Araştırma Makalesi
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Does Health Literacy Affect Vaccine Hesitation?

Yıl 2025, Cilt: 19 Sayı: 1, 23 - 31
https://doi.org/10.21763/tjfmpc.1474170

Öz

Background: Despite substantial and convincing evidence that vaccines save the lives of millions of children each year, vaccine hesitancy has become a growing focus of attention and concern. In 2019, the World Health Organization ranked vaccine hesitancy among threats to global health. This study was conducted to determine the effect of individuals' health literacy on vaccine hesitancy.
Methods: This cross-sectional study was conducted with 365 adults in Turkey. Data were collected using a Sociodemographic Characteristics Form, the Health Literacy Scale, and the Vaccine Hesitancy Scale.
Results: The level of health literacy of the research group was good, and the level of their vaccine hesitancy was moderate. A significant negative correlation was found between health literacy and vaccine hesitancy (p≤0.05). It was determined that as the education level increased, the level of health literacy increased, and vaccine hesitancy decreased (p≤0.05). The vaccine hesitancy scores of those who had not received both adult and COVID-19 vaccines were higher than the scores of those who had (p≤0.05).
Conclusion: The study's findings showed a negative correlation between health literacy and vaccine hesitancy and that the level of education positively affected both variables. Conducting studies to increase health literacy to create social awareness about vaccine hesitancy or refusal can help reduce the increasing anti-vaccination movement.

Kaynakça

  • 1. Dube E, Laberge C, Guay M, Bramadat P, Roy R, Bettinger J. Vaccine hesitancy: an overview. Hum Vaccin Immunother. 2013; 9(8): 1763-73. (https://doi.org/10.4161/hv.24657).
  • 2. Centers for Disease Control and Prevention (CDC). Ten great public health achievements--United States, 1900-1999. MMWR. Morbidity And Mortality Weekly Report. 1999; 48(12): 241-243.
  • 3. Balçık PY, Kartal N. Assessment of the externality of immunization from the health economics perspective. Turkiye Klinikleri Journal of Health Sciences. 2019; 4(2): 219-230. (https://doi.org/10.5336/healthsci.2018-62134).
  • 4. Larson J, 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): 4165-4175. (https://doi.org/10.1016/j.vaccine.2015.04.037).
  • 5. Dube E, Vivion M, MacDonald NE. Vaccine hesitancy, vaccine refusal and the anti-vaccine movement: influence, impact and implications. Expert Review of Vaccines. 2015; 14(1): 99-117. (https://doi.org/10.1586/14760584.2015.964212).
  • 6. Fine P, Eames K, Heymann DL. “Herdimmunity”: a rough guide. Clinical Infectious Diseases. 2011; 52(7): 911-916. (http://dx.doi.org/10.1093/cid/cir007).
  • 7. World Health Organization (WHO). World wide measles death sclimb 50% from 2016 to 2019 claiming over 207 500 lives in 2019. World Health Organization, Geneva, Switzerland. https://www.who.int/news/item/12-11-2020-worldwide-measles deaths-climb-50-from-2016-to-2019-claiming-over-207-500-lives-in-2019. (accessed: 12.11.2022).
  • 8. World Health Organization. Ten threats to global health in 2019. (accessed: 12.12.2021). https://www.who.int/news-room/spotlight/ten-threats-to-global-health-in-2019.
  • 9. Akbulak MA, Çöl M. Vaccination attitude and overview of COVID-19 vaccines in Turkey and acnoss the World. ESTUDAM Public Health Journal. 2022; 7(3): 531-540. (https://doi.org/10.35232/estudamhsd.1093147).
  • 10. Gür E. Vaccine hesitancy - vaccine refusal. Turk Pediatri Ars. 2019; 54(1): 1–2.
  • 11. Black S, Rappuoli R. A crisis of public confidence in vaccines.. Sci Transl Med. 2010; Dec 8; 2(61): 61mr1. (https://doi.org/10.1126/scitranslmed.300173).
  • 12. Lorini C, Santomauro F, Donzellini M, Capecchi L, Bechini A, Boccalini S, ... Bonaccorsi G. Health literacy and vaccination: A systematic review. Human vaccines & immunotherapeutics. 2018; 14(2): 478-488. (https://doi.org/10.1080/21645515.2017.1392423).
  • 13. Sümbuloğlu K, Sümbuloğlu V. Bioistatistics. 18th ed. 2017; Ankara, Turkey: Hatipoglu Publishment, p.264-267.
  • 14. Sorensen K, Broucke SV, Pelikan JM, Fullam J, Doyle G, Slonska Z, et al. Measuring health literacy in populations: Illuminating the design and development process of the European Health Literacy Survey Questionnaire (HLS-EU-Q). BMC Public Health. 2013; 13: 948.
  • 15. Aras Z, Temel AB. Evaluation of validity and reliability of the Turkish version of Health Literacy Scale. FNJN Florence Nightingale Journal of Nursing. 2017; 25(2): 85-94. (https://doi.org/10.17672/fnhd.94626).
  • 16. Kılınçarslan MG, Sarigül B, Toraman C, Şahin EM. Development of valid and reliable scale of vaccine hesitancy in Turkish language. Konuralp Medical Journal. 2020; 12(3): 420-429. (https://doi.org/10.18521/ktd.693711).
  • 17. Wang X, Zhou X, Leesa L, Mantwill S. The effect of vaccine literacy on parental trust and intention to vaccinate after a major vaccine scandal. Journal of Health Communication. 2018; 23(5): 413-421. (https://doi.org/10.1080/10810730.2018.1455771).
  • 18. Johri M, Subramanian SV, Sylvestre MP, Dudeja S, Chandra D, Koné GK, et al. Association between maternal health literacy and child vaccination in India: a Cross-sectional study. J Epidemiol Community Health. 2015; 69(9): 849-857. (http://dx.doi.org/10.1136/jech-2014-205436).
  • 19. Zhang H, Li Y, Peng S, Jiang Y, Jin H, Zhang F. The effect of health literacy on COVID-19 vaccine hesitancy among community population in China: The moderating role of stress. Vaccine. 2022; 40(32): 4473-4478. (https://doi.org/10.1016/j.vaccine.2022.06.015).
  • 20. Dodd RH, Cvejic E, Bonner C, Pickles K, McCaffery KJ, Ayre J, et al. Willingness to vaccinate against COVID-19 in Australia. The Lancet Infectious Diseases. 2021; 21(3): 318-319. (https://doi.org/10.1016/S1473-3099(20)30559-4).
  • 21. Ertaş H, Göde A. Investigation of relationship between health literacy with anti-vaccine: A study on college students. Journal of Academic Value Studies. 2021; 1: 1-14. (https://doi.org/10.29228/javs.49907).
  • 22. Fall E, Izaute M, Chakroun-Baggioni N. How can the health belief model and self-determination theory predict both influenza vaccination and vaccination intention? A longitudinal study among university students. Psychology & Health. 2018; 33(6): 746-764. (https://doi.org/10.1080/08870446.2017.1401623).
  • 23. Scott TL, Gazmararian JA, Williams MV, Baker DW. Health literacy and preventive health care use among Medicare enrollees in a managed care organization. MedicalCare. 2004; 40(5): 395-404.
  • 24. Sudore RL, Mehta KM, Simonsick EM, Harris TB, Newman AB, Satterfield, S, et al. Limited literacy in older people and disparities in health and health care access. Journal of the American Geriatrics Society. 2006; 54(5): 770-776. (https://doi.org/10.1111/j.1532-5415.2006.00691.x).
  • 25. Kickbusch IS. Health literacy: addressing the health and education divide. Health Promotion International 2001; 16(3): 289-297. (https://doi.org/10.1093/heapro/16.3.289).
  • 26. Ilgaz A. Health literacy level in individuals registered to a family health center and related factors. Journal of Hacettepe University Faculty of Nursing. 2021; 8(2):151-159. (https://doi.org/10.31125/hunhemsire.966349).
  • 27. Teleş M, Kaya S. Evaluation of health literacy in patients who presented to cardiology polyclinics. Hacettepe Journal of Health Administration. 2019; 22(4): 711-748
  • 28. Yıldızeli F, Alabaz D, Gözüyeşil E. Determining the relationship of parents knowledge and attitudes and health literacy about the admission refusal of childhood immunization. Journal of Pediatric Infection. 2021; 15(2): E88-E96. (https://doi.org/10.5578/ced.202119816).
  • 29. Atasever BN, Sayar S, Sabancı M, Gür AB, Karakoç H. Vaccine rejection for parents with babies of 0-24 months:Solution recommendations for causes and reduction. J Pediatr Inf. 2021;15(2):100-105. (https://doi.org/10.5578/ced.202119805).
  • 30. Lim WY, Jeganathan N, Rahmat H, Mustafa NA, Yusof FM. Exploring immunisation refusal by parents in the Malaysian context. Cogent Medicine. 2016; 3:1-8. (https://doi.org/10.1080/2331205X.2016.1142410).
  • 31. Bonville CA, Domachowske JB, Cibula DA, Suryadevara M. Immunization attitudes and practices among family medicine providers. Human Vaccines & Immunotherapeutics. 2017; 13(11): 2646-2653. (https://doi.org/10.1080/21645515.2017.1371380).
  • 32. Lane S, MacDonald NE, Marti M, Dumolard L. Vaccine hesitancy around the globe: Analysis of threeyears of WHO/UNICEF Joint Reporting Form data-2015 2017. Vaccine. 2018; 36(26): 3861-3867. (https://doi.org/10.1016/j.vaccine.2018.03.063).
  • 33. Cag Y, Al Madadha M, Ankaralı H, ÇAĞ Y, Onder K, Seremet-Keskin A, et al. Vaccine hesitancy and refusal among parents: An international ID-IRI survey. Journal of Infection in Developing Countries. 2022; 16(6): 1081-1088 (https://doi.org/10.3855/jidc.16085).

Sağlık okuryazarlığı aşı tereddütünü etkiler mi?

Yıl 2025, Cilt: 19 Sayı: 1, 23 - 31
https://doi.org/10.21763/tjfmpc.1474170

Öz

Giriş: Aşıların her yıl milyonlarca çocuğun hayatını kurtardığına dair sağlam ve ikna edici kanıtlara rağmen, aşı tereddüdü giderek artan bir ilgi ve endişe odağı haline gelmiştir. Dünya Sağlık Örgütü, 2019'da aşı tereddüdünü küresel sağlığa yönelik tehditler arasında sıralamıştır. Bu çalışma bireylerin sağlık okuryazarlığının aşı tereddüdüne etkisini belirlemek amacıyla yapılmıştır.
Yöntem: Kesitsel tipte olan bu çalışma Türkiye'deki 365 yetişkin ile yürütülmüştür. Veri; Sosyodemografik Özellikler Formu, Sağlık Okuryazarlığı Ölçeği ve Aşı Tereddüdü Ölçeği kullanılarak toplanmıştır.
Bulgular: Araştırma grubunun sağlık okuryazarlığı düzeyi iyi, aşı tereddüdü düzeyi ise orta düzeydedir. Sağlık okuryazarlığı ile aşı tereddüdü arasında anlamlı negatif korelasyon bulunmuştur (p≤0,05). Eğitim düzeyi arttıkça sağlık okuryazarlığı düzeyinin de arttığı, aşı tereddüdünün azaldığı belirlenmiştir (p≤0,05). Hem yetişkin dönem aşılarını hem de COVID-19 aşısını yaptırmayanların aşı tereddüdü puanları yaptıranlara göre daha yüksek bulunmuştur (p≤0,05).
Sonuç: Araştırmanın bulguları, sağlık okuryazarlığı ile aşı tereddüdü arasında negatif bir ilişki olduğunu ve eğitim düzeyinin her iki değişkeni de olumlu yönde etkilediğini göstermiştir. Aşı tereddüdü veya reddi konusunda toplumsal farkındalık oluşturmak için sağlık okuryazarlığını artırmaya yönelik çalışmalar yapmak, artan aşı karşıtı hareketin azaltılmasına yardımcı olabilir.

Etik Beyan

Ethical approval (Protocol Number: 2021/21) was obtained from the research and publication ethics committee of a university in Turkey to collect data. The first page of the questionnaire included a consent form, which also provided information about the purpose of the research. Only participants who checked the confirmation box of the consent form accessed the following pages and filled out the questionnaire. Necessary permissions were obtained from the authors of the scales used in the study.

Destekleyen Kurum

Financial Disclosure: This research received no specific grant from any funding agency in the public,commercial, or not-for-profit sectors.

Kaynakça

  • 1. Dube E, Laberge C, Guay M, Bramadat P, Roy R, Bettinger J. Vaccine hesitancy: an overview. Hum Vaccin Immunother. 2013; 9(8): 1763-73. (https://doi.org/10.4161/hv.24657).
  • 2. Centers for Disease Control and Prevention (CDC). Ten great public health achievements--United States, 1900-1999. MMWR. Morbidity And Mortality Weekly Report. 1999; 48(12): 241-243.
  • 3. Balçık PY, Kartal N. Assessment of the externality of immunization from the health economics perspective. Turkiye Klinikleri Journal of Health Sciences. 2019; 4(2): 219-230. (https://doi.org/10.5336/healthsci.2018-62134).
  • 4. Larson J, 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): 4165-4175. (https://doi.org/10.1016/j.vaccine.2015.04.037).
  • 5. Dube E, Vivion M, MacDonald NE. Vaccine hesitancy, vaccine refusal and the anti-vaccine movement: influence, impact and implications. Expert Review of Vaccines. 2015; 14(1): 99-117. (https://doi.org/10.1586/14760584.2015.964212).
  • 6. Fine P, Eames K, Heymann DL. “Herdimmunity”: a rough guide. Clinical Infectious Diseases. 2011; 52(7): 911-916. (http://dx.doi.org/10.1093/cid/cir007).
  • 7. World Health Organization (WHO). World wide measles death sclimb 50% from 2016 to 2019 claiming over 207 500 lives in 2019. World Health Organization, Geneva, Switzerland. https://www.who.int/news/item/12-11-2020-worldwide-measles deaths-climb-50-from-2016-to-2019-claiming-over-207-500-lives-in-2019. (accessed: 12.11.2022).
  • 8. World Health Organization. Ten threats to global health in 2019. (accessed: 12.12.2021). https://www.who.int/news-room/spotlight/ten-threats-to-global-health-in-2019.
  • 9. Akbulak MA, Çöl M. Vaccination attitude and overview of COVID-19 vaccines in Turkey and acnoss the World. ESTUDAM Public Health Journal. 2022; 7(3): 531-540. (https://doi.org/10.35232/estudamhsd.1093147).
  • 10. Gür E. Vaccine hesitancy - vaccine refusal. Turk Pediatri Ars. 2019; 54(1): 1–2.
  • 11. Black S, Rappuoli R. A crisis of public confidence in vaccines.. Sci Transl Med. 2010; Dec 8; 2(61): 61mr1. (https://doi.org/10.1126/scitranslmed.300173).
  • 12. Lorini C, Santomauro F, Donzellini M, Capecchi L, Bechini A, Boccalini S, ... Bonaccorsi G. Health literacy and vaccination: A systematic review. Human vaccines & immunotherapeutics. 2018; 14(2): 478-488. (https://doi.org/10.1080/21645515.2017.1392423).
  • 13. Sümbuloğlu K, Sümbuloğlu V. Bioistatistics. 18th ed. 2017; Ankara, Turkey: Hatipoglu Publishment, p.264-267.
  • 14. Sorensen K, Broucke SV, Pelikan JM, Fullam J, Doyle G, Slonska Z, et al. Measuring health literacy in populations: Illuminating the design and development process of the European Health Literacy Survey Questionnaire (HLS-EU-Q). BMC Public Health. 2013; 13: 948.
  • 15. Aras Z, Temel AB. Evaluation of validity and reliability of the Turkish version of Health Literacy Scale. FNJN Florence Nightingale Journal of Nursing. 2017; 25(2): 85-94. (https://doi.org/10.17672/fnhd.94626).
  • 16. Kılınçarslan MG, Sarigül B, Toraman C, Şahin EM. Development of valid and reliable scale of vaccine hesitancy in Turkish language. Konuralp Medical Journal. 2020; 12(3): 420-429. (https://doi.org/10.18521/ktd.693711).
  • 17. Wang X, Zhou X, Leesa L, Mantwill S. The effect of vaccine literacy on parental trust and intention to vaccinate after a major vaccine scandal. Journal of Health Communication. 2018; 23(5): 413-421. (https://doi.org/10.1080/10810730.2018.1455771).
  • 18. Johri M, Subramanian SV, Sylvestre MP, Dudeja S, Chandra D, Koné GK, et al. Association between maternal health literacy and child vaccination in India: a Cross-sectional study. J Epidemiol Community Health. 2015; 69(9): 849-857. (http://dx.doi.org/10.1136/jech-2014-205436).
  • 19. Zhang H, Li Y, Peng S, Jiang Y, Jin H, Zhang F. The effect of health literacy on COVID-19 vaccine hesitancy among community population in China: The moderating role of stress. Vaccine. 2022; 40(32): 4473-4478. (https://doi.org/10.1016/j.vaccine.2022.06.015).
  • 20. Dodd RH, Cvejic E, Bonner C, Pickles K, McCaffery KJ, Ayre J, et al. Willingness to vaccinate against COVID-19 in Australia. The Lancet Infectious Diseases. 2021; 21(3): 318-319. (https://doi.org/10.1016/S1473-3099(20)30559-4).
  • 21. Ertaş H, Göde A. Investigation of relationship between health literacy with anti-vaccine: A study on college students. Journal of Academic Value Studies. 2021; 1: 1-14. (https://doi.org/10.29228/javs.49907).
  • 22. Fall E, Izaute M, Chakroun-Baggioni N. How can the health belief model and self-determination theory predict both influenza vaccination and vaccination intention? A longitudinal study among university students. Psychology & Health. 2018; 33(6): 746-764. (https://doi.org/10.1080/08870446.2017.1401623).
  • 23. Scott TL, Gazmararian JA, Williams MV, Baker DW. Health literacy and preventive health care use among Medicare enrollees in a managed care organization. MedicalCare. 2004; 40(5): 395-404.
  • 24. Sudore RL, Mehta KM, Simonsick EM, Harris TB, Newman AB, Satterfield, S, et al. Limited literacy in older people and disparities in health and health care access. Journal of the American Geriatrics Society. 2006; 54(5): 770-776. (https://doi.org/10.1111/j.1532-5415.2006.00691.x).
  • 25. Kickbusch IS. Health literacy: addressing the health and education divide. Health Promotion International 2001; 16(3): 289-297. (https://doi.org/10.1093/heapro/16.3.289).
  • 26. Ilgaz A. Health literacy level in individuals registered to a family health center and related factors. Journal of Hacettepe University Faculty of Nursing. 2021; 8(2):151-159. (https://doi.org/10.31125/hunhemsire.966349).
  • 27. Teleş M, Kaya S. Evaluation of health literacy in patients who presented to cardiology polyclinics. Hacettepe Journal of Health Administration. 2019; 22(4): 711-748
  • 28. Yıldızeli F, Alabaz D, Gözüyeşil E. Determining the relationship of parents knowledge and attitudes and health literacy about the admission refusal of childhood immunization. Journal of Pediatric Infection. 2021; 15(2): E88-E96. (https://doi.org/10.5578/ced.202119816).
  • 29. Atasever BN, Sayar S, Sabancı M, Gür AB, Karakoç H. Vaccine rejection for parents with babies of 0-24 months:Solution recommendations for causes and reduction. J Pediatr Inf. 2021;15(2):100-105. (https://doi.org/10.5578/ced.202119805).
  • 30. Lim WY, Jeganathan N, Rahmat H, Mustafa NA, Yusof FM. Exploring immunisation refusal by parents in the Malaysian context. Cogent Medicine. 2016; 3:1-8. (https://doi.org/10.1080/2331205X.2016.1142410).
  • 31. Bonville CA, Domachowske JB, Cibula DA, Suryadevara M. Immunization attitudes and practices among family medicine providers. Human Vaccines & Immunotherapeutics. 2017; 13(11): 2646-2653. (https://doi.org/10.1080/21645515.2017.1371380).
  • 32. Lane S, MacDonald NE, Marti M, Dumolard L. Vaccine hesitancy around the globe: Analysis of threeyears of WHO/UNICEF Joint Reporting Form data-2015 2017. Vaccine. 2018; 36(26): 3861-3867. (https://doi.org/10.1016/j.vaccine.2018.03.063).
  • 33. Cag Y, Al Madadha M, Ankaralı H, ÇAĞ Y, Onder K, Seremet-Keskin A, et al. Vaccine hesitancy and refusal among parents: An international ID-IRI survey. Journal of Infection in Developing Countries. 2022; 16(6): 1081-1088 (https://doi.org/10.3855/jidc.16085).
Toplam 33 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Koruyucu Sağlık Hizmetleri, Aile Hekimliği
Bölüm Orijinal Makaleler
Yazarlar

İlknur Göl 0000-0003-3259-3886

Serap Açıkgöz 0000-0003-0001-3410

Erken Görünüm Tarihi 21 Şubat 2025
Yayımlanma Tarihi
Gönderilme Tarihi 26 Nisan 2024
Kabul Tarihi 7 Ekim 2024
Yayımlandığı Sayı Yıl 2025 Cilt: 19 Sayı: 1

Kaynak Göster

Vancouver Göl İ, Açıkgöz S. Does Health Literacy Affect Vaccine Hesitation?. TJFMPC. 2025;19(1):23-31.

Sağlığın ve birinci basamak bakımın anlaşılmasına ve geliştirilmesine katkıda bulunacak yeni bilgilere sahip yazarların İngilizce veya Türkçe makaleleri memnuniyetle karşılanmaktadır.

Turkish Journal of Family Medicine and Primary Care © 2024 by Aile Hekimliği Akademisi Derneği is licensed under CC BY-NC-ND 4.0