The knowledge level and attitude of the parents about COVID-19 vaccination in children: a single-center survey study

Year 2022, , 254 - 262, 26.09.2022

Ezgi Erem , Fatih Mehmet Kışlal

https://doi.org/10.47582/jompac.1168273

Cited By: 2

Abstract

Aim: The primary method of prevention for children involves vaccination. The generally accepted approach in the world is the vaccination of eligible children for COVID-19 (Coronavirus Disease 2019). In the field of COVID-19 vaccines, hesitation and vaccine denial are anticipated concurrently with the rise in the incidence of vaccine instability and rejection around the world. The aim of this study is to find out what parents think about the COVID-19 vaccination program for children and what factors may cause anti-vaccination.
Material and Method: 208 parents with children aged 0-18 who applied to the University of Health and Sciences, Ankara Keçiören Training and Research Hospital’s pediatrics clinics between April-June 2021 were included in the study. A questionnaire consisting of 26 questions developed by public health experts for COVID-19, the COVID-19 Phobia Scale (C19P-S), and the Short Form of COVID-19 Anxiety Scale were administered to the participants.
Results: 58.2% of participants believed that vaccines could only partially protect against the virus, while 19.2% disagreed and 22.6% were unsure of their position on this. While 67.3% of individuals said they would be willing to receive the COVID-19 vaccine, 36.1% said they would be willing to immunize their children (p< 0.001). Participants who refused to receive their own vaccinations did not consider vaccinating their children (p<0.001). With a rate of 76.5%, parents cited the possibility of vaccine side effects as their main objection to immunizing their children. Parents who have never been vaccinated or under-vaccinated their children according to the national vaccination program, did not intend to vaccinate their children with the COVID-19 vaccine at a higher rate. Parents who did not intend to vaccinate their children with the COVID-19 vaccine had significantly lower overall scores on the COVID-19 Phobia Scale, psychological sub-dimension, somatic sub-dimension, and social sub-dimension than parents who did (p<0.05).
Conclusion: The majority of parents were hesitant to vaccinate their children. The vaccine side effects were the main objection to immunizing children. Therefore understanding the attitudes and perspectives of parents toward COVID-19 vaccines may shed light on the pediatric COVID-19 vaccination programs that will be implemented in the future.

Keywords

COVID-19, vaccination, children, parents, survey

Ebeveynlerin çocuklarda COVID-19 aşısı konusundaki bilgi düzeyi ve tutumu: tek merkezli bir anket çalışması

Abstract

Amaç: Çocuklar için birincil korunma yöntemi aşılamadır. Dünyada genel kabul görmüş yaklaşım uygun görülen çocukların Koronavirüs Hastalığı 2019 (COVID-19) için aşılanması yönündedir. Tüm dünyadaki aşı kararsızlığı ve reddi insidansındaki artışla paralel olarak COVID-19 aşıları için de tereddüt ve aşı reddi beklenmektedir. Bu çalışmanın amacı, ebeveynlerin çocuklara yönelik COVID-19 aşı programı hakkındaki düşüncelerini ve aşı karşıtlığına hangi faktörlerin neden olabileceğini ortaya çıkarmaktır.
Gereç ve Yöntem: Sağlık Bilimleri Üniversitesi, Ankara Keçiören Eğitim ve Araştırma Hastanesi çocuk hastalıkları kliniklerine Nisan-Haziran 2021 tarihleri ​​arasında başvuran, 0-18 yaş arası çocuğu olan 208 ebeveyn araştırmaya dahil edildi. Katılımcılara (COVID-19) için halk sağlığı uzmanları tarafından geliştirilen 26 sorudan oluşan anket, COVID-19 Fobi Ölçeği (C19P-S) ve COVID-19 Kısa Form Anksiyete Ölçeği uygulandı.
Bulgular: Katılımcıların %58,2’si aşıların virüse karşı yalnızca kısmen koruyabileceğine inanırken, %19,2’si aynı fikirde değildi ve %22,6’sı bu konudaki tutumlarından emin değildi. Bireylerin %67,3’ü COVID-19 aşısını yaptırmaya istekli olacağını belirtirken, %36,1’sı çocuklarını aşılamaya istekli olacağını belirtti (p<0,001). Kendi aşılarını yaptırmayı reddeden katılımcılar çocuklarına aşı yaptırmayı düşünmüyordular (p<0,001). Ebeveynler, %76,5’ lik bir oranla, çocuklarına aşı yaptırma konusundaki temel itirazları olarak aşı yan etkileri olasılığını belirttiler. Ulusal aşı programına göre çocuklarına hiç aşı yaptırmamış veya eksik aşı yaptırmamış olan ebeveynler, çocuklarına daha yüksek oranda COVID-19 aşısı yaptırmayı düşünmemişlerdi. Çocuklarına COVID-19 aşısı yaptırmayı düşünmeyen anne babaların COVID-19 Fobi Ölçeği, psikolojik alt boyut, somatik alt boyut ve sosyal alt boyut toplam puanları, yaptıran ebeveynlere göre anlamlı olarak daha düşüktü (p<0.05).
Sonuç: Ebeveynlerin çoğunluğu çocuklarına aşı yaptırmakta tereddüt etmektedir ve bunun en sık sebebi aşının yan etkileri olabileceği düşüncesidir. Bu nedenle ebeveynlerin COVID-19 aşılarına yönelik tutum ve bakış açılarının anlaşılması, gelecekte uygulanacak pediatrik COVID-19 aşılama programlarına ışık tutabilir.

Keywords

COVID-19, aşılama, çocuklar, ebeveynler, anket

References

• Wu Z, McGowan JM. Characteristics of and important lessons from the coronavirus disease 2019 (COVID-19) outbreak in china: summary of a report of 72 314 cases from the Chinese Center for disease control and prevention. JAMA 2020; 323: 1239-42.
• Güven D, Kazancı EG. COVID-19 Epigenetiği. In: Çocuk Hastalarda COVID-19 Yönetimi, Kazancı EG, Pakdemirli A, Yılmaz SK (eds). İstanbul: EMA Tıp Kitabevi 2021: 31-7
• Güven D. Çocuklarda COVID-19 (SARS-CoV-2) Tedavisi. In: Çocuk Hastalarda COVID-19 Yönetimi, Kazancı EG, Pakdemirli A, Yılmaz SK (eds). İstanbul: EMA Tıp Kitabevi 2021: 123-9
• Chakraborty S, Mallajosyula V, Tato CM, Tan GS, Wang TT. SARS-CoV-2 vaccines in advanced clinical trials: Where do we stand?. Adv Drug Deliv Rev 2021; 172: 314-38.
• Fidler DP. Negotiating equitable access to influenza vaccines: global health diplomacy and the controversies surrounding avian influenza H5N1 and pandemic influenza H1N1. PLoS Med 2010; 7: e1000247.
• McClure CC, Cataldi JR, O’Leary ST. Vaccine hesitancy: where we are and where we are going. Clin Ther 2017; 39: 1550-62.
• Gill D. Ethics Working Group of the Confederation of European Specialists in Paediatrics. Ethical principles and operational guidelines for good clinical practice in paediatric research. Recommendations of the Ethics Working Group of the Confederation of European Specialists in Paediatrics (CESP). Eur J Pediatr 2004; 163: 53-7.
• Ataç Ö, Aker AA. Sağlık Düşüncesi ve Tıp Kültürü Derg 2014; 30: 42-7.
• Yiğit T, Oktay BÖ, Özdemir CN, Moustafa PS. Aşı karşıtlığı ve fikri gelişimi. J Soc Human Sci Res 2020; 7: 1244- 61.
• Gür E. Vaccine hesitancy - vaccine refusal. Turk Pediatri Ars 2019; 54: 1–2.11.
• Badur S, Ota M, Öztürk S, Adegbola R, Dutta A. Vaccine confidence: the keys to restoring trust. Hum Vaccin Immunother 2020; 16: 1007-17.
• Sallam M, Dababseh D, Eid H, Al-Mahzoum K, Al-Haidar A, Taim D. High rates of COVID-19 vaccine hesitancy and its association with conspiracy beliefs: a study in Jordan and Kuwait among other Arab Countries. Vaccines (Basel) 2021; 9: 42.
• Khubchandani J, Sharma S, Price JH, Wiblishauser MJ, Sharma M, Webb FJ. COVID-19 vaccination hesitancy in the United States: A Rapid National Assessment. J Community Health 2021; 46: 270- 7.
• Khan YH, Mallhi TH, Alotaibi NH, et al. Threat of COVID-19 Vaccine hesitancy in Pakistan: the need for measures to neutralize misleading narratives. Am J Trop Med Hyg 2020; 103: 603-4.
• Gencer, N. Pandemi Sürecinde Bireylerin Koronavirüs (Kovid-19) Korkusu: Çorum Örneği. USBAD Uluslararası Sosyal Bilimler Akademi Dergisi 2020; 2: 1153-73.
• Kaya S, Uzdil Z, Cakiroğlu FP. Evaluation of the effects of fear and anxiety on nutrition during the COVID-19 pandemic in Turkey. Public Health Nutr 2021; 24: 282-9.
• Toprak Celenay S, Karaaslan Y, Mete O, Ozer Kaya D. Coronaphobia, musculoskeletal pain, and sleep quality in stay-at home and continued-working persons during the 3-month Covid-19 pandemic lockdown in Turkey. Chronobiol Int 2020; 37: 1778- 85.
• Arpaci I, Karataş K, Baloğlu M. The development and initial tests for the psychometric properties of the COVID-19 Phobia Scale (C19P-S). Pers Individ Dif 2020; 164: 110108.
• Biçer İ, Çakmak C, Demir H, Kurt ME. Koronavirüs Anksiyete Ölçeği Kısa Formu: Türkçe Geçerlik ve Güvenirlik Çalışması. Anatolian Clinic J Med Sci 2020; 25: 216-25.
• Goldman RD, Marneni SR, Seiler M et al. Caregivers’ Willingness to Accept Expedited Vaccine Research During the COVID-19 Pandemic: A Cross-sectional Survey. Clin Ther 2020; 42: 2124-33.
• Güven D, Sarıcı D. Cutaneous manifestations of COVID-19 in children: Four case presentations. J Surg Med 2022; 6: 395-8.
• Yılmaz M, Sahin MK. Parents’ willingness and attitudes concerning the COVID-19 vaccine: A cross-sectional study. Int J Clin Pract 2021; 75: e14364.
• Faasse K, Newby J. Public Perceptions of COVID-19 in Australia: Perceived Risk, Knowledge, Health-Protective Behaviors, and Vaccine Intentions. Front Psychol 2020; 11: 551004.
• Ward JK, Alleaume C, Peretti-Watel P; COCONEL Group. The French public’s attitudes to a future COVID-19 vaccine: The politicization of a public health issue. Soc Sci Med 2020; 265: 113414.
• Kazancı, EG, Üstündağ Y, Güven D. Variation in the rate of diagnosis of childhood acute lymphoblastic leukemia in about to the COVID-19 Pandemic: a single-center study. Child`s Health 2021; 16: 391–5.
• Akarsu B, Canbay Özdemir D, Ayhan Baser D, Aksoy H, Fidancı İ, Cankurtaran M. While studies on COVID-19 vaccine is ongoing, the public’s thoughts and attitudes to the future COVID-19 vaccine. Int J Clin Pract 2021; 75: e13891.
• Bell S, Clarke R, Mounier-Jack S, Walker JL, Paterson P. Parents’ and guardians’ views on the acceptability of a future COVID-19 vaccine: A multi-methods study in England. Vaccine 2020; 38: 7789- 98.
• Jeffs E, Lucas N, Walls T. CoVID-19: Parent and caregiver concerns about reopening New Zealand schools. J Paediatr Child Health 2021; 57: 403-8.
• Zhang KC, Fang Y, Cao H, et al. Parental acceptability of COVID-19 vaccination for children under the age of 18 years: cross-sectional online survey. JMIR Pediatr Parent 2020; 3: e24827.
• Yigit M, Ozkaya-Parlakay A, Senel E. Evaluation of COVID-19 Vaccine Refusal in Parents. Pediatr Infect Dis J 2021; 40: 134-6.
• Detoc M, Bruel S, Frappe P, Tardy B, Botelho-Nevers E, Gagneux-Brunon A. Intention to participate in a COVID-19 vaccine clinical trial and to get vaccinated against COVID-19 in France during the pandemic. Vaccine 2020; 38: 7002-6.
• Ali SH, Foreman J, Tozan Y, Capasso A, Jones AM, DiClemente RJ. Trends and predictors of COVID-19 information sources and their relationship with knowledge and beliefs related to the pandemic: nationwide cross-sectional study. JMIR Public Health Surveill 2020; 6: e21071.
• El-Elimat T, AbuAlSamen MM, Almomani BA, Al-Sawalha NA, Alali FQ. Acceptance and attitudes toward COVID-19 vaccines: A cross-sectional study from Jordan. PLoS One 2021; 16: e0250555.
• Charron J, Gautier A, Jestin C. Influence of information sources on vaccine hesitancy and practices. Med Mal Infect 2020; 50: 727-33.
• Güven D, Kazancı EG. Effects of COVID-19 pandemic process on children’s mental health and solutions. Erbayraktar Z. Full texts-COVID 19 Pandemisinde Araştirma-Yayin ve Eğitim Süreçlerine Bakış Kongresi. J Basic Clinic Health Sci 2021; 5: 614-22