Covid-19 Pandemisi Sırasında Annelerin Çocukluk Çağı Aşıları Hakkındaki Bakış Açılarının Değerlendirilmesi

Yıl 2022, , 781 - 788, 31.12.2022

Merve Çakırlı , Ayfer Açıkgöz , Deniz Tugay Arslan

https://doi.org/10.54005/geneltip.1202546

Cited By: 2

Öz

Amaç: Bir aşının varlığının, tüm dünyadaki yaşamları nasıl etkileyebileceğini açıkça ortaya koyan COVID-19 salgını, annelerin çocukluk çağı aşılarına karşı bakış açısını da değiştirmiş olabilir. Çalışmanın amacı COVID-19 pandemisi sırasında annelerin çocukluk çağı aşıları hakkındaki bakış açılarını değerlendirmektir.
Yöntem: Bu tanımlayıcı çalışma 1-15 Haziran 2020 tarihinde Türkiye'de yapılmıştır. Çalışma 455 anne ile tamamlanmıştır. Tanımlayıcı bilgi formu ve “Aşıya Yönelik Tutum Ölçeği” kullanılmıştır. Tanımlayıcı istatistiksel yöntemlerin yanı sıra nicel verileri karşılaştırmak için bağımsız örneklem t testi ve ANOVA kullanılmıştır.
Bulgular: Annelerin %96'sı (n=437) çocuğuna/çocuklarına düzenli olarak aşı yaptırdığını belirtmiştir. Annelerin %4'ünün aşılara yönelik olumsuz tutuma sahip olduğu; %61.8'inin ise olumlu bir tutum içinde olduğu bulunmuştur. Çocuğuna kısmen ya da hiç aşı yaptırmayan annelerin ilk üç nedeni yan etkiler, aşı ile ilgili olumsuz deneyimler ve aşıların yabancı kaynaklı olmasıdır. COVID-19 salgını, annelerin %19.3'ünün aşıya yönelik tutumunu olumlu, %9'unu ise olumsuz yönde etkilemiştir.
Sonuç: Araştırmanın sonucu, annelerin büyük çoğunluğunun aşılamaya karşı olumlu bir tutum içinde olduğunu göstermiştir. Ancak hala çocuklarına aşı yaptırmayan anneler bulunmaktadır. Sağlık kurumları ve devlet kurumları aşının önemini sadece COVID-19 pandemisi gibi sağlık krizleri anında değil her zaman farklı platformlarda vurgulamalı ve bilimsel tavsiyelere uymalıdır.

Anahtar Kelimeler

Çocukluk çağı aşıları, Aşılama, Aşı reddi

Evaluation of Mothers’ Perspectives on Childhood Vaccination During The Covid-19 Pandemic

Öz

ABSTRACT
Background/Aims: The COVID-19 pandemic, which made clearly showed how the availability of a vaccine could impact lives around the world, may also have changed mothers' perspectives on childhood vaccines. This research was conducted to evaluate mothers' perspectives on childhood vaccination during the COVID-19 pandemic.
Methods: This descriptive study was conducted 1-15 June 2020 in Turkey. The study was completed with 455 mothers. A descriptive information form and the “Attitudes towards Vaccination Scale” were used. Independent sample t-test and ANOVA were used to compare quantitative data as well as descriptive statistical methods.
Results: Of the mothers, 96% (n=437) stated that they had their child/children vaccinated regularly. It was found that 4% of the mothers had a negative attitude; 61.8% had a positive attitude toward vaccination. The top three reasons why mothers who partially or never had their children vaccinated were side effects, negative experiences with vaccination and the foreign origin of the vaccines. The COVID-19 outbreak had a positive impact on the attitudes of 19.3% of mothers towards vaccination, and a negative impact on 9%.
Conclusion: The results of the study showed that the majority of mothers had a positive attitude towards vaccination. However, there are still mothers who do not vaccinate their children. Health institutions and government organizations should continually stress the importance of vaccination on different platforms, not only for health crises such as the COVID-19 pandemic, but always, and following scientific recommendations.

Anahtar Kelimeler

Childhood Vaccine, COVID-19, Vaccination, Vaccine Rejection, Çocukluk çağı aşıları, Aşılama, Aşı reddi

Kaynakça

• Dubé E, Vivion M, MacDonald NE. Vaccine hesitancy, vaccine refusal and the antivaccine movement: influence, impact and implications. Expert Rev Vaccines 2015; 14(1): 99−117. https://doi.org/10.1586/14760584.2015.964212 .
• Hekimoglu CH. Vaccine epidemiology: Epidemiologic measures of the effects of a vaccine and vaccination. Turk Hij Tecr Biyol Derg 2016; 73(1): 55-70. https://doi.org/10.5505/TurkHijyen.2016.90377
• WHO, Unknown author ‎. The immunization programme that saved millions of lives. Bulletin of the World Health Organization ‎2014; 92(‎5)‎: 314-315. World Health Organization. http://dx.doi.org/10.2471/BLT.14.020514 (accessed:18.05.2020).
• Vaccine portal, https://asi.saglik.gov.tr/ (accessed: 18.05.2020).
• WHO vaccine-preventable diseases: monitoring system. 2019 global summary, https://apps.who.int/immunization_monitoring/globalsummary/countries?countrycriteria%5Bcountry%5D%5B%5D=TUR&commit=OK (accessed:18.05.2020).
• Hacettepe University Institute of Population Studies. Child Health. Turkey Demographic and Health Surveys 2018; 124-132. ISBN 978-975-491-492-4.
• Gilkey MB, Magnus BE, Reiter PL, McRee AL, Dempsey AF, Brewer NT. The vaccination confidence scale: a brief measure of parents’ vaccination beliefs. Vaccine 2014; 32(47): 6259–6265. https://doi.org/10.1016/j.vaccine.2014.09.007
• Bozkurt HB. An overview of vaccine rejection and review of literature. Kafkas J Med Sci 2018; 8(1): 71–76. https://doi.org/10.5505/kjms.2018.12754
• Uzum O, Eliacik K, Hortu Orsdemir H, Karadag Oncel E. Factors affecting the immunization approaches of caregivers: an example of a teaching and research hospital. J Pediatr Inf 2019; 13(3): 144-149. https://doi.org/10.5578/ced.68398 .
• Phadke VK, Bednarczyk RA, Salmon DA, Ömer SB. Association between vaccine refusal and vaccine-preventable diseases in the united states: a review of measles and pertussis. JAMA 2016; 315(11): 1149-58. https://doi.org/10.1001/jama.2016.1353.
• Feikin DR, Lezotte DC, Hamman RF, Salmon DA, Chen RT, Hoffman RE. Individual and community risks of measles and pertussis associated with personal exemptions to immunization. JAMA 2000; 284(24): 3145-50. https://doi.org/10.1001/jama.284.24.3145.
• Isler A, Esenay FI, Kurugol Z, Conk Z, Koturoglu G. Mothers’ knowledge and behaviours about vaccines. Ege Pediatrics Bulletin 2009; 14(1): 1-17.
• Khaliq A, Sayed SA, Hussaini SA, Azam K, Qamar M. Missed immunization opportunities among children under 5 years of age dwelling in Karachi city. Journal Ayub Med Coll Abbottabad 2017; 29(4): 645-649. https://ecommons.aku.edu/pakistan_fhs_mc_women_childhealth_paediatr/388
• Kurcer MA, Simsek Z, Solmaz A, Dedeoglu Y, Gülel R. Vaccination rate and problems of 0-2 aged children and pregnant women in Harrankapı health center region. J of Harran Uni Med Faculty 2005; 2(2): 10-15.
• Çıklar S, Döner Güner P. Knowledge, Behavior and Attitude of Mother’s about Childhood Immunization and Reasons of Vaccination Rejection and Hesitancy: A Study of Mixt Methodology. Ankara Medical Journal 2020; 20(1): 180-195.
• Çelik K, Turan S, Üner S. I'm a mother, therefore I question”: Parents' legitimation sources of and hesitancy towards early childhood vaccination. Social Science & Medicine 2021; 282: 114132.
• Burghouts J, Del Nogal B, Uriepero A, WM Hermans P, de Waard JH, Verhagen LM. Childhood vaccine acceptance and refusal among Warao Amerindian Caregivers in Venezuela; A qualitative approach. PloS one 2017: e0170227.
• Ur Rehman S, Siddiqui AR, Ahmed J et al. Coverage and predictors of routine immunization among 12-23 months old children in disaster affected communities in Pakistan. International journal of health sciences 2017; 11(1): 3-8.
• Kajetanowicz A, Kajetanowicz A. Why parents refuse immunization?. Wiad Lek 2016; 69 (3 Pt 1): 346-51. PMID: 27486715
• Ozumit D. Investigation of validity and validity of Turkish attitudes to the foreign affairs. İzmir: Izmir Katip Celebi University Institute of Health Sciences, Unpublished Master's Thesis; 2019.
• Yazıcı E. Knowledge and attidutes of parents about childhood vaccination. Ankara: Health Sciences University Keçiören Education and Research Hospital, Master Thesis; 2018.
• Cvjetkovic SJ, Jeremic VL, Tiosavljevic DV. Knowledge and attitudes toward vaccination: A survey of Serbian students. Journal of Infection and Public Health 2017; 10(5): 649–656. https://doi.org/10.1016/j.jiph.2017.05.008.
• Ozceylan G, Toprak D, Esen ES. Vaccine rejection and hesitation in Turkey. Human Vaccin & Immunother 2020; 16(5): 1034-1039. https://doi.org/10.1080/21645515.2020.1717182
• Gunes NA. Parents' perspectives about vaccine hesitancies and vaccine rejection, in the west of Turkey. Journal of Pediatric Nursing 2020; 53: e186-e194. https://doi.org/10.1016/j.pedn.2020.04.001
• Chow MYK, Danchin M, Willaby HW, Pemberton S, Leask J. Parental attitudes, beliefs, behaviours and concerns towards childhood vaccinations in Australia: A national online survey. Australian Family Physician 2017; 46(3): 145-151.
• Adisa OP, Akinleye CA, Obafisile CI, Oke OS. Childhood immunization perception and uptake among mothers of under-five children attending immunization clinics in Osogbo, South Western, Nigeria. Research Journal of Health Sciences 2016; 4(3): 186-194. http://dx.doi.org/10.4314/wsa.v4i3.2
• Gulgun M, Fidanci K, Karaoglu A et al. Investigation of 0-24 months vaccination status in children applied to pediatric outpatient clinic in a military hospital. Gulhane Medical Journal 2014; 56(1): 13-16. https://doi.org/10.5455/gulhane.34179.
• Kassahun MB, Biks GA, Teferra AS. Level of immunization coverage and associated factors among children aged 12–23 months in Lay Armachiho District, North Gondar Zone, Northwest Ethiopia: a community based cross sectional study. BMC Research Notes 2015; 8:239. https://doi.org/10.1186/s13104-015-1192-y
• Tagbo BN, Eke CB, Omotowo BI, Onwuasigwe CN, Onyeka EB, Mildred UO. Vaccination coverage and its determinants in children aged 11-23 months in an urban district of Nigeria. World Journal of Vaccines 2014; 4: 175-183. https://doi.org/10.4236/wjv.2014.44020
• Whyte MD, Whyte J, Cormier E, Eccles DW. Factors influencing parental decision making when parents choose to deviate from the standard pediatric immunization schedule. Journal of Community Health Nursing 2011; 28(4): 204-214. https://doi.org/10.1080/07370016.2011.615178
• Lim WY, Amar-Singh HSS, Jeganathan N et al. Exploring immunisation refusal by parents in the Malaysian context. Cogent Medicine 2016; 3(1): 1142410. http://dx.doi.org/10.1080/2331205X.2016.1142410
• Topcu S, Almis H, Baskan S, Turgut M, Orhon FS, Ulukol B. Evaluation of childhood vaccine refusal and hesitancy intentions in Turkey. The Indian Journal Of Pediatrics 2019; 86(1): 38-43. https://doi.org/10.1007/s12098-018-2714-0
• Tekinel B. Which is hazardous? Vaccination or anti-vaccination. Aegean J Med Sci 2020; 3(2): 80-82. https://doi.org/10.33713/egetbd.624991
• Hviid A, Hansen JV, Frisch M, Melbye M. Measles, mumps, rubella vaccination and autism: a nationwide cohort study. Annals of Internal Medicine 2019; 170(8): 513-520. https://doi.org/10.7326/M18-2101
• Jain A, Marshall J, Buikema A, Bancroft T, Kelly JP, Newschaffer CJ. Autism occurrence by MMR vaccine status among US children with older siblings with and without autism. JAMA 2015; 313: 1534-40. https://doi.org/10.1001/jama.2015.3077
• Taylor LE, Swerdfeger AL, Eslick GD. Vaccines are not associated with autism: an evidence-based meta-analysis of case-control and cohort studies. Vaccine 2014; 32(29): 3623-3629. https://doi.org/10.1016/j.vaccine.2014.04.085
• Jacobson IG, Gumbs G, Sevick C, Smith TC, Ryan MA. Smallpox vaccination is not associated with infertility in a healthy young adult population. Human Vaccines 2008; 4(3): 224-228. https://doi.org/10.4161/hv.4.3.5436
• Sandhofer MJ, Robak O, Frank H, Kulnig J. Vaccine hesitancy in Austria. Wiener klinische Wochenschrift 2017; 129(1-2): 59-64. https://doi.org/10.1007/s00508-016-1062-1
• Taşar MA, Dallar YB. The examination of the missed oppurtinity of vaccination in a low socioeconomic region of Ankara. TAF Preventive Medicine Bulletin 2015; 14(4): 279-283. https://doi.org/10.5455/pmb.1-1398273917.
• Schoeps A, Ouedraogo N, Kagone M, Sie A, Müller O, Becher H. Socio-demographic determinants of timely adherence to BCG, Penta3, measles, and complete vaccination schedule in Burkina Faso. Vaccine 2013; 32(2014): 96-102. https://doi.org/10.1016/j.vaccine.2013.10.063
• Buyukkarakurt Z. Evaluation of the attitudes towards childhood vaccinations of the rural area society according to the health belief model. Konya: Selcuk University Institute of Health Sciences, M.Sc. thesis; 2018.
• Mereena SR, Sujatha R. A study on knowledge and attitude regarding vaccines among mothers of under five children attending pediatric OPD in a selected Hospital at Mangalore. Journal of Nursing and Health Science 2014; 3(5): 39-46.
• Turkay M, Ay EG, Aktekin MR. Anti-Vaccine status in a selected groups in Antalya. The Akdeniz Medical Journal 2017; 3(2): 107-112. https://doi.org/10.17954/amj.2017.78
• Yigitalp G, Ertem M. Reasons for Drop out of Immunization in Children Aged Between 0-12 Months in Diyarbakir. TAF Preventive Medicine Bulletin 2008; 7(4): 277-284.
• Ekiyor A, Gök G, Bağcı ME. Determining the factors affecting the consumer in the COVID-19 vaccine. Latin American international conference on social sciences and humanities-II; May 2022: 121-132.
• Derince D. Evaluation of the knowledge, attitude and behaviors of the mothers with 0-59 months children about immunation living in the region of Inonu village clinic in Eskisehir. Afyon: Afyon Kocatepe University, Institute of Health Sciences, Child Health and Diseases Nursing, M.Sc. thesis; 2006.
• Hazir E. Frequency and reasons of vaccine rejection of parents of 0-24 months children. İstanbul: Okan University, Institute of Health Sciences, Department of Nursing, M.Sc. thesis; 2018,
• Derakhshanpour F, Shahini N, Hajebi A, Vakili MA, Yazdi ASH. Demographic characteristics and risk actors of children and parents in child abuse subtypes: Findings from a psychosocial support department. Journal of Fundamentals of Mental Health 2017; 19(6): 481-490. https://doi.org/10.22038/JFMH.2017.9563
• Kaya Kılıc A, Tekin H H. Retrospective analysis of child abuse and neglect cases that notified to medical social work unit. Journal of Medical Social Work 2018; 11: 62-74. ISSN: 2149-309X / 2149-309X
• Koseoglu, T. Evaluation of awareness and attitudes of mothers about childhood self-pai̇d vaccines. Izmir: Health Sciences University Izmir Bozyaka Training and Research Hospital, Master thesis; 2019. https://tez.yok.gov.tr/UlusalTezMerkezi/tezDetay.jsp?id=qrWSu7d5Rv2BH_NI9zPITg&no=TwLSyHv4H29Y5Or9GScFng
• Aygün E, Tortop HS. Investigation of parents' vaccine hesitation levels and reasons of vaccine refusal. JCP 2020; 18(3): 300-316. https://doi.org/10.32941/pediatri.841404
• Hausman BL Ghebremichael M, Hayek P, Mack E. 'Poisonous, filthy, loathsome, damnable stuff': the rhetorical ecology of vaccination concern. Yale J Biol Med 2014; 87(4): 403-16. PMID: 25506275.
• Luthy KE, Beckstrand RL, Callister LC, Cahoon S. Reasons parents exempt children from receiving immunizations. J Sch Nurs 2012; 28(2): 153-60. https://doi.org/10.1177/1059840511426578.
• Aktekin M. The Impact of Immunization Studies on the COVID-19 Outbreak. Status of COVID-19 Vaccination and Immunization Services in Turkey During the New Coronavirus Pandemic Process; 2021: 77-82.