Mersin il merkezinde çalışan aile sağlığı elemanlarının aşı kararsızlığı veya reddi ile karşılaşma durumu ve ilişkili faktörlerin araştırılması
Yıl 2020,
, 155 - 169, 27.12.2020
Bengü Nehir Buğdaycı Yalçın
Aylin Yeniocak Tunç
Caferi Tayyar Şaşmaz
Öz
Amaç: Bu çalışma ile aile sağlığı elemanlarının aşı kararsızlığı veya reddi ile karşılaşma durumu ve bununla ilişkili faktörlerin araştırılması amaçlandı. Yöntem: Kesitsel tipte planlanan bu çalışma Mersin merkezde çalışan aile sağlığı elemanlarında yapıldı. Veri yüz yüze soru cevap tekniği ile toplandı. İstatistiksel analizlerde tanımlayıcı istatistikler, Mann Whitney U testi, ki kare ve Fischer’in kesin testi kullanıldı. p≤0.05 kabul edildi. Bulgular: Çalışmaya 279 aile sağlığı elemanı katıldı. Çalışmaya katılanların %28.3’ünün geçen bir yılda en az bir defa aşı kararsızlığı ve %32.6’ının da aşı reddi ile karşılaştığı tespit edildi. En fazla aşı kararsızlığı yaşanan ilk iki aşı KKK ve DaBT-IPA-Hib, en fazla aşı reddiyle karşılaşılan ilk iki aşı Hepatit A ve DaBT-IPA-Hib olduğu saptandı. Sosyoekonomik durumu yüksek olan ilçelerde aşı kararsızlığı ile daha fazla karşılaşıldığı tespit edildi (p=0.016). Kendini yeterli hisseden aile sağlığı elemanlarının aşı kararsızlığı ile daha az karşılaştığı tespit edildi (p=0.06). Aile sağlığı elemanlarının aşı reddi ile karşılaşma durumu ile aile hekimliği birimine kayıtlı bebek sayısı ortancası ile ilişki bulunmuştur (p=0.012). Sonuç: Çalışmaya katılan aile sağlığı elemanlarının yarısına yakını aşı reddi veya kararsızlığı ile karşılaşmıştır. Kendini ebeveynleri bilgilendirme konusunda yeterli görenler daha az aşı kararsızlığı ile karşılaşmıştır. Bu nedenle aile sağlığı elemanlarına aşı ve bağışıklama konusunda eğitim düzenlenmesi önerilir.
Destekleyen Kurum
Araştırmanın yürütülmesi sırasında hiçbir kurum ve kuruluştan destek alınmamıştır.
Proje Numarası
Proje numarasına sahip değildir.
Kaynakça
- 1. WHO, UNICEF, World Bank. State of the world’s vaccines and immunization, 3rd ed. Geneva, World Health Organization, 2009.
- 2. Plotkin SL, Plotkin SA. A Short History of Vaccination. In: Plotkin SA, Orenstein WA, Offit PA, editors. Vaccines. 5th ed. China : Saunders Elsevier; 2008. p. 1-16.
- 3. Ten Threats To Global Health 2019 https://www.who.int/emergencies/ten-threats-to-global-health-in-2019 (Erişim tarihi:11.10.2019)
- 4. WHO, Report Of The Sage Working Group On Vaccine Hesitancy (2014) https://www.who.int/immunization/sage/meetings/2014/october/1_Report_WORKING_GROUP_vaccine_hesitancy_final.pdf (Erişim tarihi: 05.03.2020)
- 5. Mohd Azizi FS, Kew Y, Moy FM. Vaccine Hesitancy Among Parents in a Multi-ethnic Country, Malaysia. Vaccine 2017;35:2955-2961.
- 6. Giambi C, Fabiani M, D’Ancona F et al. Parental Vaccine Hesitancy in Italy-Results from a national survey. Vaccine 2018;36:779-787.
- 7. Miko D, Costache C, Colosi HA, Neculicioiu V, Colosi IA. Qualitative Assessment of Vaccine Hesitancy in Romania. Mediciana 2019;55: 282.
- 8. Salmon DA, Sotir MJ, Pan WK, et al. Parental Vaccine Refusal in Wisconsin: A Case-Control Study. WMJ 2009;108(1):17-23.
- 9. Gilkey MB, McRee AL, Magnus BE, Reiter PL, Dempsey AF, Brewer NT. Vaccination Confidence and Parental Refusal/Delay of Early Childhood Vaccines. Plos One 2016; 11(7):1-12. DOI:10.1371/journal.pone.0159087
10. Repalust A, Sevic S, Rihtar S, Stulhofer A. Childhood vaccine refusal and hesitancy intentions in Croatia: İnsights from a population-based study. Psychology, Health&Medicine 2017; 22(9): 1045–1055.
- 11. Oladejo O, Allen K, Amin A, Frew PM, Bednarczyk RA, Omer SB. Comparative analysis of the parent attitudes about childhood vaccines (PACV) short scale and the five categories of vaccine acceptance identified by Gust et al. Vaccine 2016;34: 4964-4968.
- 12. Yufika A, Wagner AL, Nawawi Y, et al. Parents’ hesitancy towards vaccination in Indonesia: A cross-sectional study in Indonesia. Vaccine https://doi.org/10.1016/j.vaccine.2020.01.072 (Erişim tarihi 05.03.2020)
- 13. Kalok A, Loh SYE, Chew KT et al. Vaccine hesitancy towards childhood immunisation amongst urban pregnant mothers in Malaysia. Vaccine 2020;38:2183–2189.
- 14. 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;32:3623–3629.
- 15. Lim WY, Amar-Singh HSS, Jeganathan N et al. Exploring immunisation refusal by parents in the Malaysian context. Cogent Medicine 2016;3:1142410
- 16. Topçu S, Almış H, Başkan S, Turgut M, Orhon FŞ, Ulukol B. Evaluation of Childhood Vaccine Refusal and Hesitancy Intentions in Turkey Indian J Pediatr 2019;86(1):38–43.
- 17. Gust DA, Darling N, Kennedy A, Schwartz B. Parents with doubts about vaccines: which vaccines and reasons why. Pediatrics 2008;122(4):718-25.
- 18. Ravlija J, Ivankovic A. Importance of health workers' communication in immunisation programmes. HealthMED 2012;6(2):672-7.
- 19. Ishola Jr DA, Permalloo N, Cordery RJ, Anderson SR. Midwives’ influenza vaccine uptake and their views on vaccination of pregnant women. J Public Health Med 2013 Dec;35(4):570-7.
- 20. Han Yekdeş D. Edirne ilinde çalışmakta olan aile sağlığı elemanlarının bağışıklama ve aşı tereddüdüne ilişkin bilgilendirme ve tutum geliştirilmesine yönelik müdahale çalışması. (Yayınlanmamış Uzmanlık Tezi, Danışman Prof.Dr. Muzaffer Eskiocak), 2020 Edirne.
An investigation of vaccine rejection and hesitancy encountered by family healthcare personnel working at mersin city centre and related factors
Yıl 2020,
, 155 - 169, 27.12.2020
Bengü Nehir Buğdaycı Yalçın
Aylin Yeniocak Tunç
Caferi Tayyar Şaşmaz
Öz
Objective: The main purpose of this study was to investigate the status of family healthcare staff encountering vaccine hesitancy or rejection and related factors. Methods: This cross-sectional study was carried out with family healthcare staff working in Mersin city center. The data was collected using face-to-face interviews. Descriptive statistics, Mann Whitney U test, chi square and Fischer's exact tests were used in statistical analysis. p≤0.05 was accepted for all statistical tests. Results: Among the 279 family healthcare staff who participated in the study, 28.3% of the participants experienced vaccine instability at least once in the previous year and 32.6% faced rejection of vaccines. The first two vaccines with the most vaccine hesitancy were the MMR and DTaP-IPV-Hib, the first two vaccines with the highest vaccine rejection were Hepatitis A and DTaP-IPV-Hib. It was determined that vaccine instability was encountered more in districts with high socioeconomic status (p=0.016). It was found that family healthcare staff who felt competent were less likely to encounter vaccine hesitance. (p=0.06). A relationship was found between the family healthcare staff's exposure to vaccine refusal and the median number of babies registered in the family medicine unit. (FMU) (p=0.012). Conclusions: Almost half of the family healthcare staff who participated in this study faced vaccine rejection or hesitancy. Family healthcare staff who considered themselves capable at informing and communicating with parents experienced less vaccine hesitancy. For this reason, it is recommended that training for family healthcare staff on vaccination and immunization be carried out.
Proje Numarası
Proje numarasına sahip değildir.
Kaynakça
- 1. WHO, UNICEF, World Bank. State of the world’s vaccines and immunization, 3rd ed. Geneva, World Health Organization, 2009.
- 2. Plotkin SL, Plotkin SA. A Short History of Vaccination. In: Plotkin SA, Orenstein WA, Offit PA, editors. Vaccines. 5th ed. China : Saunders Elsevier; 2008. p. 1-16.
- 3. Ten Threats To Global Health 2019 https://www.who.int/emergencies/ten-threats-to-global-health-in-2019 (Erişim tarihi:11.10.2019)
- 4. WHO, Report Of The Sage Working Group On Vaccine Hesitancy (2014) https://www.who.int/immunization/sage/meetings/2014/october/1_Report_WORKING_GROUP_vaccine_hesitancy_final.pdf (Erişim tarihi: 05.03.2020)
- 5. Mohd Azizi FS, Kew Y, Moy FM. Vaccine Hesitancy Among Parents in a Multi-ethnic Country, Malaysia. Vaccine 2017;35:2955-2961.
- 6. Giambi C, Fabiani M, D’Ancona F et al. Parental Vaccine Hesitancy in Italy-Results from a national survey. Vaccine 2018;36:779-787.
- 7. Miko D, Costache C, Colosi HA, Neculicioiu V, Colosi IA. Qualitative Assessment of Vaccine Hesitancy in Romania. Mediciana 2019;55: 282.
- 8. Salmon DA, Sotir MJ, Pan WK, et al. Parental Vaccine Refusal in Wisconsin: A Case-Control Study. WMJ 2009;108(1):17-23.
- 9. Gilkey MB, McRee AL, Magnus BE, Reiter PL, Dempsey AF, Brewer NT. Vaccination Confidence and Parental Refusal/Delay of Early Childhood Vaccines. Plos One 2016; 11(7):1-12. DOI:10.1371/journal.pone.0159087
10. Repalust A, Sevic S, Rihtar S, Stulhofer A. Childhood vaccine refusal and hesitancy intentions in Croatia: İnsights from a population-based study. Psychology, Health&Medicine 2017; 22(9): 1045–1055.
- 11. Oladejo O, Allen K, Amin A, Frew PM, Bednarczyk RA, Omer SB. Comparative analysis of the parent attitudes about childhood vaccines (PACV) short scale and the five categories of vaccine acceptance identified by Gust et al. Vaccine 2016;34: 4964-4968.
- 12. Yufika A, Wagner AL, Nawawi Y, et al. Parents’ hesitancy towards vaccination in Indonesia: A cross-sectional study in Indonesia. Vaccine https://doi.org/10.1016/j.vaccine.2020.01.072 (Erişim tarihi 05.03.2020)
- 13. Kalok A, Loh SYE, Chew KT et al. Vaccine hesitancy towards childhood immunisation amongst urban pregnant mothers in Malaysia. Vaccine 2020;38:2183–2189.
- 14. 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;32:3623–3629.
- 15. Lim WY, Amar-Singh HSS, Jeganathan N et al. Exploring immunisation refusal by parents in the Malaysian context. Cogent Medicine 2016;3:1142410
- 16. Topçu S, Almış H, Başkan S, Turgut M, Orhon FŞ, Ulukol B. Evaluation of Childhood Vaccine Refusal and Hesitancy Intentions in Turkey Indian J Pediatr 2019;86(1):38–43.
- 17. Gust DA, Darling N, Kennedy A, Schwartz B. Parents with doubts about vaccines: which vaccines and reasons why. Pediatrics 2008;122(4):718-25.
- 18. Ravlija J, Ivankovic A. Importance of health workers' communication in immunisation programmes. HealthMED 2012;6(2):672-7.
- 19. Ishola Jr DA, Permalloo N, Cordery RJ, Anderson SR. Midwives’ influenza vaccine uptake and their views on vaccination of pregnant women. J Public Health Med 2013 Dec;35(4):570-7.
- 20. Han Yekdeş D. Edirne ilinde çalışmakta olan aile sağlığı elemanlarının bağışıklama ve aşı tereddüdüne ilişkin bilgilendirme ve tutum geliştirilmesine yönelik müdahale çalışması. (Yayınlanmamış Uzmanlık Tezi, Danışman Prof.Dr. Muzaffer Eskiocak), 2020 Edirne.