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Türkiye'de Sağlık Çalışanı Ebeveynlerin Rotavirüs Aşılamasına Yönelik Bilgi, Tutum ve Davranışları

Year 2024, Volume: 14 Issue: 5, 251 - 258, 25.09.2024
https://doi.org/10.16899/jcm.1475605

Abstract

Amaç: Bu çalışmanın amacı, Türkiye'de sağlık hizmetlerinde çalışan beş yaş altı çocuğu olan ebeveynlerin rotavirüs (RV) aşısı, RV enfeksiyonu ve RV aşılama oranları hakkında ne bildiklerini, ne düşündüklerin ve nasıl bir tutum ve davranış içerisinde olduklarını ortaya çıkarmaktır.

Gereç ve Yöntem: Her ikisi de çevrimiçi anket olan 'Demografik Özellikler Anketi' ve 'RV Bilgi/Aşı Durum Anketi', sağlık çalışanlarının ebeveynleri olan 1317 gönüllü katılımcının dahil edildiği bu tanımlayıcı çalışmada iki ana veri toplama aracı olarak kullanıldı. Çalışma 1 Aralık 2021 ile 1 Mayıs 2022 arasında yürütüldü. İlki önemli demografik bilgilerin toplanmasına odaklanırken, ikincisi katılımcıların rotavirüs ve aşısına ilişkin bilgi, tutum ve davranışlarını inceledi.

Bulgular: Katılımcıların yaş ortalaması 33,76±5,28 yıl idi. Katılımcıların %70,32'si kadın, %47,29'u doktor ve %90,89'u üniversite ve üzeri eğitim seviyesine sahipti. Katılımcıların %91,05'i çocuklarında herhangi bir kronik hastalığın bulunmadığını belirtirken, %94,22'sinin çocuklarına düzenli olarak çocukluk çağı aşılarını yaptırdıkları belirlendi. RV aşılama oranı %55,58 olup, %60,90'ı çocuklarının daha önce RV enfeksiyonu geçirmediğini belirtmiştir. RV enfeksiyonuna yakalananların %38,27'si hastaneye kaldırılarak tedavi altına alındı. RV enfeksiyonu olan çocukların %85,19'unun RV aşısı olmadığı, aşı yaptırmamalarının nedeni ise maliyetinin yüksek olduğu görüldü.

Sonuç: Bu bulgular, halk sağlığını korumak için RV aşısı da dahil olmak üzere gerekli aşılara daha geniş erişimi garanti altına almak için finansal engelleri kaldırmanın ve erişilebilirliği arttırmanın ne kadar önemli olduğunu vurgulamaktadır.

References

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  • 3. Oldin C, Golsäter M, Ask LS, Fredriksson S, Stenmarker M. Introduction of the Rotavirus vaccination in a Swedish region: assessing parental decision-making, obtained vaccination coverage and resulting hospital-admission. Acta Paediatr. 2019;108:1329-37.
  • 4. Padmawati RS, Heywood A, Sitaresmi MN, Atthobari J, MacIntyre CR, Soenarto Y, et al. Religious and community leaders’ acceptance of The Rotavirus vaccine introduction in Yogyakarta, Indonesia: a qualitative study. BMC Public Health 2019;19:368.
  • 5. Yanık Yalçın T, Yıldırım D, Alkan S. Frequency of The Rotavirus and Adenovirus in Children with Diarrhea in Sivas Numune Hospital. Cumhuriyet Medical J. 2016;38:258-62.
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  • 9. Lin SC, Tam KW, Chun Yeng JY, Che Lua M, Fang Chenh EY, Ting Kuobi Y, et al. The impact of shared decision making with patient decision aids on the rotavirus vaccination rate in children: A randomized controlled trial. Prev Med. 2020;141:106244.
  • 10. Troeger C, Khalil IA, Rao PC, Cao S, Blacker BF, Ahmed T, et al. Rotavirus Vaccination and the Global Burden of Rotavirus Diarrhea Among Children Younger Than 5 Years. JAMA Pediatr. 2018;172:958–65.
  • 11. Turkish Ministry of Health, Rota Virus. Available: https://hsgm.saglik.gov.tr/tr/bulasici-patientliklar/rota-vir%C3%BCs. Assessed: 23. March. 2022.
  • 12. Benninghoff B, Pereira P, Vetter V. Role of healthcare practitioners in rotavirus disease awareness and vaccination - insights from a survey among caregivers. Hum Vaccin Immunother. 2020;16:138–47.
  • 13. Napolitano F, Ali Adou A, Vastola A, Angelillo IF. The Rotavirus infection and Vaccination: İnformation, Beliefs, and Behaviors among Parents in Italy. Int J Environ Res Public Health 2019;16:1807.
  • 14. Ayyıldız TK, Altıntaş HK, Aydın C, Minaz E, Yörük T. The Incidence of Rotavirus in 0-5 Years Old Children and Parents' Knowledge Levels and Applications for Rotavirus. Deuhfed. 2020;13:124-30.
  • 15. Kaçmaz Ersü N, Ersü A, Öztürk YK, Helvacı M, Öngel K. Characteristics of children who were hospitalized with the diagnosis of gastroenteritis and knowledge level of their parents for rotavirus vaccinization. J Dr Behcet Uz Child Hosp. 2016;6:203-08.
  • 16. Tate JE, Burton AH, Boschi-Pinto C, Steele AD, Duque J, Parashar UD. 2008 estimate of worldwide rotavirus -associated mortality in children younger than 5 years before the introduction of universal rotavirus vaccination programs: a systematic review and meta-analysis. Lancet Infect Dis. 2012;12:136–41.
  • 17. Dhobale RV, Waghachavare VB, Gore AD, Dhumale GB. General practitioners’ information, attitude, and practices regarding optional immunization in the urban area of Sangli District: A cross sectional study. J Family Med Prim Care. 2022;11:3923-28.
  • 18. Duca ED, Chini L, Graziani S, Sgrulletti M, Moschese V. with the Italian Pediatric Immunology and Allergology Society (SIAIP) Vaccine Committee. Pediatric healthcare professionals’ vaccine information, awareness and attitude: a survey within the Italian Society of Pediatric Allergy and Immunology. Ital J Pediatr. 2021;47:183.
  • 19. Odabaş N, Kuzlu Ayyıldız T. Evaluation of Knowledge and Practice of Parents About Childhood Vaccines. Med J West Black Sea 2020;4:7-11.
  • 20. Üzüm Ö, Eliaçık K, Örsdemir HH, Öncel EK. Factors Affecting the Immunization Approaches of Caregivers: An Example of a Teaching and Research Hospital. J Pediatr Inf. 2019;13:e114-20.
  • 21. Barutçu A, Barutçu S. Comparison of Community-Acquired Rotavirus Infection with Nosocomial Rotavirus Infection; Evaluation of Epidemiology, Severity and Economic Burdens. J Contemp Med. 2020;10(4):551-55.
  • 22. Topal İ, Çıkman A, Arslan YK, Kara İS, Peker NA, Karakeçili F. Frequency of Rota Virus in Children with Acute Gastroenteritis. Firat Med J. 2019;24:14-7.
  • 23. Williams JT, Robinson K, Abbott E, Rojop N, Shiffman M, Rice JD, Asturias EJ. Community perceptions of vaccine advocacy for children under five in rural Guatemala. PLOS Global Public Health. 2023;3(5): e0000728.
  • 24. Perspectives in the Development of Tools to Assess Vaccine Literacy. Vaccines 2024, 12, 422. https://doi.org/10.3390/vaccines12040422
  • 25. Çıklar S, Güner PD. Knowledge, Behavior and Attitude of Mother’s About Childhood Immunization and Reasons of Vaccination Rejection and Hesitancy: A Study of Mixed Methodology. Ankara Med J. 2020;1:180-95.
  • 26. Apa H, Soylu ÖB, Günay İ, Devrim F. Information, Attitude and Behaviour of the Parents About Management of Acute Gastroenteritisis. J Dr Behcet Uz Child Hosp. 2015;5:28-33.
  • 27. Hasar M, Özer ZY, Bozdemir N. Reasons for vaccine rejection and opinions about vaccines. Cukurova Med J. 2021;46(1):166-76.
  • 28. Gençer MZ, Alıcıoğlu F, Arıca S, Arıca V. Socio-Demographic Characteristics of Parents with Children between 24–72 Months of Age and Their Knowledge and Attitudes about Self-Paid Vaccines: Comparison of East vs. West. Konuralp Med J. 2015;7:141-45.
  • 29. Köksal AO, Köksal T. The information level of parents about rotavirus gastroenteritis and rotavirus vaccine and the incidence of rotavirus vaccination in Ankara. Gaziantep Med J. 2012;8:151-54.
  • 30. Taiwo L, Idris S, Abubakar A, Nguku P, Nsubuga P, Gidado S, et al. Factors affecting access to information on routine immunization among mothers of under 5 children in Kaduna State Nigeria, 2015. Pan Afr Med J. 2017;27:32-41.
  • 31. Cadeddu C, Regazzi L, Bonaccorsi G, Rosano A, Unim B, Griebler R, Link T, et al. The Determinants of Vaccine Literacy in the Italian Population: Results from the Health Literacy Survey 2019. Int. J. Environ. Res. Public Health 2022;19:4429.
  • 32. Lorini C, Del Riccio M, Zanobini P, Biasio RL, Bonanni P, Giorgetti D, Ferro VA, et al. Vaccination as a social practice: Towards a definition of personal, community, population, and organizational vaccine literacy. BMC Public Health. 2023;23: 1501.
  • 33. Collini F, Bonaccorsi G, Del Riccio M, Bruschi M, Forni S, Galletti G, Gemmi F, et.al. Does Vaccine Confidence Mediate the Relationship between Vaccine Literacy and Influenza Vaccination? Exploring Determinants of Vaccination among Staff Members of Nursing Homes in Tuscany, Italy, during the COVID-19 Pandemic. Vaccines. 2023;11:1375.
  • 34. Miron VD, Toma AR, Filimon C, Bar G, Craiu M. Optional Vaccines in Children-Information, Attitudes, and Practices in Romanian Parents. Vaccines (Basel) 2022;10:404.
  • 35. Cag Y, al Madadha ME, Ankarali H, Cag Y, Onder KD, Keskin AS, et al. Vaccine hesitancy and refusal among parents: An international ID-IRI survey. J Infect Dev Ctries. 2022;16:1081-8.
  • 36. Aydın Z, Almış H, Cilasun C, Bucak İH, Mehmet Turgut M. Evaluation of Children With Rotavirus Positive And Rotavirus Negative Diarrhea. Journal of Child. 2023;23(2):113-118.
  • 37. Taşkın Dalgıç BÇ, Yenişehirli G, Akkan M, Uzunoğlu Şirin E. COVID-19 pandemi önlemleri rotavirüs ve/veya adenovirüs kaynaklı akut gastroenterit pozitiflik oranını azalttı. Turk Hij Den Biyol Derg, 2023; 80(3): 257 – 266.

Knowledge, Attitudes and Behaviors of Parents of Healthcare Workers Towards Rotavirus Vaccination in Turkey

Year 2024, Volume: 14 Issue: 5, 251 - 258, 25.09.2024
https://doi.org/10.16899/jcm.1475605

Abstract

Background/Aims:: This study's main goal was to find out what parents of children under the age of five who work in healthcare in Turkey know and think about the rotavirus (RV) vaccine, RV infection, and RV vaccination rates.

Methods: The 'Demographic Characteristics Questionnaire' and the 'The RV Information/Vaccination Status Survey' both online surveys, were the two main tools used in this descriptive study, which involved 1317 willing participants who were parents of healthcare workers and was conducted between December 1, 2021, and May 1, 2022. The first focused on gathering crucial demographic information, while the second examined participant knowledge, attitudes, and behaviors related to rotavirus and its vaccination.

Results: The mean age of participants was 33.76 ± 5.28 years. Of the participants, 70.3% were women, 47.3% were doctors, and 90.9% had a university or higher education level. 91.% stated that their children do not have any chronic disease and it was determined that 94.2% of them had their children regularly vaccinated with childhood vaccines. The RV vaccination rate was 55.6%, and 60.9% stated that their children had no previous RV infection. Of those who were infected with RV, 38.3% were hospitalized and treated. 85.2% of those with RV-infected children had no RV vaccine, and the reason why they did not have the vaccine was its high cost.

Conclusions: This finding emphasizes how crucial it is to remove financial obstacles and improve accessibility to guarantee broader access to necessary vaccines, including the RV vaccine, to protect public health.

Ethical Statement

The current study was approved by Ethics Committee of Bitlis Eren University (date: 10.11.2021, session no: 21/13-1, decision no: E.1342). This study was conducted in line with the international ethical standards of Declaration of Helsinki.

References

  • 1. Ellithorpe ME, Adams R, Aladé, F. Parents’ behaviors and experiences associated with four vaccination behavior groups for childhood vaccine hesitancy. Matern Child Health J. 2022;1-9
  • 2. Yorulmaz DS, Tanyer DK, The Effect of a Vaccine Education Program Based on the Integrated Change Model on Vaccine Advocacy and Vaccine Literacy: Protocol of a Randomized Wait List Controlled Study. JOHUFON. 2024;11(1):88-97.
  • 3. Oldin C, Golsäter M, Ask LS, Fredriksson S, Stenmarker M. Introduction of the Rotavirus vaccination in a Swedish region: assessing parental decision-making, obtained vaccination coverage and resulting hospital-admission. Acta Paediatr. 2019;108:1329-37.
  • 4. Padmawati RS, Heywood A, Sitaresmi MN, Atthobari J, MacIntyre CR, Soenarto Y, et al. Religious and community leaders’ acceptance of The Rotavirus vaccine introduction in Yogyakarta, Indonesia: a qualitative study. BMC Public Health 2019;19:368.
  • 5. Yanık Yalçın T, Yıldırım D, Alkan S. Frequency of The Rotavirus and Adenovirus in Children with Diarrhea in Sivas Numune Hospital. Cumhuriyet Medical J. 2016;38:258-62.
  • 6. Barutçu A, Barutçu S. Frequency of the RV and enteric adenovirus in children with acute gastroenteritis in Halfeti district, Sanliurfa, Turkey. Cukurova Med J. 2020;45:448-54. https://doi.org/10.17826/cumj.666575.
  • 7. Alkan S, Dindar Demiray EK, Akça A, Önder T, Vurucu S. Nozocomiyal Rotavirus Infections. BSJ Health Sci. 2022;5:138-42.
  • 8. Tate JE, Burton AH, Boschi-Pinto C, Parashar UD. World Health Organization–Coordinated Global the Rotavirus Surveillance Network. Global, Regional, and National Estimates of Rotavirus Mortality in Children <5 Years of Age, 2000-2013. Clin Infect Dis. 2016;62:96-105.
  • 9. Lin SC, Tam KW, Chun Yeng JY, Che Lua M, Fang Chenh EY, Ting Kuobi Y, et al. The impact of shared decision making with patient decision aids on the rotavirus vaccination rate in children: A randomized controlled trial. Prev Med. 2020;141:106244.
  • 10. Troeger C, Khalil IA, Rao PC, Cao S, Blacker BF, Ahmed T, et al. Rotavirus Vaccination and the Global Burden of Rotavirus Diarrhea Among Children Younger Than 5 Years. JAMA Pediatr. 2018;172:958–65.
  • 11. Turkish Ministry of Health, Rota Virus. Available: https://hsgm.saglik.gov.tr/tr/bulasici-patientliklar/rota-vir%C3%BCs. Assessed: 23. March. 2022.
  • 12. Benninghoff B, Pereira P, Vetter V. Role of healthcare practitioners in rotavirus disease awareness and vaccination - insights from a survey among caregivers. Hum Vaccin Immunother. 2020;16:138–47.
  • 13. Napolitano F, Ali Adou A, Vastola A, Angelillo IF. The Rotavirus infection and Vaccination: İnformation, Beliefs, and Behaviors among Parents in Italy. Int J Environ Res Public Health 2019;16:1807.
  • 14. Ayyıldız TK, Altıntaş HK, Aydın C, Minaz E, Yörük T. The Incidence of Rotavirus in 0-5 Years Old Children and Parents' Knowledge Levels and Applications for Rotavirus. Deuhfed. 2020;13:124-30.
  • 15. Kaçmaz Ersü N, Ersü A, Öztürk YK, Helvacı M, Öngel K. Characteristics of children who were hospitalized with the diagnosis of gastroenteritis and knowledge level of their parents for rotavirus vaccinization. J Dr Behcet Uz Child Hosp. 2016;6:203-08.
  • 16. Tate JE, Burton AH, Boschi-Pinto C, Steele AD, Duque J, Parashar UD. 2008 estimate of worldwide rotavirus -associated mortality in children younger than 5 years before the introduction of universal rotavirus vaccination programs: a systematic review and meta-analysis. Lancet Infect Dis. 2012;12:136–41.
  • 17. Dhobale RV, Waghachavare VB, Gore AD, Dhumale GB. General practitioners’ information, attitude, and practices regarding optional immunization in the urban area of Sangli District: A cross sectional study. J Family Med Prim Care. 2022;11:3923-28.
  • 18. Duca ED, Chini L, Graziani S, Sgrulletti M, Moschese V. with the Italian Pediatric Immunology and Allergology Society (SIAIP) Vaccine Committee. Pediatric healthcare professionals’ vaccine information, awareness and attitude: a survey within the Italian Society of Pediatric Allergy and Immunology. Ital J Pediatr. 2021;47:183.
  • 19. Odabaş N, Kuzlu Ayyıldız T. Evaluation of Knowledge and Practice of Parents About Childhood Vaccines. Med J West Black Sea 2020;4:7-11.
  • 20. Üzüm Ö, Eliaçık K, Örsdemir HH, Öncel EK. Factors Affecting the Immunization Approaches of Caregivers: An Example of a Teaching and Research Hospital. J Pediatr Inf. 2019;13:e114-20.
  • 21. Barutçu A, Barutçu S. Comparison of Community-Acquired Rotavirus Infection with Nosocomial Rotavirus Infection; Evaluation of Epidemiology, Severity and Economic Burdens. J Contemp Med. 2020;10(4):551-55.
  • 22. Topal İ, Çıkman A, Arslan YK, Kara İS, Peker NA, Karakeçili F. Frequency of Rota Virus in Children with Acute Gastroenteritis. Firat Med J. 2019;24:14-7.
  • 23. Williams JT, Robinson K, Abbott E, Rojop N, Shiffman M, Rice JD, Asturias EJ. Community perceptions of vaccine advocacy for children under five in rural Guatemala. PLOS Global Public Health. 2023;3(5): e0000728.
  • 24. Perspectives in the Development of Tools to Assess Vaccine Literacy. Vaccines 2024, 12, 422. https://doi.org/10.3390/vaccines12040422
  • 25. Çıklar S, Güner PD. Knowledge, Behavior and Attitude of Mother’s About Childhood Immunization and Reasons of Vaccination Rejection and Hesitancy: A Study of Mixed Methodology. Ankara Med J. 2020;1:180-95.
  • 26. Apa H, Soylu ÖB, Günay İ, Devrim F. Information, Attitude and Behaviour of the Parents About Management of Acute Gastroenteritisis. J Dr Behcet Uz Child Hosp. 2015;5:28-33.
  • 27. Hasar M, Özer ZY, Bozdemir N. Reasons for vaccine rejection and opinions about vaccines. Cukurova Med J. 2021;46(1):166-76.
  • 28. Gençer MZ, Alıcıoğlu F, Arıca S, Arıca V. Socio-Demographic Characteristics of Parents with Children between 24–72 Months of Age and Their Knowledge and Attitudes about Self-Paid Vaccines: Comparison of East vs. West. Konuralp Med J. 2015;7:141-45.
  • 29. Köksal AO, Köksal T. The information level of parents about rotavirus gastroenteritis and rotavirus vaccine and the incidence of rotavirus vaccination in Ankara. Gaziantep Med J. 2012;8:151-54.
  • 30. Taiwo L, Idris S, Abubakar A, Nguku P, Nsubuga P, Gidado S, et al. Factors affecting access to information on routine immunization among mothers of under 5 children in Kaduna State Nigeria, 2015. Pan Afr Med J. 2017;27:32-41.
  • 31. Cadeddu C, Regazzi L, Bonaccorsi G, Rosano A, Unim B, Griebler R, Link T, et al. The Determinants of Vaccine Literacy in the Italian Population: Results from the Health Literacy Survey 2019. Int. J. Environ. Res. Public Health 2022;19:4429.
  • 32. Lorini C, Del Riccio M, Zanobini P, Biasio RL, Bonanni P, Giorgetti D, Ferro VA, et al. Vaccination as a social practice: Towards a definition of personal, community, population, and organizational vaccine literacy. BMC Public Health. 2023;23: 1501.
  • 33. Collini F, Bonaccorsi G, Del Riccio M, Bruschi M, Forni S, Galletti G, Gemmi F, et.al. Does Vaccine Confidence Mediate the Relationship between Vaccine Literacy and Influenza Vaccination? Exploring Determinants of Vaccination among Staff Members of Nursing Homes in Tuscany, Italy, during the COVID-19 Pandemic. Vaccines. 2023;11:1375.
  • 34. Miron VD, Toma AR, Filimon C, Bar G, Craiu M. Optional Vaccines in Children-Information, Attitudes, and Practices in Romanian Parents. Vaccines (Basel) 2022;10:404.
  • 35. Cag Y, al Madadha ME, Ankarali H, Cag Y, Onder KD, Keskin AS, et al. Vaccine hesitancy and refusal among parents: An international ID-IRI survey. J Infect Dev Ctries. 2022;16:1081-8.
  • 36. Aydın Z, Almış H, Cilasun C, Bucak İH, Mehmet Turgut M. Evaluation of Children With Rotavirus Positive And Rotavirus Negative Diarrhea. Journal of Child. 2023;23(2):113-118.
  • 37. Taşkın Dalgıç BÇ, Yenişehirli G, Akkan M, Uzunoğlu Şirin E. COVID-19 pandemi önlemleri rotavirüs ve/veya adenovirüs kaynaklı akut gastroenterit pozitiflik oranını azalttı. Turk Hij Den Biyol Derg, 2023; 80(3): 257 – 266.
There are 37 citations in total.

Details

Primary Language English
Subjects Pediatric Infectious Diseases
Journal Section Original Research
Authors

Hatice Öntürk Akyüz 0000-0002-6206-2616

Adnan Barutçu 0000-0001-8930-1122

Sevil Alkan 0000-0003-1944-2477

Early Pub Date August 27, 2024
Publication Date September 25, 2024
Submission Date April 29, 2024
Acceptance Date August 9, 2024
Published in Issue Year 2024 Volume: 14 Issue: 5

Cite

AMA Öntürk Akyüz H, Barutçu A, Alkan S. Knowledge, Attitudes and Behaviors of Parents of Healthcare Workers Towards Rotavirus Vaccination in Turkey. J Contemp Med. September 2024;14(5):251-258. doi:10.16899/jcm.1475605