Comparison of Opinions and Attitudes of Parents with Vaccine Refusal Before and During The Covid-19 Pandemic

Nihan Korkmaz; Tuğba Karakuş Türker; Merve Azak; Fatma Hacıoğlu; Nur Bahar Kuru Aktürk; Suzan Yıldız

TR EN

Covid-19 Pandemisi Öncesinde ve Sırasında Aşı Reddinde Bulunan Ebeveynlerin Görüş ve Tutumlarının Karşılaştırılması

Öz

Amaç: Bu çalışma, COVID-19 pandemisi öncesinde ve sırasında doğumda aşı reddinde bulunan ebeveynlerin görüş ve tutumlarını karşılaştırmayı amaçlamıştır. Yöntem ve Bulgular: Bu karşılaştırmalı-tanımlayıcı tasarımda yapılan çalışmaya, Türkiye'deki ilk COVID-19 vakasından önce ilk doz Hep B aşısını yaptırmayı reddeden 20 ebeveyn (Grup1) ve pandemi başlangıcından sonra aşılamayı reddeden 24 ebeveyn (Grup2) dahil edilmiştir. Pandemi sonrası Grup1'deki ebeveynlerin %95'inin ve Grup2'dekilerin %87,5'inin çocukluk çağı aşıları konusundaki fikirlerini değiştirmediği ve gruplar arasında anlamlı bir fark olmadığı görüldü. Her iki gruptaki ebeveynler çocuklarına COVID-19 aşısı yaptırmak istemedi. Ebeveynlerin çocuklarına aşı yaptırmama nedenleri incelendiğinde Grup2’de “Hastalıktan koruduğuna inanmıyorum”, “Gerekli olduğunu düşünmüyorum” ve “Aşıların neden olduğu farklı hastalıkların geliştiğine inanıyorum” diyen ebeveyn sayısının daha fazla olduğu görüldü. Ebeveynlerin aşıların çocuk sağlığına etkilerine ilişkin görüşleri incelendiğinde, pandemi sırasında aşıyı reddeden ebeveynlerin, pandemi öncesinde reddeden ebeveynlere kıyasla “bulaşıcı hastalıklara yakalanıyorlar” düşüncesinin anlamlı derecede yüksek olduğu belirlendi. Sonuç: COVID-19 pandemisi sırasında ebeveynlerin çocukluk çağı aşılarını reddetme nedenleri, pandemi öncesinde reddeden ebeveynlerle benzerdir ve ebeveynlerin çocukluk çağı aşılarına yönelik tutumları büyük ölçüde değişmemiştir.

Anahtar Kelimeler

aşı reddi , aşı tereddütü , ebeveynler , COVID-19 , pandemi , çocuk , vaccine refusal , vaccine hesitancy , parents , pandemic , children

Comparison of Opinions and Attitudes of Parents with Vaccine Refusal Before and During The Covid-19 Pandemic

Abstract

Aim: This study aimed to compare parents’ opinions and attitudes who refused vaccination at birth before and during the COVID-19 pandemic. Methods/design: This comparative-descriptive-design study was conducted with 20 parents (Group1) who refused to receive the first dose of Hep B vaccine before the first COVID-19 case in Turkey and 24 parents (Group2) who refused that vaccine after the onset of the pandemic. It was observed that 95% of the parents in Group1 and 87.5% of Group2 did not change their ideas about childhood vaccines after the pandemic, and there was no significant difference between the groups. Parents in both groups did not want to get vaccinated children against COVID-19. Examining the reasons why parents do not vaccinate their children; It was observed that the number of parents who thought "I do not believe it protects from the disease", "I do not think it is necessary" and "I believe that different diseases caused by vaccines develop" were higher in the pandemic group compared to the pre-pandemic group. When the views on the effects of vaccines on children's health are examined; It was found that the parents who refused the vaccine during the pandemic reported a statistically significant opinion of "They get communicable diseases" compared to the parents who refused before the pandemic. Conclusion: The reasons for parents to refuse childhood vaccines during the COVID-19 pandemic are similar to those of parents who refused before the pandemic, and parents’ attitudes towards childhood vaccines have not changed to a large extent.

Keywords

vaccine refusal , vaccine hesitancy , parents , COVID-19 , pandemic , children

Kaynakça

Ahmed, S., Mvalo, T., Akech, S., Agweyu, A., & Baker, K. (2020). Protecting children in low-income and middle-income countries from COVID-19. BMJ Global Health, 5, 50. https://doi.org/10.1136/bmjgh-2020-002844
Amanna, I., & Slifka, M. K. (2005). Public fear of vaccination: Separating fact from fiction. Viral Immunology, 18(2), 307–315. https://doi.org/10.1089/VIM.2005.18.307
Arede, M., Bravo-Araya, M., Bouchard, É., Gill, G. S., Plajer, V., Shehraj, A., & Shuaib, Y. A. (2019). Combating vaccine hesitancy: Teaching the next generation to navigate through the post truth era. Frontiers in Public Health, 6(1), 381. https://doi.org/10.3389/fpubh.2018.00381
Benecke, O., & DeYoung, S. E. (2019). Anti-Vaccine Decision-Making and Measles Resurgence in the United States. Global Pediatric Health, 6, 1–5. https://doi.org/10.1177/2333794X19862949
Borba, R. C. N., Vidal, V. M., & Moreira, L. de O. (2015). The re-emergency and persistence of vaccine preventable diseases. Anais Da Academia Brasileira de Ciencias, 87(2), 1311–1322. https://doi.org/10.1590/0001-3765201520140663
Callender, D. (2016). Vaccine hesitancy: More than a movement. Human Vaccines and Immunotherapeutics, 12(9), 2464–2468. https://doi.org/10.1080/21645515.2016.1178434
Cheung, E. W., Zachariah, P., Gorelik, M., Boneparth, A., Kernie, S. G., Orange, J. S., & Milner, J. D. (2020). Multisystem Inflammatory Syndrome Related to COVID-19 in Previously Healthy Children and Adolescents in New York City. Journal of the American Medical Association, 324(3), 294–296. https://doi.org/10.1001/jama.2020.10374
Daley, M. F., Narwaney, K. J., Shoup, J. A., Wagner, N. M., & Glanz, J. M. (2018). Addressing Parents’ Vaccine Concerns: A Randomized Trial of a Social Media Intervention. American Journal of Preventive Medicine, 55(1), 44–54. https://doi.org/10.1016/j.amepre.2018.04.010
Detoc, M., Bruel, S., Frappe, P., Tardy, B., Botelho-Nevers, E., & Gagneux-Brunon, A. (2020). Intention to participate in a COVID-19 vaccine clinical trial and to get vaccinated against COVID-19 in France during the pandemic. Vaccine, 38(45), 7002–7006. https://doi.org/10.1016/J.VACCINE.2020.09.041
Dubé, E., Gagnon, D., Ouakki, M., Bettinger, J. A., Witteman, H. O., MacDonald, S., Fisher, W., Saini, V., & Greyson, D. (2018). Measuring vaccine acceptance among Canadian parents: A survey of the Canadian Immunization Research Network. Vaccine, 36(4), 545–552. https://doi.org/10.1016/J.VACCINE.2017.12.005

Dubé, E., Vivion, M., & MacDonald, N. E. (2015). Vaccine hesitancy, vaccine refusal and the anti-vaccine movement: Influence, impact and implications. Expert Review of Vaccines, 14(1), 99–117. https://doi.org/10.1586/14760584.2015.964212
Fine, P., Eames, K., & Heymann, D. (2011). “Herd immunity”: a rough guide. Clinical Infectious Diseases, 52(7), 911–916. https://doi.org/10.1093/cid/cir007
Goldman, R. D., Marneni, S. R., Seiler, M., Brown, J. C., Klein, E. J., Cotanda, C. P., Gelernter, R., Yan, T. D., Hoeffe, J., Davis, A. L., Griffiths, M. A., Hall, J. E., Gualco, G., Mater, A., Manzano, S., Thompson, G. C., Ahmed, S., Ali, S., & Shimizu, N. (2020). Caregivers’ Willingness to Accept Expedited Vaccine Research During the COVID-19 Pandemic: A Cross-sectional Survey. Clinical Therapeutics, 42(11), 2124–2133. https://doi.org/10.1016/J.CLINTHERA.2020.09.012
Gowda, C., & Dempsey, A. F. (2013). The rise (and fall?) of parental vaccine hesitancy. Human Vaccines and Immunotherapeutics, 9(8), 1755–1762. https://doi.org/10.4161/hv.25085
Gür, E. (2019). Vaccine hesitancy - vaccine refusal. Turk Pediatri Arsivi, 54(1), 1–2. https://doi.org/10.14744/TurkPediatriArs.2019.79990
Hacettepe Üniversitesi Nüfus Etütleri Enstitüsü. (2019). 2018 Türkiye Nüfus ve Sağlık Araştırması. http://www.hips.hacettepe.edu.tr/tnsa2018/rapor/TNSA2018_ana_Rapor.pdf
Hussain, A., Ali, S., Ahmed, M., & Hussain, S. (2018). The Anti-vaccination Movement: A Regression in Modern Medicine. Cureus, 10(7). https://doi.org/10.7759/CUREUS.2919
Kumar, D., Chandra, R., Mathur, M., Samdariya, S., & Kapoor, N. (2016). Vaccine hesitancy: Understanding better to address better. Israel Journal of Health Policy Research, 5(1), 1–8. https://doi.org/10.1186/s13584-016-0062-y
Larson, H. J., Cooper, L. Z., Eskola, J., Katz, S. L., & Ratzan, S. (2011). Addressing the vaccine confidence gap. The Lancet, 378(9790), 526–535. https://doi.org/10.1016/S0140-6736(11)60678-8
Larson, H. J., Jarrett, C., Schulz, W. S., Chaudhuri, M., Zhou, Y., Dube, E., Schuster, M., MacDonald, N. E., Wilson, R., Eskola, J., Liang, X., Gellin, B., Goldstein, S., Larson, H., Manzo, M. L., Reingold, A., Tshering, K., Duclos, P., Guirguis, S., & Hickler, B. (2015). Measuring vaccine hesitancy: The development of a survey tool. Vaccine, 33(34), 4165–4175. https://doi.org/10.1016/J.VACCINE.2015.04.037
Marquez, R. R., Gosnell, E. S., Thikkurissy, S., Schwartz, S. B., & Cully, J. L. (2021). Caregiver acceptance of an anticipated COVID-19 vaccination. Journal of the American Dental Association, In press. https://doi.org/10.1016/j.adaj.2021.03.004
Nakra, N., Blumberg, D., Herrera-Guerra, A., & Lakshminrusimha, S. (2020). Multi-System Inflammatory Syndrome in Children (MIS-C) Following SARS-CoV-2 Infection: Review of Clinical Presentation, Hypothetical Pathogenesis, and Proposed Management. Children, 7(7), 69. https://doi.org/10.3390/children7070069
Neumann-Böhme, S., Varghese, N. E., Sabat, I., Barros, P. P., Brouwer, W., van Exel, J., Schreyögg, J., & Stargardt, T. (2020). Once we have it, will we use it? A European survey on willingness to be vaccinated against COVID-19. European Journal of Health Economics, 21(7), 977–982. https://doi.org/10.1007/S10198-020-01208-6
Olson, O., Berry, C., & Kumar, N. (2020). Addressing parental vaccine hesitancy towards childhood vaccines in the united states: A systematic literature review of communication interventions and strategies. Vaccines, 8(4), 590. https://doi.org/10.3390/vaccines8040590
Özdemir, İ. N., & Kadıoğlu, H. (2020). Validity and Reliability of Turkish version of Vaccination Confidence Scale for Parents. Florence Nightingale Journal of Nursing, 28(1), 48. https://doi.org/10.5152/FNJN.2020.18079
Phadke, V. K., Bednarczyk, R. A., Salmon, D. A., & Omer, S. B. (2016). Association between vaccine refusal and vaccine-preventable diseases in the United States A review of measles and pertussis. Journal of the American Medical Association, 315(11), 1149–1158. https://doi.org/10.1001/jama.2016.1353
Reiter, P. L., Pennell, M. L., & Katz, M. L. (2020). Acceptability of a COVID-19 vaccine among adults in the United States: How many people would get vaccinated? Vaccine, 38(42), 6500–6507. https://doi.org/10.1016/J.VACCINE.2020.08.043
Salmon, D. A., Dudley, M. Z., Glanz, J. M., & Omer, S. B. (2015). Vaccine hesitancy: Causes, consequences, and a call to action. Vaccine, 33, D66–D71. https://doi.org/10.1016/J.VACCINE.2015.09.035
Salmon, D. A., Sotir, M. J., Pan, W. K., Berg, J. L., Omer, S. B., Stokley, S., Hopfensperger, D. J., Davis, J. P., & Halsey, N. A. (2009). Parental Vaccine Refusal in Wisconsin: A Case-Control Study. WMJ, 108(1), 23. /pmc/articles/PMC6359894/
Wang, J., Peng, Y., Xu, H., Cui, Z., & Williams, R. O. (2020). The COVID-19 Vaccine Race: Challenges and Opportunities in Vaccine Formulation. AAPS PharmSciTech, 21(6), 1–12. https://doi.org/10.1208/s12249-020-01744-7
Wong, L. P., Wong, P. F., & AbuBakar, S. (2020). Vaccine hesitancy and the resurgence of vaccine preventable diseases: the way forward for Malaysia, a Southeast Asian country. Human Vaccines & Immunotherapeutics, 16(7), 1511–1520. https://doi.org/10.1080/21645515.2019.1706935
World Health Organization. (2014). Report of the Sage Working Group on Vaccıne Hesitancy. https://www.who.int/immunization/sage/meetings/2014/october/1_Report_WORKING_GROUP_vaccine_hesitancy_final.pdf
World Health Organization. (2019). Ten threats to global health in 2019. Geneva Switzerland. https://www.who.int/news-room/spotlight/ten-threats-to-global-health-in-2019
World Health Organization. (2020). Global and regional immunization profile: Western Pacific region. https://www.who.int/immunization/monitoring_surveillance/data/gs_wprprofile.pdf
Yigit, M., Ozkaya-Parlakay, A., & Senel, E. (2021). Evaluation of COVID-19 Vaccine Refusal in Parents. Pediatric Infectious Disease Journal, 40(4), E134–E136. https://doi.org/10.1097/INF.0000000000003042
Yılmazbas, P., Terzi, O., & Ozceker, D. (2020). Did Covid-19 Pandemic Changed Parents’ Approach To Vaccination? Running Title: Covid-19 and Vaccine Hesitation. Journal of Health and Social Behavior, 24, 385–396. https://doi.org/10.14744/etd.2020.85451

Ayrıntılar

Birincil Dil

İngilizce

Konular

Sağlık Kurumları Yönetimi

Bölüm

Araştırma Makalesi

Yazarlar

Nihan Korkmaz
0000-0002-1384-3563
Türkiye

Tuğba Karakuş Türker ^*
0000-0003-1159-5313
Türkiye

Merve Azak
0000-0003-4299-3322
Türkiye

Fatma Hacıoğlu
0000-0003-4958-1267
Türkiye

Nur Bahar Kuru Aktürk
0000-0003-3711-3271
Türkiye

Suzan Yıldız
0000-0002-2528-2185
Türkiye

Yayımlanma Tarihi

31 Mart 2023

Gönderilme Tarihi

17 Ocak 2023

Kabul Tarihi

27 Mart 2023

Yayımlandığı Sayı

Yıl 2023 Cilt: 2 Sayı: 1

IZ

https://izlik.org/JA55ZW57LX

APA

Korkmaz, N., Karakuş Türker, T., Azak, M., Hacıoğlu, F., Kuru Aktürk, N. B., & Yıldız, S. (2023). Comparison of Opinions and Attitudes of Parents with Vaccine Refusal Before and During The Covid-19 Pandemic. Doğu Karadeniz Sağlık Bilimleri Dergisi, 2(1), 1-14. https://izlik.org/JA55ZW57LX

Doğu Karadeniz Sağlık Bilimleri Dergisi - EBSHealth
Giresun Üniversitesi Sağlık Bilimleri Fakültesi © 2025

ebshealth@giresun.edu.tr

EBSHealth açık erişim politikasıyla yayın yapan bilimsel ve hakemli bir dergidir.

Covid-19 Pandemisi Öncesinde ve Sırasında Aşı Reddinde Bulunan Ebeveynlerin Görüş ve Tutumlarının Karşılaştırılması

Öz

Anahtar Kelimeler

Comparison of Opinions and Attitudes of Parents with Vaccine Refusal Before and During The Covid-19 Pandemic

Abstract

Keywords

Kaynakça

Ayrıntılar

Birincil Dil

Konular

Bölüm

Yazarlar

Yayımlanma Tarihi

Gönderilme Tarihi

Kabul Tarihi

Yayımlandığı Sayı

IZ

Kaynak Göster