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0-5 Yaş Çocuğu Olan Ebeveynlerin Sağlık Okuryazarlığı Bilgilerinin Çocukluk Aşılarına İlişkin Tutumlarına Etkisi

Year 2024, Volume: 18 Issue: 4, 466 - 475
https://doi.org/10.21763/tjfmpc.1474245

Abstract

Amaç: 0-5 yaş arası çocuğu olan ebeveynlerin sağlık okuryazarlığı bilgilerinin çocukluk çağı aşılarına ilişkin tutumlarına etkisini belirlemek amaçlanmaktadır.
Yöntem: İlişkisel tarama modelinin kullanıldığı çalışmada, örneklem Ekim 2022 ile Ocak 2023 tarihleri arasında XXX şehrinde yaşayan, 0-5 yaş arası çocuğu olan 1008 ebeveynden oluşmuştur. Veriler Kişisel Bilgi Formu, Sağlık Okuryazarlığı Endeksi ve Çocukluk Aşılarına İlişkin Ebeveyn Tutumları (PACV) ile toplandı.
Bulgular: Eğitim düzeyi, yaşanılan yer, çocuk sayısı, çocuklarının aşılanma durumu, aşılara ilişkin görüşler ve hastalandıklarında ilk uygulamaları yapma değişkenlerinin sağlık okuryazarlığı bilgisini etkilediğini, değişkenlerin ise sağlık okuryazarlığı bilgisini etkilediğini ortaya koymuştur. Aşılanma durumu ve aşılara ilişkin görüşleri ebeveynlerin çocukluk çağı aşılarına yönelik tutumlarını etkilemiştir.
Sonuç: Ebeveynlerin sağlık okuryazarlığını geliştirmek ve aşı tereddütlerini azaltmak için genel sağlık bilgilerinin verilmesi ve aşıların yararları ve aşılanmamanın sonuçlarına ilişkin eğitimlerin düzenlenmesi önerilmektedir.

References

  • 1. Lorini C, Santomauro F, Donzellini M, Capecchi L, Bechini A, Boccalini S, Bonaccorsi G. Health literacy and vaccination: A systematic review. Human vaccines & immunotherapeutics 2018: 14(2);478-488.
  • 2. Yıldızeli F, Alabaz D, Gözüyeşil E. Determining the relationship of parents ‚knowledge and attitudes and health literacy about the admission or refusal of childhood ımmunization. Journal of Pediatric Infection 2021; 15(2): 91-99.
  • 3. Gökoglu AG. The effect of women's health literacy level on health behaviors and child health. Baskent University Faculty of Health Sciences Journal 2021; 6(2).
  • 4. Ertaş H, Göde A. Sağlık okuryazarlığı ile aşı karşıtlığı arasındaki ilişkinin incelenmesi: üniversite öğrencileri üzerinde bir araştırma. Journal of Academic Value Studies 2021; 1: 1-14.
  • 5. Çam C, Ünsal A, Arslantas D, Kılınç A, Emiral GÖ. evaluation of adults' immunization knowledge competency levels, attitudes and behaviors, and health literacy levels. Osmangazi Medical Journal 2021; 43(1): 7-19.
  • 6. Ertugrul B, Albayrak S. The relationship of parents’ health literacy level with attitudes and behaviors towards childhood vaccines. Journal of Hacettepe University Faculty of Nursing 2021; 8(2):186-195.
  • 7. Cansever İH. Sustainable development and health: a comparative evaluation with Turkey's 2023 Goals. Hacettepe Journal of Health Administration 2021; 24(3): 633-650.
  • 8. WHO. World health statistic 2015. World Health Organization, 2015.
  • 9. Yorulmaz D, Karadeniz H. The growing threat to community health: vaccine denial. Health and Society 2022; 32(1): 23-27.
  • 10. Omer SB, Salmon DA, Orenstein WA, Dehart MP, Halsey N. Vaccine refusal, mandatory immunization, and the risks of vaccine-preventable diseases. New England Journal of Medicine 2009; 360(19): 1981-1988.
  • 11. Ozceylan G, Toprak D, Esen ES. Vaccine rejection and hesitation in Turkey. Human vaccines & immunotherapeutics, 2020; 16(5):1034-1039.
  • 12. Gunes NA. Parents' perspectives about vaccine hesitancies and vaccine rejection, in the West of Turkey. Journal of Pediatric Nursing 2o2o; 53: e186-e194.
  • 13. Fraenkel JR, Wallen NE, Hyun HH. How to design and evaluate research in education (8th ed.). New York: Mc Graw Hill, 2012;395.
  • 14. Çapık C. Use of Confirmatory Factor Analysis in Validity and Reliability Studies. Anadolu Journal of Nursing and Health Sciences 2014; 17(3):196-205.
  • 15. Sorensen K. at al. Measuring health literacy in populations: Illuminating the design and development process of the European Health Literacy Survey Questionnaire (HLS-EU-Q). BMC 2013; 13: 948.
  • 16. Aras Z, Bayık AT. Evaluation of the validity and reliability of the Turkish form of the Health Literacy Scale. Florence Nightingale Journal of Nursing, 2017; 25(2):85-94.
  • 17. Opel DJ, Taylor JA, Mangione-Smith R, Solomon C, Zhao C, Catz S, et al. Validity and reliability of a survey to identify vaccine-hesitant parents. Vaccine 2011;29(38):6598–605. http://dx.doi.org/10.1016/j.vaccine.2011.06.115.
  • 18. Çatı K, Karagöz Y, Yalman F, Öcel Y. The impact on patient satisfaction of health literacy. The International Journal of Economic and Social Research 2018; 14(1): 67-88.
  • 19. Yüksel S. Hopelessness and health literacy in parents with children with congenital heart disease. Unpublished master's thesis, Balıkesir University Institute of Health Sciences, Balıkesir, 2020; 58.
  • 20. Ulusoy E, Yılmaz TE, Çifci A, Yılmaz T, Kasım İ, Özkara, A. The role of parents and health literacy in healthy child follow-up. Ankara Medical Journal 2020; 20(3): 588-604.
  • 21. Kohan S, Ghasemi S, Dodangeh M. Associations between maternal health literacy and prenatal care and pregnancy outcome. Iranian Journal of Nursing and Midwifery Research 2008; 12(4): 146-152.
  • 22. Abacıgil F, Harlak H. Okyay P. Turkish adaptation of the European Health Literacy Scale. Okyay, P. & Abacıgil, F. (Ed.) Turkish Health Literacy Scales reliability and validity study in (p. 21-41). Ankara: T.C. Ministry of Health Publication number: 2016; 1025.
  • 23. Yakar B, Gömleksiz M, Pirinççi E. Health literacy levels and affecting factors of patients who applied to a university hospital polyclinic. Eurasian Journal of Family Medicine 2019; 8(1): 27-35.
  • 24. Yamashita T, Brown JS. Does cohort matter in the association between education, health literacy and health in the USA?. Health Promotion International 2017; 32(1): 16-24.
  • 25. Ilgaz A. Health literacy level in ındividuals registered to a family health center and related factors. Journal of Hacettepe University Faculty of Nursing 2021; 8(2): 151-159.
  • 26. Yalman F, Sancar T. Management of community health: the relatıonshıp between health lıteracy and attıtude toward vaccınatıon. Sivas Cumhuriyet University Faculty of Letters Journal of Social Sciences 2021; 45(2): 259-278.
  • 27. Johri M, Subramanian SV, Sylvestre MP, Dudeja S, Chandra D, Koné GK, Sharma JK, Pahwa S. Association between maternal health literacy and child vaccination in India: a cross-sectional study. Journal of Epidemiology & Community Health 2015; 69 (9): 849-857.
  • 28. Biasio LR. Vaccine hesitancy and health literacy. Human vaccines & immunotherapeutics 2017; 13(3): 701-702.
  • 29. Gür E. Vaccine hesitancy-vaccine refusal. Turkish Archives of Pediatrics 2019; 54(1):1-2.
  • 30. Turan FD. Attitudes of parents towards childhood vaccinations in the national vaccination program: the case of Aksaray. Journal of Publıc Health Nursıng 2022; 4 (3): 239-250. DOI: 10.54061/jphn.1183177.
  • 31. Cakıcı Y. Determining complete vaccination levels of 24-36 months of cahilden living in Zonguldak and their parents attitudes towards vaccination: Community based cross sectional research. Unpublished master's thesis, Karabuk University Graduate School of Education, Karabük, 2022; 36.
  • 32. Torun EG, Ertugrul A. Parental attitudes and knowledge towards childhood vaccination. Journal of Pediatric Infection,2022; 16(1): 35-40.
  • 33. Dogan G. The relationship of health literacy, complementary alternative medicine approach and some socıodemographic characteristics and parents' attitudes to childhood vaccines Unpublished master's thesis, Balikesir University Institute of Health Sciences, Balıkesir,36; 2021.
  • 34. Daglı E, Topkara N. The effect of parents' health literacy level on the attitudes and behaviors of childhood vaccinations. Black Sea Journal of Health Science 2023; 6(1): 47-56.
  • 35. Onen C, Ocal NU. Parents' perspective on childhood vaccines and the correlation of vaccine hesitancy with health literacy. Progress in Nutrıtıon 2022; 24 (1): 1-8.

The Effect of Health Literacy Knowledge of Parents with Children aged 0-5 years on Their Attitudes about Childhood Vaccines

Year 2024, Volume: 18 Issue: 4, 466 - 475
https://doi.org/10.21763/tjfmpc.1474245

Abstract

Objective: To determine the effect of health literacy knowledge of parents with children aged 0-5 on their attitudes towards childhood vaccines.
Method: In the study using the relational screening model, the sample consisted of 1008 parents with children aged 0-5, living in XXX city between October 2022 and January 2023. Data were collected via Personal Information Form, Health Literacy Index, and Parental Attitudes Towards Childhood Immunizations (PACV).
Results: It was revealed that the variables of education level, place of residence, number of children, children's vaccination status, opinions about vaccines and making the first applications when they get sick affect health literacy knowledge. Their views about vaccines affected parents' attitudes toward childhood vaccines.
Conclusion: In order to improve the health literacy of the parents and reduce their vaccine hesitancy, it is recommended to give general health information and organize trainings on the benefits of vaccines and the consequences of being non-vaccinated.

Ethical Statement

The necessary ethics committee approval for the study was obtained from the Iğdır University Scientific Research and Publication Ethics Committee. (Dated 12.09.2022 and numbered E-73972246-900-78065)

Thanks

We would like to thank all our parents who agreed to participate in our study.

References

  • 1. Lorini C, Santomauro F, Donzellini M, Capecchi L, Bechini A, Boccalini S, Bonaccorsi G. Health literacy and vaccination: A systematic review. Human vaccines & immunotherapeutics 2018: 14(2);478-488.
  • 2. Yıldızeli F, Alabaz D, Gözüyeşil E. Determining the relationship of parents ‚knowledge and attitudes and health literacy about the admission or refusal of childhood ımmunization. Journal of Pediatric Infection 2021; 15(2): 91-99.
  • 3. Gökoglu AG. The effect of women's health literacy level on health behaviors and child health. Baskent University Faculty of Health Sciences Journal 2021; 6(2).
  • 4. Ertaş H, Göde A. Sağlık okuryazarlığı ile aşı karşıtlığı arasındaki ilişkinin incelenmesi: üniversite öğrencileri üzerinde bir araştırma. Journal of Academic Value Studies 2021; 1: 1-14.
  • 5. Çam C, Ünsal A, Arslantas D, Kılınç A, Emiral GÖ. evaluation of adults' immunization knowledge competency levels, attitudes and behaviors, and health literacy levels. Osmangazi Medical Journal 2021; 43(1): 7-19.
  • 6. Ertugrul B, Albayrak S. The relationship of parents’ health literacy level with attitudes and behaviors towards childhood vaccines. Journal of Hacettepe University Faculty of Nursing 2021; 8(2):186-195.
  • 7. Cansever İH. Sustainable development and health: a comparative evaluation with Turkey's 2023 Goals. Hacettepe Journal of Health Administration 2021; 24(3): 633-650.
  • 8. WHO. World health statistic 2015. World Health Organization, 2015.
  • 9. Yorulmaz D, Karadeniz H. The growing threat to community health: vaccine denial. Health and Society 2022; 32(1): 23-27.
  • 10. Omer SB, Salmon DA, Orenstein WA, Dehart MP, Halsey N. Vaccine refusal, mandatory immunization, and the risks of vaccine-preventable diseases. New England Journal of Medicine 2009; 360(19): 1981-1988.
  • 11. Ozceylan G, Toprak D, Esen ES. Vaccine rejection and hesitation in Turkey. Human vaccines & immunotherapeutics, 2020; 16(5):1034-1039.
  • 12. Gunes NA. Parents' perspectives about vaccine hesitancies and vaccine rejection, in the West of Turkey. Journal of Pediatric Nursing 2o2o; 53: e186-e194.
  • 13. Fraenkel JR, Wallen NE, Hyun HH. How to design and evaluate research in education (8th ed.). New York: Mc Graw Hill, 2012;395.
  • 14. Çapık C. Use of Confirmatory Factor Analysis in Validity and Reliability Studies. Anadolu Journal of Nursing and Health Sciences 2014; 17(3):196-205.
  • 15. Sorensen K. at al. Measuring health literacy in populations: Illuminating the design and development process of the European Health Literacy Survey Questionnaire (HLS-EU-Q). BMC 2013; 13: 948.
  • 16. Aras Z, Bayık AT. Evaluation of the validity and reliability of the Turkish form of the Health Literacy Scale. Florence Nightingale Journal of Nursing, 2017; 25(2):85-94.
  • 17. Opel DJ, Taylor JA, Mangione-Smith R, Solomon C, Zhao C, Catz S, et al. Validity and reliability of a survey to identify vaccine-hesitant parents. Vaccine 2011;29(38):6598–605. http://dx.doi.org/10.1016/j.vaccine.2011.06.115.
  • 18. Çatı K, Karagöz Y, Yalman F, Öcel Y. The impact on patient satisfaction of health literacy. The International Journal of Economic and Social Research 2018; 14(1): 67-88.
  • 19. Yüksel S. Hopelessness and health literacy in parents with children with congenital heart disease. Unpublished master's thesis, Balıkesir University Institute of Health Sciences, Balıkesir, 2020; 58.
  • 20. Ulusoy E, Yılmaz TE, Çifci A, Yılmaz T, Kasım İ, Özkara, A. The role of parents and health literacy in healthy child follow-up. Ankara Medical Journal 2020; 20(3): 588-604.
  • 21. Kohan S, Ghasemi S, Dodangeh M. Associations between maternal health literacy and prenatal care and pregnancy outcome. Iranian Journal of Nursing and Midwifery Research 2008; 12(4): 146-152.
  • 22. Abacıgil F, Harlak H. Okyay P. Turkish adaptation of the European Health Literacy Scale. Okyay, P. & Abacıgil, F. (Ed.) Turkish Health Literacy Scales reliability and validity study in (p. 21-41). Ankara: T.C. Ministry of Health Publication number: 2016; 1025.
  • 23. Yakar B, Gömleksiz M, Pirinççi E. Health literacy levels and affecting factors of patients who applied to a university hospital polyclinic. Eurasian Journal of Family Medicine 2019; 8(1): 27-35.
  • 24. Yamashita T, Brown JS. Does cohort matter in the association between education, health literacy and health in the USA?. Health Promotion International 2017; 32(1): 16-24.
  • 25. Ilgaz A. Health literacy level in ındividuals registered to a family health center and related factors. Journal of Hacettepe University Faculty of Nursing 2021; 8(2): 151-159.
  • 26. Yalman F, Sancar T. Management of community health: the relatıonshıp between health lıteracy and attıtude toward vaccınatıon. Sivas Cumhuriyet University Faculty of Letters Journal of Social Sciences 2021; 45(2): 259-278.
  • 27. Johri M, Subramanian SV, Sylvestre MP, Dudeja S, Chandra D, Koné GK, Sharma JK, Pahwa S. Association between maternal health literacy and child vaccination in India: a cross-sectional study. Journal of Epidemiology & Community Health 2015; 69 (9): 849-857.
  • 28. Biasio LR. Vaccine hesitancy and health literacy. Human vaccines & immunotherapeutics 2017; 13(3): 701-702.
  • 29. Gür E. Vaccine hesitancy-vaccine refusal. Turkish Archives of Pediatrics 2019; 54(1):1-2.
  • 30. Turan FD. Attitudes of parents towards childhood vaccinations in the national vaccination program: the case of Aksaray. Journal of Publıc Health Nursıng 2022; 4 (3): 239-250. DOI: 10.54061/jphn.1183177.
  • 31. Cakıcı Y. Determining complete vaccination levels of 24-36 months of cahilden living in Zonguldak and their parents attitudes towards vaccination: Community based cross sectional research. Unpublished master's thesis, Karabuk University Graduate School of Education, Karabük, 2022; 36.
  • 32. Torun EG, Ertugrul A. Parental attitudes and knowledge towards childhood vaccination. Journal of Pediatric Infection,2022; 16(1): 35-40.
  • 33. Dogan G. The relationship of health literacy, complementary alternative medicine approach and some socıodemographic characteristics and parents' attitudes to childhood vaccines Unpublished master's thesis, Balikesir University Institute of Health Sciences, Balıkesir,36; 2021.
  • 34. Daglı E, Topkara N. The effect of parents' health literacy level on the attitudes and behaviors of childhood vaccinations. Black Sea Journal of Health Science 2023; 6(1): 47-56.
  • 35. Onen C, Ocal NU. Parents' perspective on childhood vaccines and the correlation of vaccine hesitancy with health literacy. Progress in Nutrıtıon 2022; 24 (1): 1-8.
There are 35 citations in total.

Details

Primary Language English
Subjects Community Child Health
Journal Section Orijinal Articles
Authors

Eda Gülbetekin 0000-0002-7946-7687

Fatma Gül Can 0000-0002-6608-6340

Ayşe Karacalı Tunç 0000-0002-6453-9887

Early Pub Date December 1, 2024
Publication Date
Submission Date April 26, 2024
Acceptance Date September 11, 2024
Published in Issue Year 2024 Volume: 18 Issue: 4

Cite

Vancouver Gülbetekin E, Gül Can F, Karacalı Tunç A. The Effect of Health Literacy Knowledge of Parents with Children aged 0-5 years on Their Attitudes about Childhood Vaccines. TJFMPC. 2024;18(4):466-75.

English or Turkish manuscripts from authors with new knowledge to contribute to understanding and improving health and primary care are welcome.