Araştırma Makalesi
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COVID-19 Vaccine Literacy in Cancer Patients and their Attitudes towards COVID-19 Vaccination

Yıl 2025, Cilt: 12 Sayı: 2, 89 - 106, 27.06.2025

Öz

Background: Determining the motivations behind receiving the COVID-19 vaccination is essential for providing equitable and ethical care. The aim of this study is to assess the COVID-19 vaccine literacy and attitude towards the COVID-19 vaccine among cancer patients, with a focus on identifying disparities that may inform ethical healthcare practices.
Method: This cross-sectional study included patients aged 18 and above who were receiving a treatment for at least one malignancy at a training and research hospital in October of 2022. A total of 198 patients were assessed using the COVID-19 Vaccine Attitudes Scale and the COVID-19 Vaccine Literacy Scale.
Results: While every patient had a history of at least one cancer, 88.4% (n=175) of them had at least one COVID-19 vaccine. Patients who were male or older than 60 years old had more positive attitudes about vaccination (p=0.020; p<0.001). Male patients, those with higher education, and those planning to get vaccinated all had higher levels of vaccine literacy (p=0.020; p<0.001; p=0.035). In terms of functional skills related to COVID-19 vaccination literacy, the male patients scored higher than females as well (p=0.020). The age group of 18 to 45 exhibited the highest communication skill ratings, while functional skill scores were the lowest (p=0.044; p=0.035). The additional dose of COVID-19 vaccine was more likely to be administered to those who received pneumococcal or influenza vaccinations.
Conclusion: This study highlights the ethical responsibility of healthcare providers and policymakers to ensure equitable access to vaccination and vaccine related information, particularly among vulnerable populations. Identifying the high-risk group for tailored interventions contributes to the more effective and inclusive healthcare practices.

Etik Beyan

The authors declare that there are no conflicts of interest related to this study.

Destekleyen Kurum

This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors.

Kaynakça

  • Sinha S, Kundu CN. Cancer and COVID-19: Why are cancer patients more susceptible to COVID-19? Medical Oncology, 2021;38(9):1-7.
  • WHO. Situation Report-51 Situation in Numbers total and new cases in last 24 hours. https://iris.who.int/handle/10665/331475 [cited 2024 November 1].
  • Desai A, Sachdeva S, Parekh T, Desai R. COVID-19 and cancer: Lessons from a pooled meta-analysis. JCO Glob Oncol, 2020 Nov;6(6):557-9.
  • Wang L, Sun Y, Yuan Y, Mei Q, Yuan X. Clinical challenges in cancer patients with COVID-19: Aging, immunosuppression, and comorbidities. Aging. 2020;12(23):24462-74.
  • Liang W, Guan W, Chen R, Wang W, Li J, Xu K, et al. Cancer patients in SARS-CoV-2 infection: A nationwide analysis in China. Lancet Oncol, 2020;21(3):335-7.
  • Wu MY, Li CJ, Yiang GT, Cheng YL, Tsai APY, Hou YT, et al. Molecular Regulation of bone metastasis pathogenesis. Cell Physiol Biochem. 2018;46(4):1423-38.
  • Kang DH, Weaver MT, Park NJ, Smith B, McArdle T, Carpenter J. Significant impairment in immune recovery after cancer treatment. Nurs Res, 2009;58(2):105-14.
  • Dai M, Liu D, Liu M, Zhou F, Li G, Chen Z, et al. Patients with cancer appear more vulnerable to SARS-CoV-2: A multicenter study during the COVID-19 outbreak. Cancer Discov, 2020;10(6):783.
  • Tsai R, Hervey J, Hoffman K, Wood J, Johnson J, Deighton D, Clermont D, Loew B, Goldberg SL. COVID-19 vaccine hesitancy and acceptance among individuals with cancer, autoimmune diseases, or other serious comorbid conditions: Cross-sectional, internet-based survey. JMIR Public Health Surveill, 2022;8(1):e29872.
  • Polack FP, Thomas SJ, Kitchin N, Absalon J, Gurtman A, Lockhart S, et al. Safety and efficacy of the BNT162b2 mRNA COVID-19 vaccine. New England Journal of Medicine, 2020;383(27):2603-15.
  • Baden LR, El Sahly HM, Essink B, Kotloff K, Frey S, Novak R, et al. Efficacy and safety of the mRNA-1273 SARS-CoV-2 vaccine. New England Journal of Medicine, 2021;384(5):403-16.
  • Becerril-Gaitan A, Vaca-Cartagena BF, Ferrigno AS, Mesa-Chavez F, Barrientos-Gutiérrez T, Tagliamento M, et al. Immunogenicity and risk of Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) infection after Coronavirus Disease 2019 (COVID-19) vaccination in patients with cancer: a systematic review and meta-analysis. Eur J Cancer, 2022;160:243-260.
  • CDC. Clinical Guidance for COVID-19 Vaccination. https://www.cdc.gov/vaccines/covid-19/clinical-considerations/interim-considerations-us.html#contraindications [cited 2024 January 15].
  • CDC. COVID-19 Vaccines for People Who Are Moderately or Severely Immunocompromised. https://www.cdc.gov/coronavirus/2019-ncov/vaccines/recommendations/immuno.html [cited 2024 January 15].
  • Baden LR, Swaminathan S, Angarone M, Blouin G, Camins BC, Casper C, Cooper B, Dubberke ER, Engemann AM, Freifeld AG, Greene JN, Ito JI, Kaul DR, Lustberg ME, Montoya JG, Rolston K, Satyanarayana G, Segal B, Seo SK, Shoham S, Taplitz R, Topal J, Wilson JW, Hoffmann KG, Smith C. Prevention and treatment of cancer-related infections, version 2.2016, NCCN Clinical Practice Guidelines in Oncology. J Natl Compr Canc Netw, 2016;14(7):882-913.
  • ESMO. COVID-19 vaccination. https://www.esmo.org/covid-19-and-cancer/covid-19-vaccination [cited 2024 November 1].
  • Cancer. Turkish Society of Medical Oncology COVID-19 Pandemic Advisory Board Vaccination Recommendations for Cancer Patients. https://www.kanser.org/saglik/userfiles/TTOD_Covid19_Pandemisi_Danisma_Kurulunun_Kanser_Hastalarinda_Covid-19_Asilama_Onerileri.pdf [cited 2024 November 1].
  • Durmuş A, Akbolat M, Amarat M. Turkish validity and reliability of COVID-19 Vaccine Literacy Scale. Cukurova Medical Journal, 2021;46(2):732-41.
  • Geniş B. Development of perception and attitude scales related with COVID-19 Pandemia. IEDSR Association, 2020;7(7):306-28.
  • NHS. What is the body mass index (BMI)? https://www.nhs.uk/common-health-questions/lifestyle/what-is-the-body-mass-index-bmi/ [cited 2024 April 7].
  • Pogue K, Jensen JL, Stancil CK, Ferguson DG, Hughes SJ, Mello EJ, et al. Influences on attitudes regarding potential COVID-19 vaccination in the United States. Vaccines, 2020;8(4):582.
  • Chun JY, Kim SI, Park EY, Park SY, Koh SJ, Cha Y, et al. Cancer patients’ willingness to take COVID-19 vaccination: A nationwide multicenter survey in Korea. Cancers (Basel), 2021;13(15): 3883.
  • Dubé E, Laberge C, Guay M, Bramadat P, Roy R, Bettinger J. Vaccine hesitancy: An overview. Hum Vaccin Immunother, 2013;9(8):1763-73.
  • Michel JP, Goldberg J. Education, healthy ageing and vaccine literacy. Journal of Nutrition, Health and Aging, 2021;25(5):698-701.
  • MacDonald NE, Eskola J, Liang X, Chaudhuri M, Dube E, Gellin B, et al. Vaccine hesitancy: Definition, scope and determinants. Vaccine, 2015;33(34):4161-4.
  • Larson HJ, Jarrett C, Eckersberger E, Smith DMD, 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.
  • TÜİK. Housing Census, 2021. https://data.tuik.gov.tr/Bulten/Index?p=Nufus-ve-Konut-Sayimi-2021-45866 [cited 2024 March 15].
  • Biasio LR, Bonaccorsi G, Lorini C, Pecorelli S. Assessing COVID-19 vaccine literacy: a preliminary online survey. Hum Vaccin Immunother, 2021;17(5):1304-12.
  • Korkut S, Ülker T, Çidem A. Factors affecting COVID-19 vaccine literacy and attitudes towards COVID-19 vaccine. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi, 2022;11(3):1041-50.

Kanser Hastalarında COVID-19 Aşı Okuryazarlığı ve Kanser Hastalarının COVID-19 Aşısına Yönelik Tutumları

Yıl 2025, Cilt: 12 Sayı: 2, 89 - 106, 27.06.2025

Öz

Giriş: COVID-19 aşısını olma motivasyonlarının belirlenmesi, adil ve etik sağlık hizmeti sunumu açısından oldukça önemlidir. Bu çalışmanın amacı, kanser hastalarında COVID-19 aşı okuryazarlığını ve COVID-19 aşısına yönelik tutumu değerlendirmek olup, etik sağlık uygulamalarını yönlendirebilecek olası eşitsizlikleri ortaya koymaya odaklanmaktır.
Yöntem: Bu kesitsel çalışmaya, Ekim 2022’de bir eğitim ve araştırma hastanesinde en az bir malignite (kanser) nedeniyle tedavi gören, 18 yaş ve üzeri hastalar dâhil edilmiştir. Toplam 198 hasta, COVID-19 Aşı Tutum Ölçeği ve COVID-19 Aşı Okuryazarlığı Ölçeği kullanılarak değerlendirilmiştir.
Bulgular: Her hastanın en az bir kanser öyküsü olmasına rağmen, bunların %88,4'ü (n=175) en az bir COVID-19 aşısı yaptırdı. Erkek veya 60 yaşından büyük olan hastaların aşıya yönelik tutumları daha olumluydu (p=0,020; p<0,001). Erkek hastalar, yüksek eğitimliler ve aşı olmayı planlayanların hepsinin aşı okuryazarlığı düzeyleri daha yüksekti (p=0,020; p<0,001; p=0,035). COVID-19 aşı okuryazarlığıyla ilgili işlevsel beceriler açısından, erkek hastalar kadınlardan daha yüksek puan aldı (p=0,020). 18 - 45 yaş grubu en yüksek iletişimsel/eleştirel beceri puanlarını sergilerken, fonksiyonel beceri puanları en düşüktü (p=0,044; p=0,035). Pnömokok veya grip aşısı olanlara, COVID-19 aşısının ek dozunun uygulanma olasılığı daha yüksekti.
Sonuç: Kişiye özel müdahaleler için yüksek riskli grubun belirlenmesi, daha etkili ve kapsayıcı sağlık hizmeti uygulamalarına katkıda bulunur. Bu çalışma, özellikle savunmasız popülasyonlar arasında aşılama ve aşıyla ilgili bilgilere eşit erişimi sağlama konusunda sağlık hizmeti sağlayıcılarının ve politika yapıcıların etik sorumluluğunu vurgulamaktadır.

Kaynakça

  • Sinha S, Kundu CN. Cancer and COVID-19: Why are cancer patients more susceptible to COVID-19? Medical Oncology, 2021;38(9):1-7.
  • WHO. Situation Report-51 Situation in Numbers total and new cases in last 24 hours. https://iris.who.int/handle/10665/331475 [cited 2024 November 1].
  • Desai A, Sachdeva S, Parekh T, Desai R. COVID-19 and cancer: Lessons from a pooled meta-analysis. JCO Glob Oncol, 2020 Nov;6(6):557-9.
  • Wang L, Sun Y, Yuan Y, Mei Q, Yuan X. Clinical challenges in cancer patients with COVID-19: Aging, immunosuppression, and comorbidities. Aging. 2020;12(23):24462-74.
  • Liang W, Guan W, Chen R, Wang W, Li J, Xu K, et al. Cancer patients in SARS-CoV-2 infection: A nationwide analysis in China. Lancet Oncol, 2020;21(3):335-7.
  • Wu MY, Li CJ, Yiang GT, Cheng YL, Tsai APY, Hou YT, et al. Molecular Regulation of bone metastasis pathogenesis. Cell Physiol Biochem. 2018;46(4):1423-38.
  • Kang DH, Weaver MT, Park NJ, Smith B, McArdle T, Carpenter J. Significant impairment in immune recovery after cancer treatment. Nurs Res, 2009;58(2):105-14.
  • Dai M, Liu D, Liu M, Zhou F, Li G, Chen Z, et al. Patients with cancer appear more vulnerable to SARS-CoV-2: A multicenter study during the COVID-19 outbreak. Cancer Discov, 2020;10(6):783.
  • Tsai R, Hervey J, Hoffman K, Wood J, Johnson J, Deighton D, Clermont D, Loew B, Goldberg SL. COVID-19 vaccine hesitancy and acceptance among individuals with cancer, autoimmune diseases, or other serious comorbid conditions: Cross-sectional, internet-based survey. JMIR Public Health Surveill, 2022;8(1):e29872.
  • Polack FP, Thomas SJ, Kitchin N, Absalon J, Gurtman A, Lockhart S, et al. Safety and efficacy of the BNT162b2 mRNA COVID-19 vaccine. New England Journal of Medicine, 2020;383(27):2603-15.
  • Baden LR, El Sahly HM, Essink B, Kotloff K, Frey S, Novak R, et al. Efficacy and safety of the mRNA-1273 SARS-CoV-2 vaccine. New England Journal of Medicine, 2021;384(5):403-16.
  • Becerril-Gaitan A, Vaca-Cartagena BF, Ferrigno AS, Mesa-Chavez F, Barrientos-Gutiérrez T, Tagliamento M, et al. Immunogenicity and risk of Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) infection after Coronavirus Disease 2019 (COVID-19) vaccination in patients with cancer: a systematic review and meta-analysis. Eur J Cancer, 2022;160:243-260.
  • CDC. Clinical Guidance for COVID-19 Vaccination. https://www.cdc.gov/vaccines/covid-19/clinical-considerations/interim-considerations-us.html#contraindications [cited 2024 January 15].
  • CDC. COVID-19 Vaccines for People Who Are Moderately or Severely Immunocompromised. https://www.cdc.gov/coronavirus/2019-ncov/vaccines/recommendations/immuno.html [cited 2024 January 15].
  • Baden LR, Swaminathan S, Angarone M, Blouin G, Camins BC, Casper C, Cooper B, Dubberke ER, Engemann AM, Freifeld AG, Greene JN, Ito JI, Kaul DR, Lustberg ME, Montoya JG, Rolston K, Satyanarayana G, Segal B, Seo SK, Shoham S, Taplitz R, Topal J, Wilson JW, Hoffmann KG, Smith C. Prevention and treatment of cancer-related infections, version 2.2016, NCCN Clinical Practice Guidelines in Oncology. J Natl Compr Canc Netw, 2016;14(7):882-913.
  • ESMO. COVID-19 vaccination. https://www.esmo.org/covid-19-and-cancer/covid-19-vaccination [cited 2024 November 1].
  • Cancer. Turkish Society of Medical Oncology COVID-19 Pandemic Advisory Board Vaccination Recommendations for Cancer Patients. https://www.kanser.org/saglik/userfiles/TTOD_Covid19_Pandemisi_Danisma_Kurulunun_Kanser_Hastalarinda_Covid-19_Asilama_Onerileri.pdf [cited 2024 November 1].
  • Durmuş A, Akbolat M, Amarat M. Turkish validity and reliability of COVID-19 Vaccine Literacy Scale. Cukurova Medical Journal, 2021;46(2):732-41.
  • Geniş B. Development of perception and attitude scales related with COVID-19 Pandemia. IEDSR Association, 2020;7(7):306-28.
  • NHS. What is the body mass index (BMI)? https://www.nhs.uk/common-health-questions/lifestyle/what-is-the-body-mass-index-bmi/ [cited 2024 April 7].
  • Pogue K, Jensen JL, Stancil CK, Ferguson DG, Hughes SJ, Mello EJ, et al. Influences on attitudes regarding potential COVID-19 vaccination in the United States. Vaccines, 2020;8(4):582.
  • Chun JY, Kim SI, Park EY, Park SY, Koh SJ, Cha Y, et al. Cancer patients’ willingness to take COVID-19 vaccination: A nationwide multicenter survey in Korea. Cancers (Basel), 2021;13(15): 3883.
  • Dubé E, Laberge C, Guay M, Bramadat P, Roy R, Bettinger J. Vaccine hesitancy: An overview. Hum Vaccin Immunother, 2013;9(8):1763-73.
  • Michel JP, Goldberg J. Education, healthy ageing and vaccine literacy. Journal of Nutrition, Health and Aging, 2021;25(5):698-701.
  • MacDonald NE, Eskola J, Liang X, Chaudhuri M, Dube E, Gellin B, et al. Vaccine hesitancy: Definition, scope and determinants. Vaccine, 2015;33(34):4161-4.
  • Larson HJ, Jarrett C, Eckersberger E, Smith DMD, 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.
  • TÜİK. Housing Census, 2021. https://data.tuik.gov.tr/Bulten/Index?p=Nufus-ve-Konut-Sayimi-2021-45866 [cited 2024 March 15].
  • Biasio LR, Bonaccorsi G, Lorini C, Pecorelli S. Assessing COVID-19 vaccine literacy: a preliminary online survey. Hum Vaccin Immunother, 2021;17(5):1304-12.
  • Korkut S, Ülker T, Çidem A. Factors affecting COVID-19 vaccine literacy and attitudes towards COVID-19 vaccine. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi, 2022;11(3):1041-50.
Toplam 29 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Sağlık Hizmetleri ve Sistemleri (Diğer)
Bölüm ARAŞTIRMA MAKALESİ
Yazarlar

Beyza Nur Ataoğlu 0000-0001-5202-0458

Dilşad Save 0000-0002-5252-5189

Ömer Faruk Domruk 0000-0003-0119-7047

Oğulcan Alan 0009-0001-8356-5642

Yusra Domruk 0000-0002-6811-7681

Seyhan Hıdıroğlu 0000-0001-8656-4613

Yayımlanma Tarihi 27 Haziran 2025
Gönderilme Tarihi 4 Mayıs 2025
Kabul Tarihi 15 Haziran 2025
Yayımlandığı Sayı Yıl 2025 Cilt: 12 Sayı: 2

Kaynak Göster

Vancouver Ataoğlu BN, Save D, Domruk ÖF, Alan O, Domruk Y, Hıdıroğlu S. COVID-19 Vaccine Literacy in Cancer Patients and their Attitudes towards COVID-19 Vaccination. TJOB. 2025;12(2):89-106.