Ergenlerde COVID-19 Aşı Reddi ve Aşı Tereddütü

Öz

Amaç: ACOVID-19 aşılarının pandemide gündeme gelmesi, genel popülasyonda aşı tereddütü hakkında tartışmalara yol açmıştır. Bu çalışmada, bir ergen örnekleminde aşı karşıtlığı ve COVID-19 aşı tereddüt düzeylerinin belirlenmesi amaçlanmıştır. Materyal ve Metot: Bu, kesitsel bir çalışmadır. Ekim-Kasım 2021 tarihleri arasında çocuk polikliniğine başvuran 15-18 yaş arası 303 kişi ile gerçekleştirildi. Çalışma verileri, ‘Aşı Tereddüt Ölçeği’ ve ‘Pandemilerde Aşı Tereddütleri skalasını’ içeren yapılandırılmış bir anket kullanılarak toplandı. değişkenler arasındaki ilişkilerin analizi, bağımsız gruplarda t-testi, One-way Anova testi ve Pearson korelasyon testi uygulanmıştır. Bulgular: Katılımcıların %43,5’i ve ebeveynlerin %85,6’sı aşılanmıştır. Aşısız bireylerin %27,4’ü aşı olmak istememiştir. Aşı zorunlu olsa bile, %22,2’si yine de aşı olmayı reddedecektir. %28,7’si aşı karşıtlığı söyleminden etkilendiğini belirtmiştir. Katılımcıların ölçek puan ortalamaları 30,2±4,8 ve 48,1±17,0 idi. Kadınlar ve erkekler arasında anlamlı bir fark bulunamadı. Düşük gelirli gruplarda aşı tereddüt düzeyleri, yüksek gelirlilere göre daha yüksekti. Pandemilerdeki aşı tereddüt düzeyi, COVID-19’dan muzdarip olanlarda önemli ölçüde daha düşüktü. Ebeveynleri aşılanmış olanlarda aşı tereddüt düzeyleri anlamlı olarak daha düşüktü. Sosyal medyadan aşı hakkında bilgi sahibi olanlarda aşı tereddüt düzeyleri anlamlı olarak daha yüksekti. Sonuç: Hastalıkların riskleri ve komplikasyonları hakkında bilgi sahibi olunması ve sosyal medya platformlarında yayılan bilgiler aşıya yönelik tutumları önemli ölçüde etkileyen faktörlerdir.

Anahtar Kelimeler

• Aşı tereddütü
• COVID-19
• aşı karşıtlığı

Anti-Vaccination and COVID-19 Vaccine Hesitancy among Adolescents

Abstract

Aim: The emergence of COVID-19 vaccines in the pandemic has led to discussions about vaccine hesitancy in the general population. This study, it was aimed to determine the anti-vaccination and COVID-19 vaccine hesitancy levels in a sample of adolescents. Material and Method: This is a cross-sectional study. It was conducted with 303 individuals aged between 15-18 years who received to the pediatric outpatient clinic between October and November 2021. Study data were collected using a structured questionnaire including the ‘Vaccine Hesitancy Scale’ and ‘Vaccine Hesitancy in Pandemics scale.’ In the analysis of the relations between the variables, the t-tests in independent groups, the One-way Anova test and the Pearson correlation test were applied. Results: 43.5% of the participants and 85.6% of the parents were vaccinated. Among unvaccinated individuals, 27.4% were not willing to get vaccinated. Even if vaccination were compulsory, 22.2% would still refuse to get vaccinated. 28.7% stated that they were affected by anti-vaccination rhetoric. The participants’ mean scores were 30.2±4.8 and 48.1±17.0 on the scales. No significant difference was found between females and males. In low-income groups, vaccine hesitancy levels were higher than in those with higher income. The vaccine hesitancy level in Pandemics was significantly lower in those who suffered from Covid-19. The vaccine hesitancy levels were significantly lower in those whose parents were vaccinated. The vaccine hesitancy levels were significantly higher in those informed about vaccines from social media. Conclusion: Knowledge of the risks and complications of diseases and information disseminated on social media platforms are factors that significantly influence attitudes towards vaccination.

Keywords

• Vaccine hesitancy
• COVID-19
• anti-vaccination

Kaynakça

1. https://asi.saglik.gov.tr/genel-bilgiler/49-a%C5%9F%C4%B1-nedir,-nas%C4%B1l-etki-eder.html Date of access 28.11.2021.
2. https://www.saglik.gov.tr/TR,11080/genisletilmis-bagisiklama-programi-genelgesi.html Date of access 28.11.2021.
3. WHO, UNICEF, World Bank. State of the World’s Vaccines And İmmunization, 3rd Ed. Geneva, World Health Organization, 2009.
4. Larsona HJ, Jarrett C, Schulz WS, Chaudhuri M, Zhouc Y, Dube E, et al. the SAGE Working Group on Vaccine Hesitancy. Measuring vaccine hesitancy: The development of a survey tool. Vaccine 2015;33:4165–75.
5. Hausman BL, Ghebremichael M, Hayek P, Mack E. ‘Poisonous, filthy, loathsome, damnable stuff ’: the rhetorical ecology of vaccination concern. Yale J Biol Med 2014;87:403–16.
6. Sağlık Bakanlığı, Enfeksiyon Hastalıkları Derneği [Internet]. 3. Ulusal Aşı Çalıştayı, Çalıştay Raporu. [Updated: 2018; Cited: 2020 May 4]. Available from: http://www.solunum.org.tr/TusadData/userfiles/file/3 _UlusalAsiCalistayiRaporu.pdf.
7. Kılınçarslan MG, Sarıgül B, Toraman Ç, Şahin EM. Development of valid and reliable Scale of Vaccine Hesitancy in Turkish language. Konuralp Medical Journal 2020;12(3):420-9.
8. Larson HJ, Jarrett C, Schulz WS, Chaudhuri M, Zhou Y, Dube E, et al. Measuring vaccine hesitancy: The development of a survey tool. Vaccine 2015;33(34):4165–75.

9. Çapar H, Çinar F. Vaccine Hesitancy in Pandemics: Turkish Validity and Reliability Study. Gevher Nesibe Journal Of Medical & Health Sciences 2021;6(12):40-5 .
10. Gür E. Vaccine hesitancy - vaccine refusal. Turk Arch Pediatr 2019;54(1):1–2.
11. Smith PJ, Humiston SG, Marcuse EK, Zhao Z, Dorell CG, Howes C, et al. (2011). Parental delay or refusal of vaccine doses, childhood vaccination coverage at 24 months of age, and the Health Belief Model. Public Health Rep 2011;126(Suppl 2):135–46.
12. 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.
13. Gilbert NL, Gilmour H, Wilson SE, Cantin L. Determinants of non-vaccination and incomplete vaccination in Canadian toddlers. Hum vaccin immunother 2017;13(6): 1–7.
14. Larson HJ, Jarrett C, Eckersberger E, Smith DM, Paterson P. Understanding vaccine hesitancy around vaccines and vaccination from a global perspective: a systematic review of published literature, 2007-2012. Vaccine, 2014;32(19):2150–9.
15. Leib S, Liberatos P, Edwards K. Pediatricians' experience with and response to parental vaccine safety concerns and vaccine refusals: a survey of Connecticut pediatricians. Public Health Rep 2011;126(Suppl 2):13-23.
16. Reich JA. “We are fierce, independent thinkers and intelligent”: Social capital and stigma management among mothers who refuse vaccines. Soc Sci Med 2020;257:112015.
17. Repalust A, Šević S, Rihtar S, Štulhofer. Childhood vaccine refusal and hesitancy intentions in Croatia: insights from a population-based study. Psychol Health Med 2017;22(9):1045-55.
18. Harmsen IA, Ruiter RA, Paulussen TG, Mollema L, Kok G, de Melker H E. Factors that influence vaccination decision-making by parents who visit an anthroposophical child welfare center: a focus group study. Adv prev med 2012;(2012):1-7.
19. Smith PJ, Humiston SG, Marcuse EK, Zhao Z, Dorell CG, Howes C, et al. Parental delay or refusal of vaccine doses, childhood vaccination coverage at 24 months of age, and the Health Belief Model; Public Health Rep 2011;126(Suppl 2):135-46.
20. Attwell K, Smith DT, Ward PR. The Unhealthy Other’: How vaccine rejecting parents construct the vaccinating mainstream. Vaccine 2018;36:1621–6.
21. Aygün E, Tortop HS. Investigation of Parents' Vaccine Hesitation Levels and Reasons of Vaccine Refusal. Güncel Pediatri 2020;18(3):300-16.
22. Dube E, Laberge C, Guay M, Bramadat P, Roy R, Bettinger J. Vaccine hesitancy: an overview. Hum Vaccin Immunother 2013;9(8):1763-73.
23. Çıklar S Güner P. Annelerı̇n Çocukluk Çağı Aşıları Hakkındakı̇ Bı̇lgı̇, Davranış Ve Tutumları Ve Aşı Reddı̇ Nedenlerı̇: Nı̇tel Ve Nı̇cel Bı̇r Araştirma. Ankara Med J 2020;1:180-95.
24. Argüt N YA, Gökçay EG. The factors affecting vaccination acceptance. The Journal of the Child 2016;16:16-24.
25. Karafillakis E, Larson HJ; ADVANCE consortium. The benefit of the doubt or doubts over benefits? A systematic literature review of perceived risks of vaccines in European populations. Vaccine 2017;35(37):4840-50.
26. Sarı T, Temoçin F, Köse H. Sağlık Çalışanlarının İnfluenza Aşısına Yaklaşımları. Klinik Derg 2017;30(2):59–63.
27. Burghouts J, Nogal B, Uriepero A, Hermans PW, Waard JH, Verhagen LM. Childhood Vaccine Acceptance and Refusal among Warao Amerindian Caregivers in Venezuela; A Qualitative Approach. PLoS ONE 2017;12(1):e0170227.