Examination of parents refusing administration of childhood vaccinations: Turkey example
Keywords:immunization schedule, vaccine refusal, parents, children, persuasion
Background. Vaccination is an important health service that reduces the morbidity and mortality of infectious diseases. In our study, it was aimed to examine the knowledge, attitude, risk perception of parents about vaccine refusal, and the vaccination status of their children in a province of Turkey with a low socioeconomic level. Materials and methods. In the study designed in a cross-sectional type, 105 parents (participation rate: 80.2 %) who rejected the vaccine were reached. Results. The most refused vaccine by the parents is DaBT-İPA-Hib (90.5 %) and the least rejected vaccine is BCG (58.1 %). It was determined that who thought vaccines have no benefits (p = 0.003), those who were doubtful about the content of the vaccine (p = 0.001), those who did not want the vaccine due to their religious beliefs (p = 0.006), and those who believed in natural immunity (p = 0.002) were less convinced about vaccinating their children at a statistically significant level than the other group. The vaccine with the highest rate is HAV (35.0 %, n = 7), and the vaccine with the lowest rate is BCG (8.3 %, n = 1) in terms of the rate of vaccination that they declare to be convinced to have it. Conclusions. When evaluated on the causes of vaccine refusal and persuasion, the primary source of information is provided by health workers with scientific evidence through different communication methods (social media, etc.) should be reached.
Facciolà A, Visalli G, Orlando A, et al. Vaccine hesitancy: An overview on parents' opinions about vaccination and possible reasons of vaccine refusal. J Public Health Res. 2019 Mar 11;8(1):1436. doi: 10.4081/jphr.2019.1436.
Glanz JM, Newcomer SR, Narwaney KJ, et al. A population-based cohort study of undervaccination in 8 managed care organizations across the United States. JAMA Pediatr. 2013 Mar 1;167(3):274-81. doi: 10.1001/jamapediatrics.2013.502.
Eskiocak M, Marangoz B. Türkiye ’ de Bağışıklama Hizmetlerinin Durumu 2019 [Status of Immunization Services in Turkey 2019]. Available from: https://www.ttb.org.tr/kutuphane/turkiyede_bagisiklama.pdf.
United Nations International Children's Emergency Fund (UNICEF). Research Knowledge, Attitudes and Practices in Relation to Immunization of Children In Serbia 2018. Available from: https://www.unicef.org/serbia/en/reports/knowledge-attitudes-and-practices. Accesed 5 February 2021.
Kanra G, Tezcan S, Badur S; Turkish National Study Team. Hepatitis A seroprevalence in a random sample of the Turkish population by simultaneous EPI cluster and comparison with surveys in Turkey. Turk J Pediatr. 2002 Jul-Sep;44(3):204-10.
Larson HJ, Jarrett C, Schulz WS, et al; SAGE Working Group on Vaccine Hesitancy. Measuring vaccine hesitancy: The development of a survey tool. Vaccine. 2015 Aug 14;33(34):4165-75. doi: 10.1016/j.vaccine.2015.04.037.
Sarp Üner, Kezban Çelik ST. Çocuk Aşılarında Artan Kararsızlık: Nedenleri Farklı Aktörlerin Deneyiminden Anlamak. Ankara: Hipokrat Press; 2020. 30-122 pp.
Aker AA.Vaccine Refusal . Community And Physician 2018;33(3):175-186.
Çıklar S, Güner PD. Knowledge, Behavior and Attitude of Mother’s about Childhood Immunization and Reasons of Vaccination Rejection and Hesitancy: A Study of Mixt Methodology. Ankara Med J. 2020;20(1):180-195. doi: 10.5505/amj.2020.80148.
Dáňová J, Šálek J, Kocourková A, Čelko AM. Factors Associated with Parental Refusal of Routine Vaccination in the Czech Republic. Cent Eur J Public Health. 2015 Dec;23(4):321-3. doi: 10.21101/cejph.a4395.
Kürtüncü M , Alkan I, Bahadır Ö. The Knowledge Levels Of Mothers About The Vaccination Status Of Children Living In A Rural Area Of Zonguldak. Electronic Journal of Vocational Colleges. 2017;7(1):8-17.
Byström E, Lindstrand A, Bergström J, Riesbeck K, Roth A. Confidence in the National Immunization Program among parents in Sweden 2016 - A cross-sectional survey. Vaccine. 2020 May 8;38(22):3909-3917. doi: 10.1016/j.vaccine.2020.01.078.
Vonasek BJ, Bajunirwe F, Jacobson LE, et al. Do Maternal Knowledge and Attitudes towards Childhood Immunizations in Rural Uganda Correlate with Complete Childhood Vaccination? PLoS One. 2016 Feb 26;11(2):e0150131. doi: 10.1371/journal.pone.0150131.
Shah SFA, Ginossar T, Weiss D. "This is a Pakhtun disease": Pakhtun health journalists' perceptions of the barriers and facilitators to polio vaccine acceptance among the high-risk Pakhtun community in Pakistan. Vaccine. 2019 Jun 19;37(28):3694-3703. doi: 10.1016/j.vaccine.2019.05.029.
This work is licensed under a Creative Commons Attribution 4.0 International License.
Our edition uses the copyright terms of Creative Commons for open access journals.
Authors, who are published in this journal, agree with the following terms:
- The authors retain rights for authorship of their article and grant to the edition the right of first publication of the article on a Creative Commons Attribution 4.0 International License, which allows others to freely distribute the published article, with the obligatory reference to the authors of original works and original publication in this journal.
- Directing the article for the publication to the editorial board (publisher), the author agrees with transmitting of rights for the protection and using the article, including parts of the article, which are protected by the copyrights, such as the author’s photo, pictures, charts, tables, etc., including the reproduction in the media and the Internet; for distributing; for the translation of the manuscript in all languages; for export and import of the publications copies of the writers’ article to spread, bringing to the general information.
- The rights mentioned above authors transfer to the edition (publisher) for the unlimited period of validity and on the territory of all countries of the world.
- The authors guarantee that they have exclusive rights for using of the article, which they have sent to the edition (publisher). The edition (the publisher) is not responsible for the violation of given guarantees by the authors to the third parties.
- The authors have the right to conclude separate supplement agreements that relate to non-exclusive distribution of their article in the form in which it had been published in the journal (for example, to upload the work to the online storage of the journal or publish it as part of a monograph), provided that the reference to the first publication of the work in this journal is included.
- The policy of the journal permits and encourages the publication of the article in the Internet (in institutional repository or on a personal website) by the authors, because it contributes to productive scientific discussion and a positive effect on efficiency and dynamics of the citation of the article.
- The rights to the article are deemed transferred by the authors to the edition (the publisher) since the moment of the publication of the article in the printed or electronic version of journal.