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The Effect of Parents' Health Literacy Level on the Attitudes and Behaviors of Childhood Vaccinations

Year 2023, Volume: 6 Issue: 1, 47 - 56, 01.01.2023

Elif Dağlı , Nilüfer Topkara

https://doi.org/10.19127/bshealthscience.1167822
Cited By: 1

Abstract

Health literacy is important for parents to correctly perceive and implement decisions about their children's health. Health literacy of parents can affect their understanding of the requirements of preventive treatments and their positive attitudes and behaviors towards childhood vaccines. The global growth of vaccine hesitations in recent years has led to increasing concern at WHO. Therefore, the level of health literacy may be important in experiencing vaccine hesitancy. For this reason, the study was carried out to determine the relationship between the health literacy level of parents with 0-59 months old children and their attitudes and behaviors towards childhood vaccinations. A cross-sectional and descriptive design was used in the study. The sample group consisted of 1038 parents. As data collection tools in the research; introductory information form containing introductory information, Parents' Attitudes to Childhood Vaccines Scale and Health Literacy Scale were used. Parents were contacted via an online survey link. The mean age of the parents was 35.36 ± 4.93 years, and 81.7% had an undergraduate/graduate degree. A statistically significant difference was found between the parents' scores from the PACV and the status of obtaining information and negative information about vaccines (Z=2.431, P=0.015; Z=8.707, P=0.000, respectively). Vaccine hesitancy was higher in those who did not obtain information about vaccines than those who did, and in those who obtained negative opinions about vaccines from health personnel than those who did not. As scores from the T-SOY increased, the scores from the PACV decreased. As parents' health literacy levels increased, their vaccine hesitancy decreased. It is thought that initiatives targeting health literacy can improve vaccination coverage and that knowing these relationships well will benefit determining the strategies for combating vaccine opposition and their effectiveness. In our study, vaccine hesitancy was higher in parents who obtained negative opinions from healthcare professionals. This striking result of our study is important in showing that it is not possible to fight against vaccine opposition without building the trust in vaccines among healthcare professionals.

Keywords

Vaccination Vaccine hesitancy Vaccine rejection Parental attitudes Health literacy levels

References

  • Aharon AA, Nehama H, Rishpon S, Baron-Epel O. 2017. Parents with high levels of communicative and critical health literacy are less likely to vaccinate their children. Patient Educ Couns, 100(4): 768-775.
  • Akbolat M, Kahraman G, Eriguc G, Saglam H. 2016. Does patient-physician relationship affect health literacy? A research in Sakarya province. TAF Prev Med Bull, 15(4): 354-362.
  • Alben AF. 2019. Bir üniversite hastanesi sağlik çalısanlarının aşı farkındaliği ve aşı reddi konusundaki düşünceleri. Uzmanlik Tezi, Gaziantep Üniversitesi Tıp Fakültesi, Gaziantep, Türkiye, pp: 19.
  • Anuk O, Cetin C. 2019. Vaccination decisions of sustainable community health from a social policy perspective. Hacettepe Univ Sos Bil Derg, 1(1): 74-96.
  • Ataseven-Bulun M, Acuner D. 2020. Turkish adaptation and reliability and validity study of parent attitudes about childhood vaccines survey. J Pediatr Res, 7: 323-330.
  • Attwell K, Smith DT, Ward PR. 2018. 'The unhealthy other': how vaccine rejecting parents construct the vaccinating mainstream. Vaccine, 36(12): 1621-1626. DOI: 10.1016/j.vaccine.2018.01.076.
  • Brandstetter S, Atzendorf J, Seelbach-Gobel B, Melter M, Kabesch M, Apfelbacher C. 2020. KUNO-Kids study group. Sociodemographic factors associated with health literacy in a large sample of mothers of newborn children: cross-sectional findings from the KUNO-Kids birth cohort study. Eur J Pediatr, 179(1): 165-169.
  • Berry NJ, Henry A, Danchin M, Trevena LJ, Willaby HW, Leask J. 2017. When parents won't vaccinate their children: a qualitative investigation of Australian primary care providers' experiences. BMC Pediat, 17(1): 19. DOI: 10.1186/s12887-017-0783-2.
  • Bianco A, Mascaro V, Zucco R, Pavia M. 2019. Parent perspectives on childhood vaccination: How to deal with vaccine hesitancy and refusal? Vaccine, 37(7): 984-990. DOI: 10.1016/j.vaccine.2018.12.062.
  • Bloom DE, Fan VY, Sevilla J. 2018. The broad socioeconomic benefits of vaccination. Sci Translat Medic, 10(441): eaaj2345. DOI: 10.1126/sci translmed.aaj2345.
  • Bozkurt HB. 2018. An overview of vaccine rejection and review of literature. Kafkas Tıp Bil Derg, 8(1): 71-76. DOI: 10.5505/kjms.2018.12754.
  • Brown AL, Sperandio M, Turssi CP, Leite RMA, Berton VF, Succi RM. 2018. Vaccine confidence and hesitancy in Brazil, Cad. Saúde Pública, 34(9): 1-12.
  • Cam C, Unsal A, Arslantas D, Kilinc A, Ozturk-Emiral G. 2021. Evaluation of immunization knowledge sufficiency levels, attitudes and behaviors and health literacy levels of adults, Osmangazi J Medic, 43(1): 7-19 DOI: 10.20515/ot d.696984.
  • Cevik C, Gunes S, Eser S, Eser E. 2020. Psychometric characteristics of Turkish version of parental attitudes towards childhood vaccines (PACV) scale. Guncel Pediat, 18(2): 153-167.
  • Copurlar CK, Kartal M. 2016. What is health literacy? How to measure it? Why is it important?. Turkish J Family Medic Prim Care, 10(1): 43-47.
  • Deniz S, Oztas D, Akbaba M. 2018. Determining the level of health literacy and affecting factors of health professionals working in primary health care services. Sakarya Tıp Derg, 8(2): 214-228.
  • Dube E, Gagnon D, Ouakki M, Bettinger JA, Witteman HO, MacDonald S, Fisher W, Saini V, Greyson D, Canadian Immunization Research Network. 2018. Measuring vaccine acceptance among Canadian parents: A survey of the Canadian Immunization Research Network. Vaccine, 36(4): 545-552. DOI: 10.1016/j.vaccine.2017. 12.005.
  • Duman A. 2017. Fatih ilçesinde ilkokul 1. sınıf aşılamalarında velilerin genel sağlık okuryazarlık düzeylerini ve etkileyen faktörleri belirleme. Uzmanlık Tezi, Istanbul Üniversitesi, Istanbul, Türkiye, pp: 11.
  • Gesser-Edelsburg A, Walter N, Shir-Raz Y, Sassoni Bar-Lev O, Rosenblat S. 2017. The behind-the-scenes activity of parental decision-making discourse regarding childhood vaccination. American J Infect Cont, 45(3): 267-271.
  • Gilbert NL, Gilmour H, Wilson SE, Cantin L. 2017. Determinants of non-vaccination and incomplete vaccination in Canadian toddlers. Human Caccin Immunoth Tics, 13(6): 1-7. DOI: 10.1080/21645515.2016.1277847.
  • Guzys D, Kenny A, Dickson-Swift V. Threlkeld G. 2015. A critical review of population health literacy assessment. BMC Pub Health, 15(1): 215.
  • Gunes G, Colaklar H, Bicen Aras B. Turan A. 2013. Approaches to medical literacy. ÜNAK 2013 Conference, September 19-21, 2013, İstanbul, Türkiye, pp: 244-248.
  • Gur E. 2019. Vaccine hesitancy - vaccine refusal. Turk Pediat Ars, 54(1): 1-2. DOI: 10.14744/TurkPediatriArs.2019.79990.
  • Hazir E. 2018. 0-24 aylık bebek/çocukların ebeveynlerinin aşı red sıklığı ve nedenleri. Yuksek Lisans Tezi, Okan Universitesi, İstanbul, Türkiye, pp: 10.
  • Hausman BL, Hayek P, Mack E. 2014. Stuff: therhetorical ecology of vaccination concern. Yale J Biol Med, 4: 413-416.
  • Helps C, Leask J, Barclay L, Carter S. 2019. Understanding nonvaccinating parents’ views to inform and improve clinical encounters: A qualitative study in an Australian community. BMJ Open, 9(5): 1-13.
  • Johri M, Subramanian SV, Sylvestre MP, Dudeja S, Chandra D, Kone GK, Sharma JK, Pahwa S. 2015. Association between maternal health literacy and child vaccination in India: a cross-sectional study. J Epidemiol Commun Health, 69: 849-857. DOI: 10.1136/jech-2014-205436.
  • Larson HJ, Jarrett C, Eckersberger E, Smith DM, Paterson P. 2014. Understanding vaccine hesitancy around vaccines and vaccination from a global perspective: a systematic review of published literature, 2007-2012. Vaccine, 32(19): 2150-2159. DOI: 10.1016/j.vaccine.2014.01.081.
  • Levy H, Janke A. 2016. Health literacy and access to care. J Health Commun, 21(1): 43-50.
  • Lorini C, Santomauro F, Donzellini M, Capecchi L, Bechini A, Boccalini S, Bonani P, Bonaccorsi G. 2018. Health literacy and vaccination: A systematic review. Human Vacc Immunot, 14: 478-488. DOI: 10.1080/21645515.2017.1392423.
  • Peretti-Watel P, Ward JK, Vergelys C, Bocquier A, Raude J, Verger P. 2019. 'I Think I Made the Right Decision… I Hope I'm Not Wrong'. Vaccine hesitancy, commitment and trust among parents of young children. Sociol Health Illness, 41(6): 1192-1206. DOI: 10.1111/1467-9566.12902.
  • Rozbroj T, Lyons A, Lucke J. 2019. Psychosocial and demographic characteristics relating to vaccine attitudes in Australia. Patient Educ Counsel, 102(1): 172-179. DOI: 10.1016/j.pec.2018.08.027.
  • Smith SG, Forster AS, Kobayashi LC. 2015. Predictors of human papillomavirus awareness and knowledge in 2013. The importance of health literacy. American J Prevent Medic, 49: 5-7.
  • Okyay P, Abacigil F. 2016. Turkiye saglik okuryazarligi olcekleri guvenilirlik ve gecerlilik calısması. Avrupa saglık okuryazarligi olçegi Turkce uyarlamasi (ASOY-TR). Saglik Bakanligi. URL: https://sbu.saglik.gov.tr/Ekutuphane/kitaplar/Sa%C4%9Fl% C4%B1k%20Okur%20 Yazarl%C4%B1%C4%9F%C4% B1.pdf (access date: January 02, 2021).
  • Opel DJ, Taylor JA, Mangione-Smith R, Solomon C, Zhao C, Catz S, Martin D. 2011. Validity and reliability of a survey to identify vaccine-hesitant parents. Vaccine, 29(38): 6598-6605. DOI: 10.1016/j.vaccine.2011.06.115.
  • Oncu E, Vayisoglu SK, Guven Y, Aktas G, Ceyhan H, Karakus E. 2018. The evaluations of individuals with hypertension on the management of chronic disease and their relationship with health literacy. Anatol JFM, 1: 31-32.
  • Önder H. 2018. Nonparametric statistical methods used in biological experiments. BSJ Eng Sci, 1(1): 1-6.
  • Robert E, Dramaix M, Swennen B. 2014. Vaccination coverage for infants: crosssectional studies in two regions of Belgium. Biomed Res Int, 2014: 1-7.
  • Sen-Ugur VY. 2016. Manisa sehzadeler egitim arastirma toplum sagligi merkezi bolgesinde eriskinlerde saglik okuryazarligi duzeyinin belirlenmesi. Uzmanlik Tezi, Celal Bayar Universitesi Manisa, Türkiye, pp: 15.
  • Tanriover MD, Yildirim HH, Demiray N, Cakir B, Akalin HE. 2014. Türkiye sağlık okuryazarlığı araştırması. Altan Ozyurt Matbaacilik Ankara, Türkiye, pp: 96.
  • The European Health Literacy Project, 2009-2012. Comperative Report on Health Literacy in eight EU Member States. 2012. Maastricht, HLS-EU Consortium. URL: www.healthliteracy.eu (access date: January 02, 2021).
  • Van der Heide I, Uiters E, Sørensen K, Rothlin, F, Pelikan J, Rademakers J. 2016. Health literacy in Europe: The development and validation of health literacy prediction models. Eur J Public Health, 26(6): 906-911.
  • Veldwijk J, Van der Heide I, Rademakers J, Schuit AJ, de Wit GA, Uiters E. 2015. Preferences for vaccination: does health literacy make a difference? Med Decis Making, 35(8): 948-958.
  • Sandhofer MJ, Robak O, Frank H, Kulnig J. 2017. Vaccine hesitancy in Austria: A cross-sectional survey. Wiener Klinische Wochenschrift, 129(1-2): 59–64. DOI: 10.1007/s00508-016-1062-1.
  • Tas TA, Akis N. 2016. health literacy. Sted, 25(3): 119-124.
  • TNSA. 2018. Turkiye Nufus ve Saglik Arastirmasi. URL: http://www.hips.hacettepe.edu.tr/tnsa2018/rapor/basin_bildirisi_2018TNSA.pdf (access date: November 02, 2021).
  • TTB. 2019. Türk Tabipler Birligi: Ası konusunda yasanan tereddutler, asi reddi ve asi karsıtligi konusunda etik kurul gorusu 2019. URL: http://www.ttb.org.tr/makale_goster.php?Guid=c21adfbc-e1c4-11e8-b159-336a 7b2d6c99 (access date: November 02, 2021).
  • Wang X, Zhou X, Leesa L, Mantwill S. 2018. The effect of vaccine literacy on parental trust and ıntention to vaccinate after a major vaccine scandal. J Health Commun, 23(5): 413-421.
  • WHO. 2014. World Health Organization: Health literacy. The solid facts. URL: http://www.euro.who.int/__data/assets/pdf_file/0008/19 0655/e96854.pdf (access date: November 02, 2021).
  • WHO. 2018. World Health Organization. Report of the sage working group on vaccine hesitancy. URL: https://www.who.int/immu nization/sage /meetings/2014/october/1_Report_WORKING_GROUP_vaccine_hesitancy_final.pdf (access date: November 02, 2021).
  • WHO. 2019. World Health Organization. Ten threats to global health in 2019. URL: https://www.who.int/emergencies/ten-threats-to-global-health-in-2019 (access date: November 02, 2021).
  • Yaqub O, Castle-Clarke S, Sevdalis N, Chataway J. 2014. Attitudes to vaccination: a critical review. Soc Sci Medic, 112: 1-11. DOI: 10.1016/j.soc scimed.2014.04.018.
  • Yilmazel G, Cetinkaya F. 2016. The importance of health literacy for community health. TAF Preven Medic Bul, 15(1): 69-74.
  • Yuksel GH, Topuzoğlu A. 2019. Factors affecting anti-vaccination ESTÜDAM Halk Sağ Derg, 4(2): 244-258. DOI: 10.35232/estudamhsd.525983.

The Effect of Parents' Health Literacy Level on the Attitudes and Behaviors of Childhood Vaccinations

Year 2023, Volume: 6 Issue: 1, 47 - 56, 01.01.2023

Elif Dağlı , Nilüfer Topkara

https://doi.org/10.19127/bshealthscience.1167822
Cited By: 1

Abstract

Health literacy is important for parents to correctly perceive and implement decisions about their children's health. Health literacy of parents can affect their understanding of the requirements of preventive treatments and their positive attitudes and behaviors towards childhood vaccines. The global growth of vaccine hesitations in recent years has led to increasing concern at WHO. Therefore, the level of health literacy may be important in experiencing vaccine hesitancy. For this reason, the study was carried out to determine the relationship between the health literacy level of parents with 0-59 months old children and their attitudes and behaviors towards childhood vaccinations. A cross-sectional and descriptive design was used in the study. The sample group consisted of 1038 parents. As data collection tools in the research; introductory information form containing introductory information, Parents' Attitudes to Childhood Vaccines Scale and Health Literacy Scale were used. Parents were contacted via an online survey link. The mean age of the parents was 35.36 ± 4.93 years, and 81.7% had an undergraduate/graduate degree. A statistically significant difference was found between the parents' scores from the PACV and the status of obtaining information and negative information about vaccines (Z=2.431, P=0.015; Z=8.707, P=0.000, respectively). Vaccine hesitancy was higher in those who did not obtain information about vaccines than those who did, and in those who obtained negative opinions about vaccines from health personnel than those who did not. As scores from the T-SOY increased, the scores from the PACV decreased. As parents' health literacy levels increased, their vaccine hesitancy decreased. It is thought that initiatives targeting health literacy can improve vaccination coverage and that knowing these relationships well will benefit determining the strategies for combating vaccine opposition and their effectiveness. In our study, vaccine hesitancy was higher in parents who obtained negative opinions from healthcare professionals. This striking result of our study is important in showing that it is not possible to fight against vaccine opposition without building the trust in vaccines among healthcare professionals.

Keywords

Vaccination Vaccine hesitancy Vaccine rejection Parental attitudes Health literacy levels

References

  • Aharon AA, Nehama H, Rishpon S, Baron-Epel O. 2017. Parents with high levels of communicative and critical health literacy are less likely to vaccinate their children. Patient Educ Couns, 100(4): 768-775.
  • Akbolat M, Kahraman G, Eriguc G, Saglam H. 2016. Does patient-physician relationship affect health literacy? A research in Sakarya province. TAF Prev Med Bull, 15(4): 354-362.
  • Alben AF. 2019. Bir üniversite hastanesi sağlik çalısanlarının aşı farkındaliği ve aşı reddi konusundaki düşünceleri. Uzmanlik Tezi, Gaziantep Üniversitesi Tıp Fakültesi, Gaziantep, Türkiye, pp: 19.
  • Anuk O, Cetin C. 2019. Vaccination decisions of sustainable community health from a social policy perspective. Hacettepe Univ Sos Bil Derg, 1(1): 74-96.
  • Ataseven-Bulun M, Acuner D. 2020. Turkish adaptation and reliability and validity study of parent attitudes about childhood vaccines survey. J Pediatr Res, 7: 323-330.
  • Attwell K, Smith DT, Ward PR. 2018. 'The unhealthy other': how vaccine rejecting parents construct the vaccinating mainstream. Vaccine, 36(12): 1621-1626. DOI: 10.1016/j.vaccine.2018.01.076.
  • Brandstetter S, Atzendorf J, Seelbach-Gobel B, Melter M, Kabesch M, Apfelbacher C. 2020. KUNO-Kids study group. Sociodemographic factors associated with health literacy in a large sample of mothers of newborn children: cross-sectional findings from the KUNO-Kids birth cohort study. Eur J Pediatr, 179(1): 165-169.
  • Berry NJ, Henry A, Danchin M, Trevena LJ, Willaby HW, Leask J. 2017. When parents won't vaccinate their children: a qualitative investigation of Australian primary care providers' experiences. BMC Pediat, 17(1): 19. DOI: 10.1186/s12887-017-0783-2.
  • Bianco A, Mascaro V, Zucco R, Pavia M. 2019. Parent perspectives on childhood vaccination: How to deal with vaccine hesitancy and refusal? Vaccine, 37(7): 984-990. DOI: 10.1016/j.vaccine.2018.12.062.
  • Bloom DE, Fan VY, Sevilla J. 2018. The broad socioeconomic benefits of vaccination. Sci Translat Medic, 10(441): eaaj2345. DOI: 10.1126/sci translmed.aaj2345.
  • Bozkurt HB. 2018. An overview of vaccine rejection and review of literature. Kafkas Tıp Bil Derg, 8(1): 71-76. DOI: 10.5505/kjms.2018.12754.
  • Brown AL, Sperandio M, Turssi CP, Leite RMA, Berton VF, Succi RM. 2018. Vaccine confidence and hesitancy in Brazil, Cad. Saúde Pública, 34(9): 1-12.
  • Cam C, Unsal A, Arslantas D, Kilinc A, Ozturk-Emiral G. 2021. Evaluation of immunization knowledge sufficiency levels, attitudes and behaviors and health literacy levels of adults, Osmangazi J Medic, 43(1): 7-19 DOI: 10.20515/ot d.696984.
  • Cevik C, Gunes S, Eser S, Eser E. 2020. Psychometric characteristics of Turkish version of parental attitudes towards childhood vaccines (PACV) scale. Guncel Pediat, 18(2): 153-167.
  • Copurlar CK, Kartal M. 2016. What is health literacy? How to measure it? Why is it important?. Turkish J Family Medic Prim Care, 10(1): 43-47.
  • Deniz S, Oztas D, Akbaba M. 2018. Determining the level of health literacy and affecting factors of health professionals working in primary health care services. Sakarya Tıp Derg, 8(2): 214-228.
  • Dube E, Gagnon D, Ouakki M, Bettinger JA, Witteman HO, MacDonald S, Fisher W, Saini V, Greyson D, Canadian Immunization Research Network. 2018. Measuring vaccine acceptance among Canadian parents: A survey of the Canadian Immunization Research Network. Vaccine, 36(4): 545-552. DOI: 10.1016/j.vaccine.2017. 12.005.
  • Duman A. 2017. Fatih ilçesinde ilkokul 1. sınıf aşılamalarında velilerin genel sağlık okuryazarlık düzeylerini ve etkileyen faktörleri belirleme. Uzmanlık Tezi, Istanbul Üniversitesi, Istanbul, Türkiye, pp: 11.
  • Gesser-Edelsburg A, Walter N, Shir-Raz Y, Sassoni Bar-Lev O, Rosenblat S. 2017. The behind-the-scenes activity of parental decision-making discourse regarding childhood vaccination. American J Infect Cont, 45(3): 267-271.
  • Gilbert NL, Gilmour H, Wilson SE, Cantin L. 2017. Determinants of non-vaccination and incomplete vaccination in Canadian toddlers. Human Caccin Immunoth Tics, 13(6): 1-7. DOI: 10.1080/21645515.2016.1277847.
  • Guzys D, Kenny A, Dickson-Swift V. Threlkeld G. 2015. A critical review of population health literacy assessment. BMC Pub Health, 15(1): 215.
  • Gunes G, Colaklar H, Bicen Aras B. Turan A. 2013. Approaches to medical literacy. ÜNAK 2013 Conference, September 19-21, 2013, İstanbul, Türkiye, pp: 244-248.
  • Gur E. 2019. Vaccine hesitancy - vaccine refusal. Turk Pediat Ars, 54(1): 1-2. DOI: 10.14744/TurkPediatriArs.2019.79990.
  • Hazir E. 2018. 0-24 aylık bebek/çocukların ebeveynlerinin aşı red sıklığı ve nedenleri. Yuksek Lisans Tezi, Okan Universitesi, İstanbul, Türkiye, pp: 10.
  • Hausman BL, Hayek P, Mack E. 2014. Stuff: therhetorical ecology of vaccination concern. Yale J Biol Med, 4: 413-416.
  • Helps C, Leask J, Barclay L, Carter S. 2019. Understanding nonvaccinating parents’ views to inform and improve clinical encounters: A qualitative study in an Australian community. BMJ Open, 9(5): 1-13.
  • Johri M, Subramanian SV, Sylvestre MP, Dudeja S, Chandra D, Kone GK, Sharma JK, Pahwa S. 2015. Association between maternal health literacy and child vaccination in India: a cross-sectional study. J Epidemiol Commun Health, 69: 849-857. DOI: 10.1136/jech-2014-205436.
  • Larson HJ, Jarrett C, Eckersberger E, Smith DM, Paterson P. 2014. Understanding vaccine hesitancy around vaccines and vaccination from a global perspective: a systematic review of published literature, 2007-2012. Vaccine, 32(19): 2150-2159. DOI: 10.1016/j.vaccine.2014.01.081.
  • Levy H, Janke A. 2016. Health literacy and access to care. J Health Commun, 21(1): 43-50.
  • Lorini C, Santomauro F, Donzellini M, Capecchi L, Bechini A, Boccalini S, Bonani P, Bonaccorsi G. 2018. Health literacy and vaccination: A systematic review. Human Vacc Immunot, 14: 478-488. DOI: 10.1080/21645515.2017.1392423.
  • Peretti-Watel P, Ward JK, Vergelys C, Bocquier A, Raude J, Verger P. 2019. 'I Think I Made the Right Decision… I Hope I'm Not Wrong'. Vaccine hesitancy, commitment and trust among parents of young children. Sociol Health Illness, 41(6): 1192-1206. DOI: 10.1111/1467-9566.12902.
  • Rozbroj T, Lyons A, Lucke J. 2019. Psychosocial and demographic characteristics relating to vaccine attitudes in Australia. Patient Educ Counsel, 102(1): 172-179. DOI: 10.1016/j.pec.2018.08.027.
  • Smith SG, Forster AS, Kobayashi LC. 2015. Predictors of human papillomavirus awareness and knowledge in 2013. The importance of health literacy. American J Prevent Medic, 49: 5-7.
  • Okyay P, Abacigil F. 2016. Turkiye saglik okuryazarligi olcekleri guvenilirlik ve gecerlilik calısması. Avrupa saglık okuryazarligi olçegi Turkce uyarlamasi (ASOY-TR). Saglik Bakanligi. URL: https://sbu.saglik.gov.tr/Ekutuphane/kitaplar/Sa%C4%9Fl% C4%B1k%20Okur%20 Yazarl%C4%B1%C4%9F%C4% B1.pdf (access date: January 02, 2021).
  • Opel DJ, Taylor JA, Mangione-Smith R, Solomon C, Zhao C, Catz S, Martin D. 2011. Validity and reliability of a survey to identify vaccine-hesitant parents. Vaccine, 29(38): 6598-6605. DOI: 10.1016/j.vaccine.2011.06.115.
  • Oncu E, Vayisoglu SK, Guven Y, Aktas G, Ceyhan H, Karakus E. 2018. The evaluations of individuals with hypertension on the management of chronic disease and their relationship with health literacy. Anatol JFM, 1: 31-32.
  • Önder H. 2018. Nonparametric statistical methods used in biological experiments. BSJ Eng Sci, 1(1): 1-6.
  • Robert E, Dramaix M, Swennen B. 2014. Vaccination coverage for infants: crosssectional studies in two regions of Belgium. Biomed Res Int, 2014: 1-7.
  • Sen-Ugur VY. 2016. Manisa sehzadeler egitim arastirma toplum sagligi merkezi bolgesinde eriskinlerde saglik okuryazarligi duzeyinin belirlenmesi. Uzmanlik Tezi, Celal Bayar Universitesi Manisa, Türkiye, pp: 15.
  • Tanriover MD, Yildirim HH, Demiray N, Cakir B, Akalin HE. 2014. Türkiye sağlık okuryazarlığı araştırması. Altan Ozyurt Matbaacilik Ankara, Türkiye, pp: 96.
  • The European Health Literacy Project, 2009-2012. Comperative Report on Health Literacy in eight EU Member States. 2012. Maastricht, HLS-EU Consortium. URL: www.healthliteracy.eu (access date: January 02, 2021).
  • Van der Heide I, Uiters E, Sørensen K, Rothlin, F, Pelikan J, Rademakers J. 2016. Health literacy in Europe: The development and validation of health literacy prediction models. Eur J Public Health, 26(6): 906-911.
  • Veldwijk J, Van der Heide I, Rademakers J, Schuit AJ, de Wit GA, Uiters E. 2015. Preferences for vaccination: does health literacy make a difference? Med Decis Making, 35(8): 948-958.
  • Sandhofer MJ, Robak O, Frank H, Kulnig J. 2017. Vaccine hesitancy in Austria: A cross-sectional survey. Wiener Klinische Wochenschrift, 129(1-2): 59–64. DOI: 10.1007/s00508-016-1062-1.
  • Tas TA, Akis N. 2016. health literacy. Sted, 25(3): 119-124.
  • TNSA. 2018. Turkiye Nufus ve Saglik Arastirmasi. URL: http://www.hips.hacettepe.edu.tr/tnsa2018/rapor/basin_bildirisi_2018TNSA.pdf (access date: November 02, 2021).
  • TTB. 2019. Türk Tabipler Birligi: Ası konusunda yasanan tereddutler, asi reddi ve asi karsıtligi konusunda etik kurul gorusu 2019. URL: http://www.ttb.org.tr/makale_goster.php?Guid=c21adfbc-e1c4-11e8-b159-336a 7b2d6c99 (access date: November 02, 2021).
  • Wang X, Zhou X, Leesa L, Mantwill S. 2018. The effect of vaccine literacy on parental trust and ıntention to vaccinate after a major vaccine scandal. J Health Commun, 23(5): 413-421.
  • WHO. 2014. World Health Organization: Health literacy. The solid facts. URL: http://www.euro.who.int/__data/assets/pdf_file/0008/19 0655/e96854.pdf (access date: November 02, 2021).
  • WHO. 2018. World Health Organization. Report of the sage working group on vaccine hesitancy. URL: https://www.who.int/immu nization/sage /meetings/2014/october/1_Report_WORKING_GROUP_vaccine_hesitancy_final.pdf (access date: November 02, 2021).
  • WHO. 2019. World Health Organization. Ten threats to global health in 2019. URL: https://www.who.int/emergencies/ten-threats-to-global-health-in-2019 (access date: November 02, 2021).
  • Yaqub O, Castle-Clarke S, Sevdalis N, Chataway J. 2014. Attitudes to vaccination: a critical review. Soc Sci Medic, 112: 1-11. DOI: 10.1016/j.soc scimed.2014.04.018.
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There are 54 citations in total.

Details

Primary Language English
Subjects Nursing
Journal Section Research Article
Authors

Elif Dağlı 0000-0002-4608-8904

Nilüfer Topkara 0000-0001-7646-3456

Publication Date January 1, 2023
Submission Date August 27, 2022
Acceptance Date October 12, 2022
Published in Issue Year 2023 Volume: 6 Issue: 1

Cite

APA Dağlı, E., & Topkara, N. (2023). The Effect of Parents’ Health Literacy Level on the Attitudes and Behaviors of Childhood Vaccinations. Black Sea Journal of Health Science, 6(1), 47-56. https://doi.org/10.19127/bshealthscience.1167822
AMA Dağlı E, Topkara N. The Effect of Parents’ Health Literacy Level on the Attitudes and Behaviors of Childhood Vaccinations. BSJ Health Sci. January 2023;6(1):47-56. doi:10.19127/bshealthscience.1167822
Chicago Dağlı, Elif, and Nilüfer Topkara. “The Effect of Parents’ Health Literacy Level on the Attitudes and Behaviors of Childhood Vaccinations”. Black Sea Journal of Health Science 6, no. 1 (January 2023): 47-56. https://doi.org/10.19127/bshealthscience.1167822.
EndNote Dağlı E, Topkara N (January 1, 2023) The Effect of Parents’ Health Literacy Level on the Attitudes and Behaviors of Childhood Vaccinations. Black Sea Journal of Health Science 6 1 47–56.
IEEE E. Dağlı and N. Topkara, “The Effect of Parents’ Health Literacy Level on the Attitudes and Behaviors of Childhood Vaccinations”, BSJ Health Sci., vol. 6, no. 1, pp. 47–56, 2023, doi: 10.19127/bshealthscience.1167822.
ISNAD Dağlı, Elif - Topkara, Nilüfer. “The Effect of Parents’ Health Literacy Level on the Attitudes and Behaviors of Childhood Vaccinations”. Black Sea Journal of Health Science 6/1 (January 2023), 47-56. https://doi.org/10.19127/bshealthscience.1167822.
JAMA Dağlı E, Topkara N. The Effect of Parents’ Health Literacy Level on the Attitudes and Behaviors of Childhood Vaccinations. BSJ Health Sci. 2023;6:47–56.
MLA Dağlı, Elif and Nilüfer Topkara. “The Effect of Parents’ Health Literacy Level on the Attitudes and Behaviors of Childhood Vaccinations”. Black Sea Journal of Health Science, vol. 6, no. 1, 2023, pp. 47-56, doi:10.19127/bshealthscience.1167822.
Vancouver Dağlı E, Topkara N. The Effect of Parents’ Health Literacy Level on the Attitudes and Behaviors of Childhood Vaccinations. BSJ Health Sci. 2023;6(1):47-56.

Cited By

The effects of parents' vaccine hesitancy and COVID-19 vaccine literacy on attitudes toward vaccinating their children during the pandemic
Journal of Pediatric Nursing
https://doi.org/10.1016/j.pedn.2023.04.016
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