Sağlık Çalışanları İçin Türk Aşı Tereddüt Ölçeği Kesme Değerinin Belirlenmesi

Year 2023, Volume: 17 Issue: 2 - Turkish Journal of Family Medicine and Primary Care, 271 - 275, 20.06.2023

Mehmet Göktuğ Kılınçarslan Cihan Coşkuntuncel Erkan Melih Şahin

https://doi.org/10.21763/tjfmpc.1248540

Abstract

Giriş: Doktor tavsiyesi, aşıları kabul etmede en önemli faktördür. Bu nedenle sağlık çalışanlarının aşı tereddütlerinin değerlendirilmesi daha da önem kazanmıştır. Bu çalışmada sağlık çalışanları için Türk Aşı Tereddüt Ölçeğinin kesme değerlerinin belirlenmesi amaçlanmıştır.
Yöntem: Bu kesitsel çalışma üçüncü basamak bir hastanede yapılmıştır. Hastanedeki 1281 personelden 891 kişi çalışmaya dahil edildi. Katılımcılara aşı reddi öyküsü ve Türkiye Aşı Tereddüt Ölçeğinden oluşan anket uygulandı. Precision-recall grafiği ve F1 skoru kesme değerini belirlemek için kullanıldı.
Bulgular: Toplam 891 katılımcının 525'i (%58,9) kadındı. Ortalama yaş 31,3±8,1 idi. Hayatında en az bir kez aşıyı reddeden katılımcı sayısı 91(%10,2) oldu. ROC eğrisi altındaki alan 0,727 (%95 GA:0,665-0,790), p<0,001 idi. En yüksek F1 puanına (0,3587) sahip kesme değeri 44,5'tir.
Sonuç: Türkiye aşı tereddüt ölçeğinden 45 ve üzeri puan alanlar aşı çekingen, 45 puanın altında olanlar ise aşı kabul eden olarak gruplandırılabilir.

Keywords

Sağlık personeli, Aşı Kararsızlığı, Üçüncü Basamak Hastane, AİÖ analizi

Determination of Cut-off Value of the Turkish Vaccine Hesitation Scale for Healthcare Workers

Abstract

Introduction: Physician advice is the most crucial factor in accepting vaccines. Therefore, evaluating the vacccine hesitancy of healthcare workers has gained more significance. This study aimed to determine the cut-off values of the Turkish vaccine hesitancy scale for healthcare workers.
Method: This cross-sectional study was conducted in a tertiary hospital. There were 1281 staff at the hospital and 891 were included in the study. The survey which consisted of vaccine rejection history and the Turkish Vaccine Hesitancy Scale was applied to participants. Precision-recall plot and F1 score were used to determine the cut-off value.
Results:
Of the total 891 participants, 525(58.9%) were female. The mean age was 31.3±8.1 years. The number of participants who have rejected a vaccine at least once in their life was 91(10.2%). The area under the ROC curve was 0.727 (95% CI:0.665-0.790), p<0.001. The threshold point which has the highest F1 score (0.3587) was 44.5.
Conclusion
Healthcare workers who get 45 or higher points from the Turkish Vaccine Hesitancy Scale can be grouped as vaccine-hesitant while others who get lower than 45 points can be grouped as vaccine acceptor.

Keywords

Health Personnel, Vaccine Hesitancy, Tertiary Hospital, ROC Analysis

References

• 1. Orenstein, WA, Ahmed, R. Simply put: vaccination saves lives. Proc Natl Acad Sci USA 2017;114(16):4031-4033.
• 2. Lo NC, Hotez PJ. Public health and economic consequences of vaccine hesitancy for Measles in the United States. JAMA Pediatr 2017;171(9):887–892.
• 3. MacDonald, Noni E; SAGE Working Group on Vaccine Hesitancy. Vaccine hesitancy: definition, scope and determinants. Vaccine 2015;33(34):4161-4164.
• 4. Gust D, Brown C, Sheedy K, Hibbs B, Weaver D, Nowak G. Immunization attitudes and beliefs among parents: beyond a dichotomous perspective. Am J Health Behav 2005;29(1):81-92.
• 5. Kılınçarslan MG, Sarıgül B, Toraman Ç, Şahin EM. Development of valid and reliable scale of vaccine hesitancy in Turkish language. Konuralp Medical Journal 2020;12(3):420-429.
• 6. Perl TM, Talbot TR. Universal Influenza vaccination among healthcare personnel: yes we should. Open Forum Infect Dis 2019;6(4):ofz096. doi: 10.1093/ofid/ofz096.
• 7. Amodio E, Restivo V, Firenze A, Mammina C, Tramuto F, Vitale F. Can influenza vaccination coverage among healthcare workers influence the risk of nosocomial influenza-like illness in hospitalized patients? J Hosp Infect. 2014;86(3):182-187.
• 8. Sydnor E, Perl TM. Healthcare providers as sources of vaccine-preventable diseases. Vaccine 2014;32(38):4814-4822.
• 9. The Lancet Child Adolescent Health. Vaccine hesitancy: a generation at risk. Lancet Child Adolesc Health 2019;3(5):281.
• 10. European Centre for Disease Prevention and Control. Let’s talk about hesitancy. Stockholm: ECDC; 2016.
• 11. Saito T, Rehmsmeier M. The precision-recall plot is more informative than the ROC plot when evaluating binary classifiers on imbalanced datasets. PLoS One 2015;10(3):e0118432. doi: 10.1371/journal.pone.0118432.
• 12. Smith LE, Amlôt R, Weinman J, Yiend J, Rubin GJ. A systematic review of factors affecting vaccine uptake in young children. Vaccine 2017;35(45):6059-6069.
• 13. Salmon DA, Dudley MZ, Glanz JM, Omer SB. Vaccine hesitancy: causes, consequences, and a call to action. Am J Prev Med 2015;49(6 Suppl 4):391-398.