Investigation of the Relationship between COVID-19 Illness Perceptions and Vaccine Attitudes of Midwives and Nurses Working in the Field of Women's Health

Abstract

Objective: It is known that negative attitudes toward COVID-19 vaccines and unwillingness to vaccinate are higher in women than in men. Therefore, it is seen that the attitude of midwives and nurses working in the field of women's health toward vaccination is important in influencing women's attitudes toward vaccination. This study aims to investigate the relationship between COVID-19 disease perceptions and attitudes toward vaccination of midwives and nurses working in the field of women's health. Material and Method: The study was conducted in March 2021 in hospitals and primary healthcare institutions in the center of a province in the Black Sea region of Turkey. A cross-sectional research design was used in the study. The study sample consisted of 75 midwives and nurses working in the field of women's health. The data were collected using the Descriptive Characteristics Form, the Attitudes Scale towards the COVID-19 Vaccine, and the COVID-19 Illness Perception Questionnaire, and analyzed using the Mann-Whitney-U, Kruskal Wallis H test, and Spearman correlation. Results: Almost all the participants (94%) were female and most of them (86.7%) had received the COVID-19 vaccine. Participants' COVID-19 disease perception was high (23.37±4.57), and their attitudes towards vaccination were positive (3.79±0.85). It was found that the difference between the Attitudes Scale towards the COVID-19 Vaccine scores and the Hazards sub-scale score of the COVID-19 Illness Perception Questionnaire and COVID-19 vaccination status was significant (p<0.05). Conclusion: The midwives and nurses working in the field of women's health were found to have high COVID-19 disease perception and positive attitudes toward vaccination, but there was no significant relationship between COVID-19 disease perception and attitude towards COVID-19 vaccination. The study is believed to contribute to the literature as a guide for midwives and nurses working in the field of women's health.

Keywords

• Midwife
• nurse
• COVID-19
• vaccine
• disease
• perception

Kadın Sağlığı Alanında Çalışan Ebe ve Hemşirelerin COVID-19 Hastalık Algısı ve Aşıya Yönelik Tutumu Arasındaki İlişkinin İncelenmesi

Abstract

Amaç: COVID-19 aşılarına yönelik olumsuz tutum ve aşılama isteksizliğinin kadınlarda erkeklere oranla daha yüksek olduğu bilinmektedir. Bu nedenle kadın sağlığı alanında çalışan ebe ve hemşirelerin aşıya karşı tutumunun, kadınların aşıya karşı tutumunu etkileme noktasında önemli olduğu görülmektedir. Bu çalışmada kadın sağlığı alanında çalışan ebe ve hemşirelerin COVID-19 hastalık algısı ve aşıya yönelik tutumu arasındaki ilişkinin incelenmesi amaçlanmıştır. Gereç ve Yöntem: Çalışma, Türkiye’nin Karadeniz bölgesindeki bir ilin merkezinde bulunan hastanelerde ve birinci basamak sağlık kurumlarında 2021 yılının Mart ayında, kesitsel araştırma tasarımı kullanılarak yapılmıştır. Çalışmanın örneklemini kadın sağlığı alanında çalışan 75 ebe ve hemşire oluşturmuştur. Veriler, tanımlayıcı özellikler formu, COVID-19 Aşısına Yönelik Tutumlar Ölçeği ve COVID-19 Hastalık Algısı Ölçeği kullanılarak toplanmış ve Mann- Whitney-U, Kruskal Wallis H testi ve Spearman korelasyonu ile analiz edilmiştir. Bulgular: Katılımcıların tamamına yakını (%94) kadın ve büyük kısmı (%86,7) COVID-19 aşısı yaptırmıştır. Katılımcıların COVID-19 hastalık algısı yüksek (23,37±4,57) ve aşıya karşı tutumları olumlu (3,79±0,85) bulunmuştur. COVID-19 Aşısına Yönelik Tutumlar Ölçeği puanları ve COVID-19 Hastalık Algısı Ölçeği’nin Tehlike alt boyutu puanı ile COVID-19 aşılanma durumu arasındaki farkın anlamlı olduğu belirlenmiştir (p<0,05). Sonuç: Kadın sağlığı alanında çalışan ebe ve hemşirelerin COVID-19 hastalık algısının yüksek olduğu ve aşılamaya yönelik olumlu tutumlara sahip olduğu, ancak COVID-19 hastalığı algısı ile COVID-19 aşısına yönelik tutum arasında anlamlı bir ilişki olmadığı saptanmıştır. Çalışmanın kadın sağlığı alanında çalışan ebe ve hemşirelere yol gösterici olması açısından literatüre katkı sağlayacağı düşünülmektedir.

Keywords

• Ebe
• hemşire
• COVID-19
• aşı
• algı
• tutum

References

1. Centers for Disease Control and Prevention (CDC). Symptoms of Coronavirus CDC. [cited 2021 February 5]. Available from: www.cdc.gov/ coronavirus/2019-ncov/symptoms-testing/symptoms.html.
2. Şenol E. COVID-19 Vaccines. Turkish Medical Association COVID 19 Pandemic 1st Year Evaluation Report. [cited 2021 April 5]. Available from: https://covid19.who.int/.
3. World Health Organisation. Interim recommendations for use of the Pfizer–BioNTech COVID-19 vaccine, BNT162b2, under Emergency Use Listing. [cited 2021 May 21]. Available from:https:// www.who.int/publications/i/item/WHO-2019-nCoV-vaccines-SAGE_ recommendation-BNT162b2-2021.
4. Azap ÖK, Azap A. COVID-19 Vaccines, Turkish Medical Association COVID-19 Monitoring Board 10th Month Evaluation Report 4. [cited 2021 April 5]. Available from: https://covid19asi.saglik.gov.tr/TR-77706/ covid-19-asisi-ulusal-uygulama-stratejisi.html.
5. T. C. Ministry of Health. Vaccine Applications. [cited 2021 April 5]. Available from: https://covid19asi.saglik.gov.tr/TR-77706/covid-19- asisi-ulusal-uygulama stratejisi.html.
6. Shekhar R, Sheikh AB, Upadhyay S, Singh M, Kottewar S, Mir H, et all. COVID-19 vaccine acceptance among health care workers in the United States. Vaccines. 2021 Feb; 9(2):119. https://doi.org/10.3390/ vaccines9020119.
7. World Health Organization. Improving vaccination demand and addressing hesitancy. [cited 2021 May 17]. Available from: Improving vaccination demand and addressing hesitancy.
8. Reiter PL, Pennell ML, Katz ML. Acceptability of a COVID-19 vaccine among adults in the United States: How many people would get vaccinated?.Vaccine. 2020 Sep ;38(42):6500-6507. https://doi: 10.1016/j. vaccine.2020.08.043

9. Betsch C, Schmid P, Heinemeier D, Korn L, Holtmann C, Bohm R. Beyond confidence: development of a measure assessing the 5 C psychological antecedents of vaccination.PLoS One. 2018 Sep ;13(12):1- 19. https://doi.org/10.1371/journal.pone.0208601
10. Pivetti M, Melotti G, Bonomo M, Hakoköngäs E. Conspiracy Beliefs and Acceptance of COVID-Vaccine: An Exploratory Study in Italy. Social Sciences. 2021 Dec; 18;10(3):108. https://doi.org/10.3390/ socsci10030108.
11. World Health Organization. SAGE working group dealing with vaccine hesitancy. [cited 2021 June 14]. Available from :https://www. who.int/news/item/vaccines-and-immunization-for-monkeypox-- interim-guidance--14-june-2022
12. Paul E, Steptoe A, Fancourt D. Attitudes towards vaccines and intention to vaccinate against COVID-19: Implications for public health communications. The Lancet Regional Health-Europe. 2020 Dec; 26: 1-12. doi: 10.1016/j.lanepe.2020.100012
13. Detoc M, Bruel S, Frappe P, Botelho-Nevers E, Gagneux-Brunon. AIntention to participate in a COVID-19 vaccine clinical trial and to get vaccinated against COVID-19 in France during the pandemic. Vaccine. 2020 Oct; 38(45):1–14. doi: 10.1016/j.vaccine.2020.09.041
14. Jones M, Cook R. Intent to receive an HPV vaccine among university men and women and implications for vaccine administration. J Am Coll Health. 2008 July; 57(1):23–32. doi:10.3200/JACH.57.1.23-32.
15. Kabamba Nzaji M, Kabamba Ngombe L, Ngoie Mwamba G, Banza Ndala DB, Mbidi Miema J, Luhata Lungoyo C, et al. Acceptability of vaccination against COVID-19 among healthcare workers in the Democratic Republic of the Congo. Pragmat Obs Res. 2020 Mar; 29;11:103-109. doi: 10.2147/POR.S271096.
16. Dubé E, Laberge C, Guay M, Bramadat P, Roy R, Bettinger J. Vaccine hesitancy: an overview. Hum Vaccin Immunother. 2013 Apr; 9(8):1763- 73. doi: 10.4161/hv.24657.
17. Schwarzinger M, Verger P, Guerville MA, Aubry C, Rolland S, Obadia Y, et al. Positive attitudes of French general practitioners towards A/H1N1 influenza-pandemic vaccination: a missed opportunity to increase vaccination uptakes in the general public?.Vaccine. 2010; 28:2743–8. doi: 10.1016/j.vaccine.2010.01.027
18. Kurtuluş Ş, Can R. What do health professionals think about COVID-19 vaccine applications: A university example?. Journal of Harran University Faculty of Medicine. 2021 Apr; 18(1):29-34.
19. Oruç MA, Öztürk O. Attitudes of health care professionals towards COVID-19 vaccine- a sequence from Turkey. Hum Vaccin Immunother. 2021 Oct; 17(7): 1-7.
20. Meran PHE, Şahin HN. Specialized nursing education and specialist nursing roles in women's health: the case of the United States. Journal Womens Health Nursing. 2016 Jul; 1 (1): 1-14. https://dergipark.org.tr/ en/pub/kashed/issue/22284/239023
21. Karafillakis E, Dinca I, Apfel F, Cecconi S, Wűrz A, Takacs J, et all. Vaccine hesitancy among healthcare workers in Europe: A qualitative study. Vaccine. 2016; 22;34(41):5013-5020. doi: 10.1016/j.vaccine.2016.08.029. Epub 2016 Aug 26. PMID: 27576074.
22. Sümbüloğlu K, Sümbüloğlu V. Biostatistics. 14th Edition. Ankara: Hatipoğlu Publishing House; 2010. p. 265.
23. Fisher KA, Bloomstone SJ, Walder J, Crawford S, Fouayzi H, Mazor KM. Attitudes toward a potential SARS-CoV-2 vaccine: a survey of US adults. Ann Intern Med. 2020 Dec; 173(12): 964-973. https://doi: 10.7326/M20- 3569.
24. Çırakoğlu O. The Investigation of Swine Influenza (H1N1) pandemic related perceptions in terms of anxiety and avoidance variables. Turk Psikiyatri Derg. 2011 Jun; 26: 65-9.
25. Geniş B, Gürhan N, Koç M, Geniş Ç, Şirin B, Çırakoğlu OC, et al. Development of perception and attitude scales related with COVID-19 pandemia. Pearson Journal of Social Sciences – Humanities. 2020 Oct; 5(7): 306-328. DOI: 10.46872/pj.127.
26. Kocaman N, Özkan M, Armay Z, Özkan S. The validity and reliability study of the Turkish version of the illness perception scale. Anadolu Psikiyatri Derg. 2007 Dec; 8: 271-280.
27. Skapinakis P, Bellos S, Oikonomou A, Dimitriadis G, Gkikas P, Perdikari E, et al. Depression and its relationship with coping strategies and illness perceptions during the COVID-19 lockdown in Greece: A cross-sectional survey of the population. Depress Res Treat. 2020 Jul; 26: 3158954. doi: 10.1155/2020/3158954
28. Man MA, Toma C, Motoc NS, Necrelescu OL, Bondor CI, Chis AF, et al. Disease perception and coping with emotional distress during COVID-19 pandemic: A survey among medical staff. Int J Environ Res Public Health. 2020 Jul; 17(13):4899. doi: 10.3390/ijerph17134899.
29. Özkan F. Yigit I. Attitudes of primary health care workers towards COVID-19 vaccine during the Coronavirus epidemic And COVID-19 disease perceptions. Journal of Inonu University Health Services Vocational School. 2022 Feb; 10(1):401-413. doi: 10.33715/ inonusaglik.1030517.
30. Nzaji MK, Ngombe LK, Mwamba GN, Ndala DBB, Miema JM, Lungoyo CL, et al. Acceptability of vaccination against COVID-19 among healthcare workers in the democratic republic of the congo. Pragmat Obs Res. 2020; 11:103–9. doi: 10.2147/POR.S271096.
31. Hollmeyer HG, Hayden F, Poland G, Buchholz U. Influenza vaccination of health care workers in hospitals—a review of studies on attitudes and predictors. Vaccine. 2009 Jun; 19(27) :3935–3944. doi: 10.1016/j. vaccine.2009.
32. Gagneux-Brunon A, Detoc M, Bruel S, Tardy B, Rozaire O, Frappe P, et all. Intention to get vaccinations against COVID-19 in French healthcare workers during the first pandemic wave: a cross-sectional survey. J Hosp Infect. 2021 Feb; 108:168-173. doi.org/10.1016/j.jhin.2020.11.020.
33. Ledda C, Costantino C, Cuccia M, Maltezou HC, Rapisarda V. Attitudes of healthcare personnel towards vaccinations before and during the COVID-19 Pandemic. Int J Environ Res Public Health. 2021 Mar; 18(5):2703. doi: 10.3390/ijerph18052703.
34. Kwok KO, Li KK, Wei WI, Tang A, Wong SYS, Lee SS. Editor's Choice: Influenza vaccine uptake, COVID-19 vaccination intention and vaccine hesitancy among nurses: A survey. Int J Nurs Stud. 2021 Feb; 114:103854. doi: 10.1016/j.ijnurstu.2020.103854.
35. Wang K, Wong ELY, Ho KF, Cheung AWL, Chan EYY, Yeoh EK, et all. Intention of nurses to accept coronavirus disease 2019 vaccination and change of intention to accept seasonal influenza vaccination during the coronavirus disease 2019 pandemic: A cross-sectional survey. Vaccine. 2020;38(45): 7049-7056doi: 10.1016/j.vaccine.2020.09.021.
36. Bish A, Yardley L, Nicoll A, Michie S. Factors associated with uptake of vaccination against pandemic influenza: a systematic review. Vaccine. 2011 Sep; 29(38): 6472-6484. doi.org/10.1016/j.vaccine.2011.06.107.
37. Schmid P, Rauber D, Betsch C, Lidolt G, Denker ML. Barriers of influenza vaccination intention and behavior–a systematic review of influenza vaccine hesitancy, 2005–2016. PloS one. 2017 Jan; 26:12(1): e0170550. doi.org/10.1371/journal.pone.0170550.
38. Karlsson LC, Soveri A, Lewandowsky S, Karlsson L, Karlsson H, Nolvi S, et all. Fearing the disease or the vaccine: The case of COVID-19. Pers Individ Dif. 2021 Apr; 172: 110590. doi.org/10.1016/j.paid.2020.110590.
39. Faasse K, Newby J. Public perceptions of COVID-19 in Australia: Perceived risk, knowledge, health-protective behaviors, and vaccine intentions. Front Psychol.2020 Sep; 30: 1-11. doi.org/10.3389/ fpsyg.2020.551004.
40. Malik AA, McFadden SM, Elharake J, Ömer SB. Determinants of COVID-19 vaccine acceptance in the US. EClinical Medicine. 2020 Aug; 12(26): 100495.
41. Glöckner A, Dorrough AR, Wingen T, Dohle S. The Perception of Infection Risks During the Early and Later Outbreak of COVID-19 in Germany: Consequences and Recommendations. PsyArXiv. 2020 May; 14:1-53. doi:10.31234/osf.io/wdbgc.
42. Raftopoulos V, Iordanou S, Katsapi A, Dedoukou X, Maltezou HC. A comparative online survey on the intention to get COVID-19 vaccine between Greek and Cypriot healthcare personnel: is the country a predictor? Hum Vaccin Immunother. 2021 Aug; 17(8):2397-2404. doi: 10.1080/21645515.2021.1896907.
43. Özkan F, Yiğit I. Attitudes of primary health care workers towards COVID-19 vaccine during the Coronavirus 401 epidemic And COVID-19 disease perceptions. Journal of Inonu University Health Services Vocational School. 2022 Jan; 10(1): 401-413. doi: 10.33715/ inonusaglik.1030517.
44. Güngör S, Atik D, Akyol N. Acceptance of COVID-19 vaccine in nurses and fear of contagion. Journal of Medical Sciences. 2022; 3(1):59-71.
45. Gagneux-Brunon A, Detoc M, Bruel S, Tardy B, Rozaire O, Frappe P, Botelho-Nevers E. Intention to get vaccinations against COVID-19 in French healthcare workers during the first pandemic wave: a cross-sectional survey. J Hosp Infect. 2021 Feb; 108:168-173. doi: 10.1016/j. jhin.2020.11.020
46. Fortenberry KT, Berg CA, King PS, Stump T, Butler JM, Pham PK, et all. Longitudinal trajectories of illness perceptions among adolescents with type 1 diabetes. J Pediatr Psychol. 2014 Aug; 39(7):687-96. doi: 10.1093/ jpepsy/jsu043
47. Katavic SS, Tanackovic SF, Badurina B. Illness perception and information behaviour of patients with rare chronic diseases. Information Research: An International Electronic Journal. 2016 May; 21(1):1.