THE RELATIONSHIP BETWEEN THE COVID-19 VACCINATION RATE AND SOCIAL DETERMINANTS OF HEALTH IN TURKEY: A CORRELATION STUDY

Öz

The aim of the research was to evaluate the correlation between the COVID-19 vaccination rate and education, population, health, and income indicators at the provincial level. The study was a descriptive type of research. The first dose COVID-19 vaccination rate was taken from the Turkish Ministry of Health COVID-19 Table. Population, economic, education, and health indicators of the provinces were obtained from the 2019 Health Statistics Yearbook of the Turkish Ministry of Health and the official website of the Turkish Statistical Institute (TUIK). SPSS v.18 program was used for data analysis. Variables associated with the COVID-19 vaccination rate were evaluated by Spearman correlation analysis. p<0.05 was considered significant. There was a very strong positive correlation between the vaccination rate and the 65-year-old population ratio (r_s=0.710, p<0.001), and a very strong negative correlation between the mean household size (r_s=-0.848, p<0.001). There was a strong positive correlation (r_s=0.522, p<0.001) between the rate of university graduates and the vaccination rate, and a strong negative correlation (r_s=-0.651, p<0.001) between the rate of illiteracy and the vaccination rate. A strong or very strong relationship was found between vaccination rate and all economic indicators except average earnings and unemployment rate. There was a strong positive correlation between the number of visits to the physician per capita, one of the health indicators, and the vaccination rate (r_s=0.639, p<0.001). There are inequalities between provinces in terms of the COVID-19 vaccination rate. Inequalities in vaccination rates are associated with social determinants of health.

Anahtar Kelimeler

• Correlation study
• health status indicators
• COVID-19 vaccines
• vaccination
• social factors

TÜRKİYE’DE COVID-19 AŞILAMA HIZI İLE SAĞLIĞIN SOSYAL BELİRLEYİCİLERİ ARASINDAKİ İLİŞKİ

Öz

Araştırmanın amacı, il düzeyinde COVID-19 aşılama hızı ile eğitim, nüfus, sağlık, gelir göstergeleri arasındaki korelasyonu değerlendirmekti. Araştırma tanımlayıcı tip epidemiyolojik araştırmaydı. 81 ilin 18 yaş üstü birinci doz COVID-19 aşılama hızı verisi Türkiye Sağlık Bakanlığı COVID-19 Tablosu’ndan alındı. İllerin nüfus, ekonomi, eğitim ve sağlık durumuna ilişkin göstergeler Türkiye Sağlık Bakanlığı’nın 2019 yılı Sağlık İstatistikleri Yıllığı ve Türkiye İstatistik Kurumu’nun (TÜİK) resmi internet sitesinden elde edildi. Veri analizi için SPSS v.18 programı kullanıldı. COVID-19 aşılama hızı ile ilişkili değişkenler Spearman Korelasyon analizi ile değerlendirildi. p<0,05 ise anlamlı kabul edildi. Aşılama hızı ile 65 yaş nüfus oranı arasında pozitif yönde çok güçlü ilişki, (r_s=0,710, p<0,001), ortalama hane halkı büyüklüğü ile negatif yönde çok güçlü ilişki vardı (r_s=-0,848, p<0,001). Üniversite mezunu oranı ile aşılama hızı arasında pozitif yönde güçlü bir ilişki (r_s=0,522, p<0,001) okuma yazma bilmeyen oranı ile aşılama hızı arasında negatif yönde güçlü ilişki (r_s=-0,651, p<0,001) bulundu. Ortalama kazanç ve işsizlik oranı hariç, aşılama hızı ile bütün ekonomik göstergeler arasında güçlü veya çok güçlü ilişki bulundu. Sağlık göstergelerinden kişi başı hekime başvuru sayısı ile aşılama hızı arasında pozitif yönde güçlü ilişki vardı (r_s=0,639, p<0,001). COVID-19 aşılama hızı bakımından iller arasında eşitsizlikler mevcuttu. Aşılama hızındaki eşitsizlikler sağlığın sosyal belirleyicileri ile ilişkiliydi.

Anahtar Kelimeler

• Korelasyon çalışması
• sağlık durumu göstergeleri
• COVID-19 aşıları
• aşılama
• sosyal faktörler

Kaynakça

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