  - Di Martino G, Di Giovanni P, Di Girolamo A, Scampoli P, Cedrone F, D’Addezio M, et al. Knowledge and attitude towards vaccination among healthcare workers: a multicenter cross-sectional study in a southern Italian region. Vaccines (Basel). 2020;8(2):248.
CR  - Nguyen KH, Srivastav A, Razzaghi H, Williams W, Lindley MC, Jorgensen C, et al. COVID-19 vaccination intent, perceptions, and reasons for not vaccinating among groups prioritized for early vaccination - United States, September and December 2020. MMWR Morb Mortal Wkly Rep. 2021;70(6):217-22.
CR  - Cerda AA, Garcia LY. Hesitation and refusal factors in individuals’ decision-making processes regarding a coronavirus disease 2019 vaccination. Front Public Health. 2021;9:626852.
CR  - Akarsu B, Canbay Ozdemir D, Ayhan Baser D, Aksoy H, Fidanci I, Cankurtaran M. While studies on COVID-19 vaccine is ongoing, the public’s thoughts and attitudes to the future COVID-19 vaccine. Int J Clin Pract. 2021;75(4):e13891.
CR  - Kose S, Mandiracioglu A, Sahin S, Kaynar T, Karbus O, Ozbel Y. Vaccine hesitancy of the COVID-19 by health care personnel. Int J Clin Pract. 2021;75(5):e13917.
CR  - Liu M, Cui T, Wang Q, Han Y, Han Y, Yang L, et al. Using an extended protection motivation theory to explain vaccine hesitancy: a cross-sectional study among Chinese adults. Hum Vaccin Immunother. 2022;18(1):2026136.
CR  - Leng A, Maitland E, Wang S, Nicholas S, Liu R, Wang J. Individual preferences for COVID-19 vaccination in China. Vaccine. 2021;39(2):247-54.
CR  - European Centre for Disease Prevention and Control (ECDC). Effective communication around the benefit and risk balance of vaccination in the EU/EEA [Internet]. Stockholm: ECDC; 2020 [cited 2024]. Available from: https://www.ecdc.europa. eu/sites/default/files/documents/Effective%20 communication%20around%20balance%20of%20 vaccination%20FINAL.pdf
CR  - Karafillakis E, Simas C, Jarrett C, Verger P, Peretti-Watel P, Dib F, et al. HPV vaccination in a context of public mistrust and uncertainty: a systematic literature review of determinants of HPV vaccine hesitancy in Europe. Hum Vaccin Immunother. 2019;15(7-8):1615-27.
CR  - Yoda T, Katsuyama H. Willingness to receive COVID-19 vaccination in Japan. Vaccines (Basel). 2021;9(1):48.
CR  - Larson HJ, Schulz WS, Tucker JD, Smith DM. Measuring vaccine confidence: introducing a global vaccine confidence index. PLoS Curr. 2015;7.
CR  - Pogue K, Jensen JL, Stancil CK, Ferguson DG, Hughes SJ, Mello EJ, et al. Influences on attitudes regarding potential COVID-19 vaccination in the United States. Vaccines (Basel). 2020;8(4):582.
CR  - Chen M, Li Y, Chen J, Wen Z, Feng F, Zou H, et al. An online survey of the attitude and willingness of Chinese adults to receive COVID-19 vaccination. Hum Vaccin Immunother. 2021;17(7):2279-88.
CR  - Determann D, de Bekker-Grob EW, French J, Voeten HA, Richardus JH, Das E, et al. Future pandemics and vaccination: public opinion and attitudes across three European countries. Vaccine. 2016;34(6):803-8.
CR  - Dolu I, Turhan Z, Dilcen HY. COVID-19 vaccine acceptance is associated with vaccine hesitancy, perceived risk and previous vaccination experiences. Disaster Med Public Health Prep. 2021:1-9.
CR  - Joshi A, Kaur M, Kaur R, Grover A, Nash D, El-Mohandes A. Predictors of COVID-19 vaccine acceptance, intention, and hesitancy: A scoping review. Front Public Health. 2021;9:698111.
UR  - https://doi.org/10.35232/estudamhsd.1697945
L1  - https://dergipark.org.tr/en/download/article-file/4863929
ER  -