Parents' Decisions And Attitudes to Vaccinate Their Children Between the Ages of 5-12 Due to Fear of COVID-19: A Cross-Sectional Study
Year 2025,
Volume: 9 Issue: 3, 277 - 289, 30.09.2025
Nilay Şener Özovalı
,
Zulfıyya Nuralıyeva
,
Fatma Şule Bilgiç
,
Nurten Kaya
Abstract
Objective: This study was conducted to determine the decisions and attitudes of parents with children aged 5-12 years of age to vaccinate their children against COVID-19 due to their fear of COVID-19, and the factors affecting them.
Method: The cross-sectional study was conducted with 201 parents of children aged 5-12, selected by purposeful sampling method. Research data were obtained at a family health center in Istanbul between January 30 and March 1, 2022, using the self-report technique, through the Parents' Introduction Form, Coronavirus Fear Scale (CFS) and Attitudes Towards COVID-19 Vaccine Scale (ATCVS).
Results: 65.4% of mothers (n=89) and 50.8% of fathers (n=33) do not want to vaccinate their children and the difference is significant. ATCVS total, positive and negative attitudes sub-dimension of parents who want to vaccinate It was seen that their scores were statistically higher than those who did not want to be vaccinated, in other words, the attitudes of those who wanted to be vaccinated were positive (p<0.05).
Conclusion: Some socio-demographic characteristics of parents with children between the ages of 5-12, their fear of COVID-19 and their attitudes towards the vaccine influences the decision to vaccinate their children. When vaccination is required in this age group, family-specific information should be obtained by taking a careful anamnesis.
References
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https://www.aap.org/en/pages/2019-novel-coronavirus-COVID-19-infections/children-and-COVID-19-state-
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6. U.S. Food and Drug Administration. Coronavirus (COVID-19) update: FDA authorizes Pfizer-BioNTech COVID-19
vaccine for emergency use in adolescents in another important action in fight against pandemic. Updated 2021.
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fda-authorizes-pfizer-biontech-COVID-19-vaccine-emergency-use. (Erişim Tarihi: 14.11.2022)
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8. Tanne, J. H. (2021). Covid-19: US doctors begin administering vaccine to children aged. BMJ,375, 5-11.
-
9. Ainslie, K. E., Backer, J., de Boer, P., van Hoek, A. J., Klinkenberg, D., Altes, H. K., ... & Wallinga, J. (2021). The impact
of vaccinating adolescents and children on COVID-19 disease outcomes. MEDRXİV, 2021-10.
-
10. Bell, S., Clarke, R., Mounier-Jack, S., Walker, J. L., & Paterson, P. (2020). Parents’ and guardians’ views on the
acceptability of a future COVID-19 vaccine: A multi-methods study in England. Vaccine, 38(49), 7789-7798.
-
11. Zhang, K. C., Fang, Y., Cao, H., Chen, H., Hu, T., Chen, Y. Q., ... & Wang, Z. (2020). Parental acceptability of
COVID-19 vaccination for children under the age of 18 years: cross-sectional online survey. JMIR Pediatrics and
Parenting, 3(2), e24827.
-
12. Hetherington, E., Edwards, S. A., MacDonald, S. E., Racine, N., Madigan, S., McDonald, S., & Tough, S. (2021). SARS-
CoV-2 vaccination intentions among mothers of children aged 9 to 12 years: a survey of the All Our Families
cohort. Canadian Medical Association Open Access Journal, 9(2), E548-E555.
-
13. Humble, R. M., Sell, H., Dubé, E., MacDonald, N. E., Robinson, J., Driedger, S. M., ... & MacDonald, S. E. (2021).
Canadian parents’ perceptions of COVID-19 vaccination and intention to vaccinate their children: Results from a
cross-sectional national survey. Vaccine, 39(52), 7669-7676.
-
14. Skjefte, M., Ngirbabul, M., Akeju, O., Escudero, D., Hernandez-Diaz, S., Wyszynski, D. F., & Wu, J. W. (2021). COVID-19
vaccine acceptance among pregnant women and mothers of young children: results of a survey in 16 countries.
European Journal of Epidemiology, 36, 197-211.
-
15. Yılmaz, M., & Sahin, M. K. (2021). Parents’ willingness and attitudes concerning the COVID‐19 vaccine: A cross‐
sectional study. International Journal of Clinical Practice, 75(9), e14364.
-
16. Bakioğlu, F., Korkmaz, O., & Ercan, H. (2021). Fear of COVID-19 and positivity: Mediating role of intolerance of
uncertainty, depression, anxiety, and stress. International Journal of Mental Health and Addiction, 19, 2369-2382.
-
17. Geniş, B., Gürhan, N., Koç, M., Geniş, Ç., Şirin, B., Çırakoğlu, O. C., & Coşar, B. (2020). Development of perception
and attitude scales related with COVID-19 pandemia. Pearson Journal of Social Sciences-Humanities, 5(7),
306-328.
-
18. Yumru, M., & Demirkaya, S. K. (2021). COVID-19 aşı karşıtlığı-kararsızlığı. Klinik Psikiyatri Dergisi, 24(3), 276-277.
-
19. Lin, Y., Hu, Z., Zhao, Q., Alias, H., Danaee, M., & Wong, L. P. (2020). Understanding COVID-19 vaccine demand and
hesitancy: A nationwide online survey in China. PLoS Neglected Tropical Diseases, 14(12), e0008961.
-
20. Public Health England, Disparities in the risk and outcomes of COVID-19 2020: London. Available from:
-
21. https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/
file/908434/Disparities_in_the_risk_and_outcomes_of_COVID_August_2020_update.pdf Cited: 14.11.2021
-
22. Urrunaga-Pastor, D., Herrera-Añazco, P., Uyen-Cateriano, A., Toro-Huamanchumo, C. J., Rodriguez-Morales, A.
J., Hernandez, A. V., ... & Bendezu-Quispe, G. (2021). Prevalence and factors associated with parents’ non-intention
to vaccinate their children and adolescents against COVID-19 in Latin America and the Caribbean. Vaccines, 9(11),
1303.
-
23. Pierantoni, L., Lenzi, J., Lanari, M., De Rose, C., Morello, R., Di Mauro, A., ... & Buonsenso, D. (2021). Nationwide
COVID‐19 survey of Italian parents reveals useful information on attitudes to school attendance, medical support,
vaccines and drug trials. Acta Paediatrica (Oslo, Norway: 1992), 110(3), 942.
-
24. Fedele, F., Aria, M., Esposito, V., Micillo, M., Cecere, G., Spano, M., & De Marco, G. (2021). COVID-19 vaccine
hesitancy: a survey in a population highly compliant to common vaccinations. Human Vaccines & Immunotherapeutics, 17(10), 3348-3354.
-
25. Sallam, M., Dababseh, D., Yaseen, A., Al-Haidar, A., Taim, D., Eid, H., ... & Mahafzah, A. (2020). COVID-19
misinformation: Mere harmless delusions or much more? A knowledge and attitude cross-sectional study among
the general public residing in Jordan. PloS one, 15(12), e0243264.
-
26. Ludvigsson, J. F. (2020). Children are unlikely to be the main drivers of the COVID‐19 pandemic–a systematic
review. Acta Paediatrica, 109(8), 1525-1530.
-
27. Bagateli, L. E., Saeki, E. Y., Fadda, M., Agostoni, C., Marchisio, P., & Milani, G. P. (2021). COVID-19 vaccine hesitancy
among parents of children and adolescents living in Brazil. Vaccines, 9(10), 1115.
-
28. McKinnon, B., Quach, C., Dubé, È., Nguyen, C. T., & Zinszer, K. (2021). Social inequalities in COVID-19 vaccine
acceptance and uptake for children and adolescents in Montreal, Canada. Vaccine, 39(49), 7140-7145.
-
29. Wan, X., Huang, H., Shang, J., Xie, Z., Jia, R., Lu, G., & Chen, C. (2021). Willingness and influential factors of parents
of 3-6-year-old children to vaccinate their children with the COVID-19 vaccine in China. Human Vaccines &
Immunotherapeutics, 17(11), 3969-3974.
-
30. Di Giuseppe, G., Pelullo, C. P., Volgare, A. S., Napolitano, F., & Pavia, M. (2022). Parents’ willingness to vaccinate
their children with COVID-19 vaccine: results of a survey in Italy. Journal of Adolescent Health, 70(4), 550-558.
-
31. Teasdale, C. A., Borrell, L. N., Shen, Y., Kimball, S., Rinke, M. L., Fleary, S. A., & Nash, D. (2021). Parental plans to
vaccinate children for COVID-19 in New York city. Vaccine, 39(36), 5082-5086.
-
32. Li, T., Qiu, X., Gong, X., Zhan, R., & Zheng, X. (2022). The cross-sectional survey on COVID-19 vaccine hesitancy
and it predictors among Chinese parents of 3-17 years aged children in Shenzhen City. Annals of Agricultural &
Environmental Medicine, 29(1).
-
33. Neumann-Böhme, S., Varghese, N. E., Sabat, I., Barros, P. P., Brouwer, W., van Exel, J., ... & Stargardt, T. (2020).
Once we have it, will we use it? A European survey on willingness to be vaccinated against COVID-19. The
European Journal of Health Economics, 21, 977-982.
-
34. Harapan, H., Wagner, A. L., Yufika, A., Winardi, W., Anwar, S., Gan, A. K., ... & Mudatsir, M. (2020). Acceptance of a
COVID-19 vaccine in Southeast Asia: a cross-sectional study in Indonesia. Frontiers in Public Health, 8, 381.
-
35. Hudson, A., & Montelpare, W. J. (2021). Predictors of vaccine hesitancy: implications for COVID-19 public health
messaging. International Journal of Environmental Research and Public Health, 18(15), 8054.
-
36. Aygun, E., & Tortop, H. S. (2020). Investigation of Parents' Vaccine Hesitation Levels and Reasons of Vaccine
Refusal/Ebeveynlerin Asi Tereddut Duzeylerinin ve Karsitlik Nedenlerinin Incelenmesi. The Journal of Current
Pediatrics, 18(3), 300-317
Ebeveynlerin COVID-19 Korkusu ile 5-12 Yaş Arası Çocuklarına COVID-19 Aşısı Yaptırma Karar ve Tutumları: Kesitsel Bir Çalışma
Year 2025,
Volume: 9 Issue: 3, 277 - 289, 30.09.2025
Nilay Şener Özovalı
,
Zulfıyya Nuralıyeva
,
Fatma Şule Bilgiç
,
Nurten Kaya
Abstract
Amaç: Bu çalışma 5-12 yaş arası çocuğa sahip ebeveynlerin COVID-19 korkusu ile çocuklarına COVID-19 aşısı yaptırma karar ve tutumları ile etkileyen faktörleri belirlemek amacıyla yapıldı.
Yöntem: Tanımlayıcı tipteki araştırma, amaçlı örneklem yöntemi ile seçilen, 5-12 yaş arası çocuğa sahip 201 ebeveynle yapıldı. Araştırma verileri, İstanbul ilinde bir aile sağlığı merkezinde 30 Ocak–1 Mart 2022 tarihleri arasında, öz bildirim tekniği kullanılarak, Anne-Baba Tanıtım Formu, Koronavirüs Korkusu Ölçeği (KKÖ) ve COVID-19 Aşısına Yönelik Tutumlar Ölçeği (AYTÖ) aracılığıyla elde edildi.
Bulgular: Ebeveynlerin Koronavirüs Korkusu Ölçeğinden aldıkları puan ortalamasının 17.03±6.26, COVID-19 AYTÖ Olumlu Tutum alt boyutundan aldıkları puan ortalamasının 3.45, Olumsuz Tutum alt boyutundan aldıkları puanların ortalamasının 3.44±0.81, COVID-19 AYTÖ toplamından aldıkları puan ortalamasının 3.45±0.87 olduğu belirlendi. Annelerin %65.4’ü (n=89), babaların ise %50.8’inin (n=33) çocuklarına aşı yaptırmak istemediği görüldü. Aşı yaptırmak isteyen ebeveynlerin COVID-19 AYTÖ toplam, olumlu ve olumsuz tutum alt boyut puan ortalamalarının aşı yaptırmak istemeyenlerden istatistiksel olarak daha yüksek olduğu diğer bir deyişle aşı yaptırmak isteyenlerin aşıya karşı tutumlarının olumlu olduğu görüldü (p<0.05).
Sonuç: 5-12 yaş arası çocuğu olan ebeveynlerin COVID-19 korkusu ve aşısına karşı tutumları ile ebeveyn yaşı çocuklarına aşı yaptırma kararında etkilidir.
Ethical Statement
Dosya olarak yüklenmiştir
Supporting Institution
Yok
References
-
1. Erkekoğlu, P., Köse, S. B. E., Balcı, A., & Yirün, A. (2020). Aşı kararsızlığı ve COVID-19’un etkileri. Literatür Eczacılık Bilimleri Dergisi, 9(2), 208-220.
-
2. Yavuz, E. (2020). COVID-19 aşıları. Türkiye Aile Hekimliği Dergisi, 24(4), 223-234.
-
3. European Centre for Disease Prevention and Control (ECDC). COVID-19 in children and the role of school
settings in transmission - second update, 2021. (Erişim Tarihi: 14.11.2022)
-
4. Available from: https://www.ecdc.europa.eu/sites/default/files/documents/COVID-19-in-children-and-the-
role-of-school-settings-in-transmission-second-update.pdf. (Erişim Tarihi: 14.11.2022)
-
5. American Academy of Pediatric. Children and COVID-19: State-Level Data Report, 2021. Avialable from:
https://www.aap.org/en/pages/2019-novel-coronavirus-COVID-19-infections/children-and-COVID-19-state-
level-data-report/ (Erişim Tarihi:: 14.11.2022)
-
6. U.S. Food and Drug Administration. Coronavirus (COVID-19) update: FDA authorizes Pfizer-BioNTech COVID-19
vaccine for emergency use in adolescents in another important action in fight against pandemic. Updated 2021.
-
7. Available from: https://www.fda.gov/news-events/press-announcements/coronavirus-COVID-19-update-
fda-authorizes-pfizer-biontech-COVID-19-vaccine-emergency-use. (Erişim Tarihi: 14.11.2022)
-
8. Tanne, J. H. (2021). Covid-19: US doctors begin administering vaccine to children aged. BMJ,375, 5-11.
-
9. Ainslie, K. E., Backer, J., de Boer, P., van Hoek, A. J., Klinkenberg, D., Altes, H. K., ... & Wallinga, J. (2021). The impact
of vaccinating adolescents and children on COVID-19 disease outcomes. MEDRXİV, 2021-10.
-
10. Bell, S., Clarke, R., Mounier-Jack, S., Walker, J. L., & Paterson, P. (2020). Parents’ and guardians’ views on the
acceptability of a future COVID-19 vaccine: A multi-methods study in England. Vaccine, 38(49), 7789-7798.
-
11. Zhang, K. C., Fang, Y., Cao, H., Chen, H., Hu, T., Chen, Y. Q., ... & Wang, Z. (2020). Parental acceptability of
COVID-19 vaccination for children under the age of 18 years: cross-sectional online survey. JMIR Pediatrics and
Parenting, 3(2), e24827.
-
12. Hetherington, E., Edwards, S. A., MacDonald, S. E., Racine, N., Madigan, S., McDonald, S., & Tough, S. (2021). SARS-
CoV-2 vaccination intentions among mothers of children aged 9 to 12 years: a survey of the All Our Families
cohort. Canadian Medical Association Open Access Journal, 9(2), E548-E555.
-
13. Humble, R. M., Sell, H., Dubé, E., MacDonald, N. E., Robinson, J., Driedger, S. M., ... & MacDonald, S. E. (2021).
Canadian parents’ perceptions of COVID-19 vaccination and intention to vaccinate their children: Results from a
cross-sectional national survey. Vaccine, 39(52), 7669-7676.
-
14. Skjefte, M., Ngirbabul, M., Akeju, O., Escudero, D., Hernandez-Diaz, S., Wyszynski, D. F., & Wu, J. W. (2021). COVID-19
vaccine acceptance among pregnant women and mothers of young children: results of a survey in 16 countries.
European Journal of Epidemiology, 36, 197-211.
-
15. Yılmaz, M., & Sahin, M. K. (2021). Parents’ willingness and attitudes concerning the COVID‐19 vaccine: A cross‐
sectional study. International Journal of Clinical Practice, 75(9), e14364.
-
16. Bakioğlu, F., Korkmaz, O., & Ercan, H. (2021). Fear of COVID-19 and positivity: Mediating role of intolerance of
uncertainty, depression, anxiety, and stress. International Journal of Mental Health and Addiction, 19, 2369-2382.
-
17. Geniş, B., Gürhan, N., Koç, M., Geniş, Ç., Şirin, B., Çırakoğlu, O. C., & Coşar, B. (2020). Development of perception
and attitude scales related with COVID-19 pandemia. Pearson Journal of Social Sciences-Humanities, 5(7),
306-328.
-
18. Yumru, M., & Demirkaya, S. K. (2021). COVID-19 aşı karşıtlığı-kararsızlığı. Klinik Psikiyatri Dergisi, 24(3), 276-277.
-
19. Lin, Y., Hu, Z., Zhao, Q., Alias, H., Danaee, M., & Wong, L. P. (2020). Understanding COVID-19 vaccine demand and
hesitancy: A nationwide online survey in China. PLoS Neglected Tropical Diseases, 14(12), e0008961.
-
20. Public Health England, Disparities in the risk and outcomes of COVID-19 2020: London. Available from:
-
21. https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/
file/908434/Disparities_in_the_risk_and_outcomes_of_COVID_August_2020_update.pdf Cited: 14.11.2021
-
22. Urrunaga-Pastor, D., Herrera-Añazco, P., Uyen-Cateriano, A., Toro-Huamanchumo, C. J., Rodriguez-Morales, A.
J., Hernandez, A. V., ... & Bendezu-Quispe, G. (2021). Prevalence and factors associated with parents’ non-intention
to vaccinate their children and adolescents against COVID-19 in Latin America and the Caribbean. Vaccines, 9(11),
1303.
-
23. Pierantoni, L., Lenzi, J., Lanari, M., De Rose, C., Morello, R., Di Mauro, A., ... & Buonsenso, D. (2021). Nationwide
COVID‐19 survey of Italian parents reveals useful information on attitudes to school attendance, medical support,
vaccines and drug trials. Acta Paediatrica (Oslo, Norway: 1992), 110(3), 942.
-
24. Fedele, F., Aria, M., Esposito, V., Micillo, M., Cecere, G., Spano, M., & De Marco, G. (2021). COVID-19 vaccine
hesitancy: a survey in a population highly compliant to common vaccinations. Human Vaccines & Immunotherapeutics, 17(10), 3348-3354.
-
25. Sallam, M., Dababseh, D., Yaseen, A., Al-Haidar, A., Taim, D., Eid, H., ... & Mahafzah, A. (2020). COVID-19
misinformation: Mere harmless delusions or much more? A knowledge and attitude cross-sectional study among
the general public residing in Jordan. PloS one, 15(12), e0243264.
-
26. Ludvigsson, J. F. (2020). Children are unlikely to be the main drivers of the COVID‐19 pandemic–a systematic
review. Acta Paediatrica, 109(8), 1525-1530.
-
27. Bagateli, L. E., Saeki, E. Y., Fadda, M., Agostoni, C., Marchisio, P., & Milani, G. P. (2021). COVID-19 vaccine hesitancy
among parents of children and adolescents living in Brazil. Vaccines, 9(10), 1115.
-
28. McKinnon, B., Quach, C., Dubé, È., Nguyen, C. T., & Zinszer, K. (2021). Social inequalities in COVID-19 vaccine
acceptance and uptake for children and adolescents in Montreal, Canada. Vaccine, 39(49), 7140-7145.
-
29. Wan, X., Huang, H., Shang, J., Xie, Z., Jia, R., Lu, G., & Chen, C. (2021). Willingness and influential factors of parents
of 3-6-year-old children to vaccinate their children with the COVID-19 vaccine in China. Human Vaccines &
Immunotherapeutics, 17(11), 3969-3974.
-
30. Di Giuseppe, G., Pelullo, C. P., Volgare, A. S., Napolitano, F., & Pavia, M. (2022). Parents’ willingness to vaccinate
their children with COVID-19 vaccine: results of a survey in Italy. Journal of Adolescent Health, 70(4), 550-558.
-
31. Teasdale, C. A., Borrell, L. N., Shen, Y., Kimball, S., Rinke, M. L., Fleary, S. A., & Nash, D. (2021). Parental plans to
vaccinate children for COVID-19 in New York city. Vaccine, 39(36), 5082-5086.
-
32. Li, T., Qiu, X., Gong, X., Zhan, R., & Zheng, X. (2022). The cross-sectional survey on COVID-19 vaccine hesitancy
and it predictors among Chinese parents of 3-17 years aged children in Shenzhen City. Annals of Agricultural &
Environmental Medicine, 29(1).
-
33. Neumann-Böhme, S., Varghese, N. E., Sabat, I., Barros, P. P., Brouwer, W., van Exel, J., ... & Stargardt, T. (2020).
Once we have it, will we use it? A European survey on willingness to be vaccinated against COVID-19. The
European Journal of Health Economics, 21, 977-982.
-
34. Harapan, H., Wagner, A. L., Yufika, A., Winardi, W., Anwar, S., Gan, A. K., ... & Mudatsir, M. (2020). Acceptance of a
COVID-19 vaccine in Southeast Asia: a cross-sectional study in Indonesia. Frontiers in Public Health, 8, 381.
-
35. Hudson, A., & Montelpare, W. J. (2021). Predictors of vaccine hesitancy: implications for COVID-19 public health
messaging. International Journal of Environmental Research and Public Health, 18(15), 8054.
-
36. Aygun, E., & Tortop, H. S. (2020). Investigation of Parents' Vaccine Hesitation Levels and Reasons of Vaccine
Refusal/Ebeveynlerin Asi Tereddut Duzeylerinin ve Karsitlik Nedenlerinin Incelenmesi. The Journal of Current
Pediatrics, 18(3), 300-317