VACCINE HESITANCY AND RELATED FACTORS IN HEALTH CARE VOCATIONAL SCHOOL STUDENTS

Yıl 2024, , 57 - 67, 31.01.2024

Furkan Çebi , Aliye Mandıracıoğlu

https://doi.org/10.35232/estudamhsd.1367794

Öz

In this study, it was aimed to determine the vaccine hesitancy and related factors of the students of the vocational school of healthcare. The population of this cross-sectional study consists of 2343 students aged 18 and over enrolled in Ege University Atatürk Health Care Vocational School in the 2022-2023 academic year. The minimum sample size was calculated and 683 volunteers were included in the study. Sociodemographic information, health status and habits prepared by the researchers and Vaccine Hesitancy Scale were used as data collection tools. Of the participants, 67.9% were female and 68.5% were first class. It was found that 10% of the students reported vaccine hesitancy in their mothers and 7.9% in their fathers and 13.5% of students stated that they had received influenza vaccine in the last year. The mean of the students' “Vaccine Hesitancy Scale” scores was calculated as 32.29±5.1. The scale scores of those who were younger and who reported parental vaccination hesitancy were found to be lower. It has been observed that students who have vaccine hesitancy in their families continue to have a similar negative attitude in themselves. It is very important for public health that today's students, who will be the health workers of the future, eliminate vaccine hesitancy.

Anahtar Kelimeler

Vaccine hesitancy, healthcare students, university, immunization

SAĞLIK MESLEK YÜKSEKOKULU ÖĞRENCİLERİNDE AŞI TEREDDÜDÜ VE İLİŞKİLİ ETMENLER

Öz

Bu çalışmada, sağlık hizmetleri yüksekokulu öğrencilerinin aşı tereddütleri ve ilişkili etmenlerin belirlenmesi amaçlanmıştır. Kesitsel tipteki bu çalışmanın evrenini Ege Üniversitesi Atatürk Sağlık Hizmetleri Meslek Yüksekokulu 2022-2023 öğretim yılında kayıtlı 18 yaş ve üzeri 2343 öğrenci oluşturmaktadır. Minimum örneklem büyüklüğü hesaplanarak 683 gönüllü çalışmaya dahil edildi. Araştırmacılar tarafından hazırlanan sosyodemografik bilgiler, sağlık durumu ve alışkanlıklar ile “Aşı Tereddüdü Ölçeği” veri toplama aracı olarak kullanılmıştır. Katılımcıların %67,9’u kadın, %68,5’i birinci sınıf idi. Öğrencilerin %10’u annelerinde, %7,9’u ise babalarında aşı tereddüdü olduğunun bildirdi. Öğrencilerin %13,5’i son bir yıl içinde İnfluenza aşısı yaptırdığını belirtti. Öğrencilerin Aşı Tereddüdü Ölçeği puanlarının ortalaması 32,29±5,1 olarak hesaplandı. Daha genç olan ve ebeveyn aşı tereddütü bildirenlerin ölçek puanı daha düşük saptandı. Ailelerinde aşı tereddüdü bulunan öğrencilerin ve daha küçük yaştaki katılımcıların aşıya olumsuz tutumun sürdüğü gözlenmiştir. Geleceğin sağlık çalışanları olacak bugünün öğrencilerinin aşı tereddütlerinin giderilmesi toplum sağlığı açısından oldukça önemlidir.

Anahtar Kelimeler

Aşı tereddüdü, sağlık öğrencileri, üniversite, bağışıklama

Kaynakça

• WHO. Global vaccine action plan 2011-2020. 2013 [cited 8/18/23]. Available from: https://www.who.int/ publications/i/item/global-vaccine-actionplan-2011-2020
• Gür E. Vaccine hesitancy - vaccine refusal. Turk Pediatri Arsivi. 2019;54(1):1-2. doi:10.14744/ TurkPediatriArs.2019.79990.
• Dubé E, Vivion M, MacDonald NE. Vaccine hesitancy, vaccine refusal and the anti-vaccine movement: Influence, impact and implications. Expert Rev Vaccines. 2015;14(1):99-117. doi:10.1586/14760584.2015.964212.
• Kata A. A postmodern Pandora’s box: Anti-vaccination misinformation on the Internet. Vaccine. 2010;28(7):1709-16. doi:10.1016/j.vaccine.2009.12.022.
• Ten threats to global health in 2019 [Internet] [cited 8/18/23]. Available from: https://www.who.int/news-room/spotlight /ten-threats-to-global-health-in-2019
• Wilson SL, Wiysonge C. Social media and vaccine hesitancy. BMJ Glob Health. 2020; 5(10). doi:10.1136/bmjgh-2020- 004206.
• Troiano G, Nardi A. Vaccine hesitancy in the era of COVID-19. Public Health. 2021;194:245-51. doi:10.1016/j.puhe. 2021.02.025.
• Karafillakis E, Dinca I, Apfel F, Cecconi S, Wűrz A, Takacs J, et al. Vaccine hesitancy among healthcare workers in Europe: A qualitative study. Vaccine. 2016;34(41):5013-20. doi:10.1016/j. vaccine.2016.08.029.
• Arede M, Bravo-Araya M, Bouchard É, Gill GS, Plajer V, Shehraj A, et al. Combating vaccine hesitancy: Teaching the next generation to navigate through the post truth era. Front Public Health. 2019;6:381. doi:10.3389/fpubh.2018. 00381.
• Vyas D, Galal SM, Rogan EL, Boyce EG. Training students to address vaccine hesitancy and/or refusal. Am J Pharm Educ. 2018;82(8):944-53. doi:10.5688/ ajpe6338.
• Luyten J, Bruyneel L, van Hoek AJ. Assessing vaccine hesitancy in the UK population using a generalized vaccine hesitancy survey instrument. Vaccine. 2019; 37(18): 2494-501. doi:10.1016/ j.vaccine.2019.03.04.
• Yılmaz N, Öke Karakaya P, Sönmez S. Aşı Tereddüdü Ölçeğinin Türkçe Geçerlik ve Güvenirliği. İşletme Bilimi Dergisi. 2021;9(3):499-517. doi:10.22139/jobs. 962519.
• Akel KB, Masters NB, Shih SF, Lu Y, Wagner AL. Modification of a vaccine hesitancy scale for use in adult vaccinations in the United States and China. Hum Vaccin Immunother. 2021;17(8):2639-46. doi:10.1080/ 21645515.2021.1884476.
• Ergur A. Social causes of vaccine rejection-vaccine indecision attitudes in the context of criticisms of modernity. Eurasian Journal of Medicine. 2020;52(2):217-23. doi:10.5152/ eurasianjmed.2020.20132.
• Dodd R, Cvejic E, Bonner C, Pickles K, McCaffery K. Willingness to vaccinate against COVID-19 in Australia. Lancet Infect Dis. 2021;21(3):317-8. doi:10.1016/S1473-3099(20)30559-4.
• Çakır R, Eser B, Aslan H, Bülbül E. Aşı Karşıtlığının Bilişsel Çelişki Kuramı Bağlamında İncelenmesi Deneysel Bir Çalışma. Uluslararası Davranış, Sürdürülebilirlik ve Yönetim Dergisi. 2023;10(18):114-30. doi:10.54709/ jobesam.1301893.
• Yeşiltepe A, Aslan S, Bulbuloglu S. Investigation of perceived fear of COVID-19 and vaccine hesitancy in nursing students. Hum Vaccin Immunother. 2021; 17(12): 5030-7. doi:10.1080/21645515.2021.2000817.
• Lazarus JV, Ratzan SC, Palayew A, Gostin LO, Larson HJ, Rabin K, et al. A global survey of potential acceptance of a COVID-19 vaccine. Nat Med. 2021; 27(2): 225-8. doi:10.1038/s41591- 020-1124-9.
• Reiter PL, Pennell ML, Katz ML. Acceptability of a COVID-19 vaccine among adults in the United States: How many people would get vaccinated? Vaccine. 2020; 38(42): 6500-7. doi:10.1016/j.vaccine.2020.08.043.
• Siani A, Driscoll M, Hurst T mai, Coker T, Grantham AG, Bunet A. Investigating the determinants of vaccine hesitancy within undergraduate students’ social sphere. Journal of Public Health (Germany). 2022;30(12):2791-9. doi:10.1007/ s10389-021-01538-6.
• Öztürk Çopur E, Karasu F. Thoughts and Attitudes of Individuals About COVID-19 Vaccine: A Cross-Sectional Study. Turkiye Klinikleri J Health Sci. 2022;7(2):525-33. doi:10.5336/ healthsci.2021-84513.
• Gokdemir O, Yorok S, Koca B, Acikgoz A. Vaccine hesitancy among university students of healthcare. Medicine Science. 2022;11(3):1581. doi:10.5455/ medscience.2022.08.179.
• Murphy J, Vallières F, Bentall RP, Shevlin M, McBride O, Hartman TK, et al. Psychological characteristics associated with COVID-19 vaccine hesitancy and resistance in Ireland and the United Kingdom. Nat Commun. 2021;12(1). doi:10.1038/s41467-020-20226-9.
• Zou H, Huang Y, Chen T, Zhang L. Influenza vaccine hesitancy and influencing factors among university students in China: a multicenter cross-sectional survey. Ann Med. 2023; 55(1). doi:10.1080/07853890.2023. 2195206.
• Information for Health Professionals | CDC [Internet] [cited 8/18/23]. Available from: https://www.cdc.gov/flu/ professionals/index.htmI
• Influenza (Seasonal) [Internet] [cited 8/18/23]. Available from: https://www.who.int/news-room/fact-she ets/detail/influenza-(seasonal)
• Chen Y, Zhang MX, Lin XQ, Wu H, Tung TH, Zhu JS. COVID-19 vaccine hesitancy between teachers and students in a college, a cross-sectional study in China. Hum Vaccin Immunother. 2022;18(5). doi:10.1080/21645515. 2022.2082171.