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Parental Vaccine Hesitancy;Which Childhood Vaccines Were Refused and Why?

Year 2024, , 506 - 513, 19.09.2024
https://doi.org/10.53394/akd.1340997

Abstract

Aim: One of the main purposes of immunization services is to protect vaccinated children from vaccine-preventable disease, and the other is to ensure that disease factors can be brought under control in the society by reaching a certain immunization rate. This study aims to investigate which childhood vaccines refused in the calendar and the reason these refusals.
Method : The files comprising the refusal to consent to child vaccination forms submitted to Antalya Provincial Directorate of Health in 2019 were reviewed to reveal which vaccines had been refused by parents besides the reasons for vaccination refusals.
Results: In total, 286 parents made 977 vaccination refusals, with 80 of the parents refused only one vaccine, and notably 77.5% of them (n=62) refused only the Hepatitis A vaccine. Moreover, 40.2% of the parents who refused to consent to their child’s vaccination stated that they refused the vaccination since they did not consider the vaccine necessary, along with 37.1% who did not trust the vaccines, 13.2% who were afraid of the adverse effects of vaccination, and 9.5% who had religious reasons.
Conclusion: The increasing safety concerns of parents about vaccines should be addressed in order to inform parents about the contents, effects, adverse effects and requirements of vaccines so as to eliminate the false beliefs for the sake of protecting public health in general. This study is believed to act as a roadmap to prevent vaccination refusals, which are a major public health problem and are expected to increase.

Project Number

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References

  • 1. WHO, UNICEF, World Bank. State of the world’s vaccines and immunization, 3rd ed. Geneva, World Health Organization, 2009.
  • 2. Nuwarda RF, Ramzan I, Weekes L, Kayser V. Vaccine Hesitancy: Contemporary Issues and Historical Background. Vaccines 2022; 10(10).
  • 3. Jacobson RM, St. Sauver JL, Finney Rutten LJ. Vaccine hesitancy. Mayo Clin Proc 2015; 90(11):1562–8.
  • 4. Gostin LO, Hodge JG, Bloom BR, El-Mohandes A, Fielding J, Hotez P, Kurth A, Larson HJ, Orenstein WA, Rabin K, Ratzan SC, Salmon D. The public health crisis of underimmunisation: a global plan of action. Lancet Infect Dis 2020; 20(1):11–6.
  • 5. WHO. Report of the Sage Working Group on. WHO COVID-19 Glob data (Internet). 2014;(October):64.(https://www.who.int/immunization/sage/meetings/2014/october/1_Report_WORKING_GROUP_vaccine_hesitancy_final.pdf)
  • 6. Peretti-Watel P, Larson HJ, Ward JK, Schulz WS, Verger P. Vaccine hesitancy: Clarifying a theoretical framework for an ambiguous notion. PLoS Curr 2015; 7:1-11.
  • 7. Bedford H, Attwell K, Danchin M, Marshall H, Corben P, Leask J. Vaccine hesitancy, refusal and access barriers: The need for clarity in terminology.Vaccine 2018; 36(44):6556–8.
  • 8. Shapiro GK, Tatar O, Dube E, Amsel R, Knauper B, Naz A, Perez S, Rosberger Z. The vaccine hesitancy scale: Psychometric properties and validation.Vaccine 2018; 36(5):660–7.
  • 9. T.C. Sağlık Bakanlığı Sağlık Bilgi Sistemleri Genel Müdürlüğü Sağlık İstatistikleri Yıllığı 2021 Haber Bülteni. 2022 (chrome-extension://efaidnbmnnnibpcajpcglclefindmkaj/https://sbsgm.saglik.gov.tr/Eklenti/44131/0/saglik-istatistikleri-yilligi-2021-haber-bulteni)
  • 10. Scheres J, Kuszewski K. The Ten Threats to Global Health in 2018 and 2019. A welcome and informative communication of WHO to everybody. Zdr Publiczne i Zarządzanie 2019; 17(1):2–8.
  • 11. Larson HJ, Jarrett C, Eckersberger E, Smith DMD, Paterson P. Understanding vaccine hesitancy around vaccines and vaccination from a global perspective: A systematic review of published literature, 2007-2012. Vaccine 2014; 32(19):2150–9.
  • 12. Larson HJ, Jarrett C, Schulz WS, Chaudhuri M, Zhou Y, Dube E, SAGE Working Group on Vaccine Hesitancy. Measuring vaccine hesitancy: The development of a survey tool. Vaccine 2015; 33(34):4165–75.
  • 13. Dempsey AF, Schaffer S, Singer D, Butchart A, Davis M, Freed GL. Alternative vaccination schedule preferences among parents of young children. Pediatrics 2011; 128(5):848–56.
  • 14. Thomson A, Robinson K, Vallée-Tourangeau G. The 5As: A practical taxonomy for the determinants of vaccine uptake. Vaccine 2016; 34(8):1018–24.
  • 15. Wagner AL, Masters NB, Domek GJ, Mathew JL, Sun X, Asturias EJ, Ren J , Huang Z, Roldan ILC , Gebremeskel B, Boulton ML. Comparisons of vaccine hesitancy across five low- and middle-income countries. Vaccines 2019; 7(4):1–11.
  • 16. Ministry of Health, Childhood Immunization Schedule, TURKEY - 2019 (Internet). (https://hsgm.saglik.gov.tr/depo/birimler/asi-onlenebilir-hast db/asi_takvimleri.pdf?type=file)
  • 17. Sugerman DE, Barskey AE, Delea MG, Ortega-Sanchez IR, Bi D, Ralston KJ, Rota PA, Montijo KW, Lebaron CW. Measles Outbreak in a highly vaccinated population, San Diego, 2008: Role of the intentionally undervaccinated. Pediatrics 2010; 125(4):747–55.
  • 18. Dhama K, Sharun K, Tiwari R, Dhawan M, Emran T Bin, Rabaan AA, Alhumaid S. COVID-19 vaccine hesitancy - reasons and solutions to achieve a successful global vaccination campaign to tackle the ongoing pandemic. Hum Vaccin Immunother 2021; 17(10):3495–9.
  • 19. Chang K, Lee SY. Why do some Korean parents hesitate to vaccinate their children? Epidemiol Health 2019; 41:e2019031.
  • 20. Kaczor AA, Bartuzi D, Stępniewski TM, Matosiuk D, Selent J. Protein–protein docking in drug design and discovery. Methods Mol Biol 2018; 1762:285–305.
  • 21. Yelda Özer Z, Üniversitesi Ç, Fakültesi T, Hekimliği A, Hasar M, Bozdemir N. Aşı reddi nedenleri ve aşılar hakkındaki görüşler Reasons for vaccine rejection and opinions on vaccines. Cukurova Med J Cukurova Med J 2021; 46(1):166–76.
  • 22. Byström E, Lindstrand A, Bergström J, Riesbeck K, Roth A. Confidence in the National Immunization Program among parents in Sweden 2016 – A cross-sectional survey. Vaccine 2020; 38(22):3909–17.
  • 23. Freed GL, Clark SJ, Butchart AT, Singer DC, Davis MM. Parental vaccine safety concerns in 2009. Pediatrics 2010; 125(4):654–9.
  • 24. Hargreaves AL, Nowak G, Frew P, Hinman AR, Orenstein WA, Mendel J, Nadeau JA, McNutt LA, Chamberlain AT, Omer SB, Randall LA, Bednarczyk RA . Adherence to timely vaccinations in the United States. Pediatrics 2020; 145(3):48–58.
  • 25. Ophir Y, Walter N, Walter D, Velho RM, Lokmanoglu AD, Pruden ML, Andrews EA. Vaccine Hesitancy Under the Magnifying Glass: A Systematic Review of the Uses and Misuses of an Increasingly Popular Construct. Health Commun 2023; 38(10):2106–2120.
  • 26. Bakhache P, Rodrigo C, Davie S, Ahuja A, Sudovar B, Crudup T, Rose M. Health care providers’ and parents’ attitudes toward administration of new infant vaccines-A multinational survey. Eur J Pediatr 2013; 172(4):485–92.
  • 27. Heininger U. An internet-based survey on parental attitudes towards immunization. Vaccine 2006; 24(37–39):6351–5.
  • 28. McCauley MM, Kennedy A, Basket M, Sheedy K. Exploring the choice to refuse or delay vaccines: A national survey of parents of 6-through 23-month-olds. Acad Pediatr 2012; 12(5):375–83.
  • 29. Facciola A, Visalli G, Orlando A, Bertuccio MP, Spataro P, Squeri R, Picerno I, Pietro AD. Vaccine hesitancy: An overview on parents’ opinions about vaccination and possible reasons of vaccine refusal. J Public health Res 2019; 8(1):13–8.
  • 30. Offit PA. Thimerosal and Vaccines — A Cautionary Tale. N Engl J Med 2007; 357(13):1278–9.

Ailelerin Aşı Tereddütü; Hangi Çocukluk Aşılarını Reddetti ve Neden?

Year 2024, , 506 - 513, 19.09.2024
https://doi.org/10.53394/akd.1340997

Abstract

Amaç: Aşılama hizmetlerinin temel amaçlarından biri aşılanan çocuğu aşı ile önlenebilir hastalıktan korumak, diğeri ise belli bağışıklama oranına ulaşarak bu hastalık etkenini toplumda kontrol altına alınmasını sağlamaktır. Bu çalışma, takvimdeki hangi çocukluk çağı aşılarının reddedildiğini ve nedenlerini araştırmayı amaçlamaktadır.
Yöntem: Bu çalışmada 2019 yılında Antalya İl Sağlık Müdürlüğüne başvuran çocukluk çağı aşı reddi dosyaları taranmış ve aileler tarafından hangi aşıların reddedildiği ve aşı reddi nedenleri incelenmiştir.
Bulgular: Toplamda 286 aile 977 aşıyı reddetmiş, 80 ebeveyn sadece tek aşı reddi yapmış ve bunların %77,5'i (n=62) sadece Hepatit A aşısını reddetmiştir. Ayrıca, çocuğuna aşı yaptırmayı reddeden ebeveynlerin %40,2'si aşıyı gerekli görmediği için aşıyı reddettiğini belirtirken, aşıya güvenmeyenlerin oranı %37,1, yan etkilerinden korkanların oranı %13,2'dir. aşılanma ve %9,5'inin dini gerekçesi vardı.
Sonuçlar: Aşılar konusunda ailelerde artış gösteren güvenlik kaygılarının özellikle aşıların; içerikleri, yan etkileri ve gereklilikleri konusunda ailelerin eğitilmesi ve farklı inanışların toplum sağlığının korunması için giderilmesi gerekmektedir. Bu çalışma büyük halk sağlığı sorunu olan ve daha da artacağı varsayılan aşı redlerinin önüne geçilmesinde yol haritası olacaktır.

Supporting Institution

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Project Number

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Thanks

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References

  • 1. WHO, UNICEF, World Bank. State of the world’s vaccines and immunization, 3rd ed. Geneva, World Health Organization, 2009.
  • 2. Nuwarda RF, Ramzan I, Weekes L, Kayser V. Vaccine Hesitancy: Contemporary Issues and Historical Background. Vaccines 2022; 10(10).
  • 3. Jacobson RM, St. Sauver JL, Finney Rutten LJ. Vaccine hesitancy. Mayo Clin Proc 2015; 90(11):1562–8.
  • 4. Gostin LO, Hodge JG, Bloom BR, El-Mohandes A, Fielding J, Hotez P, Kurth A, Larson HJ, Orenstein WA, Rabin K, Ratzan SC, Salmon D. The public health crisis of underimmunisation: a global plan of action. Lancet Infect Dis 2020; 20(1):11–6.
  • 5. WHO. Report of the Sage Working Group on. WHO COVID-19 Glob data (Internet). 2014;(October):64.(https://www.who.int/immunization/sage/meetings/2014/october/1_Report_WORKING_GROUP_vaccine_hesitancy_final.pdf)
  • 6. Peretti-Watel P, Larson HJ, Ward JK, Schulz WS, Verger P. Vaccine hesitancy: Clarifying a theoretical framework for an ambiguous notion. PLoS Curr 2015; 7:1-11.
  • 7. Bedford H, Attwell K, Danchin M, Marshall H, Corben P, Leask J. Vaccine hesitancy, refusal and access barriers: The need for clarity in terminology.Vaccine 2018; 36(44):6556–8.
  • 8. Shapiro GK, Tatar O, Dube E, Amsel R, Knauper B, Naz A, Perez S, Rosberger Z. The vaccine hesitancy scale: Psychometric properties and validation.Vaccine 2018; 36(5):660–7.
  • 9. T.C. Sağlık Bakanlığı Sağlık Bilgi Sistemleri Genel Müdürlüğü Sağlık İstatistikleri Yıllığı 2021 Haber Bülteni. 2022 (chrome-extension://efaidnbmnnnibpcajpcglclefindmkaj/https://sbsgm.saglik.gov.tr/Eklenti/44131/0/saglik-istatistikleri-yilligi-2021-haber-bulteni)
  • 10. Scheres J, Kuszewski K. The Ten Threats to Global Health in 2018 and 2019. A welcome and informative communication of WHO to everybody. Zdr Publiczne i Zarządzanie 2019; 17(1):2–8.
  • 11. Larson HJ, Jarrett C, Eckersberger E, Smith DMD, Paterson P. Understanding vaccine hesitancy around vaccines and vaccination from a global perspective: A systematic review of published literature, 2007-2012. Vaccine 2014; 32(19):2150–9.
  • 12. Larson HJ, Jarrett C, Schulz WS, Chaudhuri M, Zhou Y, Dube E, SAGE Working Group on Vaccine Hesitancy. Measuring vaccine hesitancy: The development of a survey tool. Vaccine 2015; 33(34):4165–75.
  • 13. Dempsey AF, Schaffer S, Singer D, Butchart A, Davis M, Freed GL. Alternative vaccination schedule preferences among parents of young children. Pediatrics 2011; 128(5):848–56.
  • 14. Thomson A, Robinson K, Vallée-Tourangeau G. The 5As: A practical taxonomy for the determinants of vaccine uptake. Vaccine 2016; 34(8):1018–24.
  • 15. Wagner AL, Masters NB, Domek GJ, Mathew JL, Sun X, Asturias EJ, Ren J , Huang Z, Roldan ILC , Gebremeskel B, Boulton ML. Comparisons of vaccine hesitancy across five low- and middle-income countries. Vaccines 2019; 7(4):1–11.
  • 16. Ministry of Health, Childhood Immunization Schedule, TURKEY - 2019 (Internet). (https://hsgm.saglik.gov.tr/depo/birimler/asi-onlenebilir-hast db/asi_takvimleri.pdf?type=file)
  • 17. Sugerman DE, Barskey AE, Delea MG, Ortega-Sanchez IR, Bi D, Ralston KJ, Rota PA, Montijo KW, Lebaron CW. Measles Outbreak in a highly vaccinated population, San Diego, 2008: Role of the intentionally undervaccinated. Pediatrics 2010; 125(4):747–55.
  • 18. Dhama K, Sharun K, Tiwari R, Dhawan M, Emran T Bin, Rabaan AA, Alhumaid S. COVID-19 vaccine hesitancy - reasons and solutions to achieve a successful global vaccination campaign to tackle the ongoing pandemic. Hum Vaccin Immunother 2021; 17(10):3495–9.
  • 19. Chang K, Lee SY. Why do some Korean parents hesitate to vaccinate their children? Epidemiol Health 2019; 41:e2019031.
  • 20. Kaczor AA, Bartuzi D, Stępniewski TM, Matosiuk D, Selent J. Protein–protein docking in drug design and discovery. Methods Mol Biol 2018; 1762:285–305.
  • 21. Yelda Özer Z, Üniversitesi Ç, Fakültesi T, Hekimliği A, Hasar M, Bozdemir N. Aşı reddi nedenleri ve aşılar hakkındaki görüşler Reasons for vaccine rejection and opinions on vaccines. Cukurova Med J Cukurova Med J 2021; 46(1):166–76.
  • 22. Byström E, Lindstrand A, Bergström J, Riesbeck K, Roth A. Confidence in the National Immunization Program among parents in Sweden 2016 – A cross-sectional survey. Vaccine 2020; 38(22):3909–17.
  • 23. Freed GL, Clark SJ, Butchart AT, Singer DC, Davis MM. Parental vaccine safety concerns in 2009. Pediatrics 2010; 125(4):654–9.
  • 24. Hargreaves AL, Nowak G, Frew P, Hinman AR, Orenstein WA, Mendel J, Nadeau JA, McNutt LA, Chamberlain AT, Omer SB, Randall LA, Bednarczyk RA . Adherence to timely vaccinations in the United States. Pediatrics 2020; 145(3):48–58.
  • 25. Ophir Y, Walter N, Walter D, Velho RM, Lokmanoglu AD, Pruden ML, Andrews EA. Vaccine Hesitancy Under the Magnifying Glass: A Systematic Review of the Uses and Misuses of an Increasingly Popular Construct. Health Commun 2023; 38(10):2106–2120.
  • 26. Bakhache P, Rodrigo C, Davie S, Ahuja A, Sudovar B, Crudup T, Rose M. Health care providers’ and parents’ attitudes toward administration of new infant vaccines-A multinational survey. Eur J Pediatr 2013; 172(4):485–92.
  • 27. Heininger U. An internet-based survey on parental attitudes towards immunization. Vaccine 2006; 24(37–39):6351–5.
  • 28. McCauley MM, Kennedy A, Basket M, Sheedy K. Exploring the choice to refuse or delay vaccines: A national survey of parents of 6-through 23-month-olds. Acad Pediatr 2012; 12(5):375–83.
  • 29. Facciola A, Visalli G, Orlando A, Bertuccio MP, Spataro P, Squeri R, Picerno I, Pietro AD. Vaccine hesitancy: An overview on parents’ opinions about vaccination and possible reasons of vaccine refusal. J Public health Res 2019; 8(1):13–8.
  • 30. Offit PA. Thimerosal and Vaccines — A Cautionary Tale. N Engl J Med 2007; 357(13):1278–9.
There are 30 citations in total.

Details

Primary Language English
Subjects Family Medicine
Journal Section Research Article
Authors

Buket Güngör 0000-0002-5802-1635

Sezen Koparan 0000-0002-2091-5801

Project Number yok
Early Pub Date September 13, 2024
Publication Date September 19, 2024
Submission Date August 11, 2023
Published in Issue Year 2024

Cite

Vancouver Güngör B, Koparan S. Parental Vaccine Hesitancy;Which Childhood Vaccines Were Refused and Why?. Akd Tıp D. 2024;10(3):506-13.