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Okyay RA, Kaya E, Erdoğan A. Vaccine refusal in pregnant women in Kahramanmaraş: a community-based study from Türkiye. PeerJ 2024; 12:e17409. [PMID: 38784396 PMCID: PMC11114108 DOI: 10.7717/peerj.17409] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/29/2023] [Accepted: 04/26/2024] [Indexed: 05/25/2024] Open
Abstract
Background The global health landscape is increasingly challenged by the rejection of childhood vaccines. This study investigates vaccination reservations and refusal among pregnant women. Methods A cross-sectional study was conducted in Kahramanmaraş, Türkiye, spanning January to March 2019, entailing face to face interviews with 938 pregnant women. The questionnaire collected sociodemographic data and probed vaccination attitudes. The decision to vaccinate the baby was treated as the dependent variable, analyzed alongside sociodemographic factors and other variables. Data underwent evaluation via descriptive analysis, the Chi-square test, and binary logistic regression. Results Participants had a mean age of 27.6 years. Among them 20 (2.1%) expressed intent to either abstain from or partially vaccinate their babies, with 70% citing apprehensions regarding potential vaccine-related harm. Statistical analysis unveiled that higher economic income, elevated parental education level, fewer than two children, reliance on the Internet for vaccination information, and a lack of trust in physicians significantly correlated with vaccine refusal among pregnant women (p < 0.05). Conclusions The study concludes that dissemination of vaccination information by the healthcare professionals, complemented by the enactment of pro-vaccine internet policies holds promise in shaping vaccination behavior.
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Affiliation(s)
| | - Erhan Kaya
- Faculty of Medicine, Department of Public Health, Kahramanmaraş Sütçü İmam University, Kahramanmaraş, Türkiye
| | - Ayşegül Erdoğan
- Faculty of Medicine, Department of Public Health, Kahramanmaraş Sütçü İmam University, Kahramanmaraş, Türkiye
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Shaipuzaman NA, Rahman HA. Knowledge and attitude on infant vaccination among university staff in Malaysian public university. Hum Vaccin Immunother 2022; 18:2029258. [PMID: 35239461 PMCID: PMC8993098 DOI: 10.1080/21645515.2022.2029258] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
OBJECTIVE To determine the knowledge and attitude on infant vaccination among a couple of Universiti Putra Malaysia (UPM) staffs in Serdang, Selangor. METHODS A cross-sectional study was carried out involving 97 respondents. A cluster sampling technique for the categorization of the faculty in UPM to science-based and non-science-based is used. Then, fishbowl technique was adopted in selecting the faculty from the two categorizations, which consists of 1) science-based: Faculty Biotechnology and Science Biomolecule and Faculty of Science; 2) non-science-based: Faculty of Economics and Management and Faculty of Language and Communication. Consequently, a simple random method was used to choose the respondent based on the inclusion and exclusion criteria. Data on socio-demographic characteristic, knowledge and attitude regarding infant vaccination were collected using a modified and pretested questionnaire. The data then were analyzed using SPSS version 22. RESULTS Of 97 respondents, 78 (80.4%) had high knowledge, and 49 (50.5%) have moderate attitude regarding infant vaccination. Overall, science-based faculty and non-science-based faculty prevalence of refuse infant vaccination was 2.1%, 6.5%, respectively. There was a significant association between educational level and the knowledge (p < .05, p = .019). However, there was no significant association between socio-demographic and attitude. Other than that,, there was no association between knowledge and attitude among these two different types of faculty (P > .05, p = .256, p = .597). CONCLUSION Effort are needed for focusing on health education campaign with collaboration between health-care professionals, social media and community to improve their awareness for immunization.
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Affiliation(s)
- Nurulain Atikah Shaipuzaman
- Department of Environmental & Occupational Health, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Serdang, Selangor, Malaysia
| | - Haliza Abdul Rahman
- Institute for Social Sciences Studies, Putra Info Port, Universiti Putra Malaysia, Serdang, Selangor, Malaysia
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Çelik K, Turan S, Üner S. I'm a mother, therefore I question": Parents' legitimation sources of and hesitancy towards early childhood vaccination. Soc Sci Med 2021; 282:114132. [PMID: 34166967 DOI: 10.1016/j.socscimed.2021.114132] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/23/2020] [Revised: 06/01/2021] [Accepted: 06/09/2021] [Indexed: 10/21/2022]
Abstract
This study was conducted with mothers living in Ankara and registered in the year 2019 with the Immunization Services Unit of the Provincial Directorate of Health as cases of vaccine refusal. This qualitative study used semi-structured interviews to understand how mothers decide about child vaccination and the attitudes, perceptions, and beliefs underlying these decisions. A total of 23 interviews were conducted by two of the authors between March and September 2019. Each of the 23 participants had at least one child aged five years or younger and were living in Ankara. The study shows that mothers with vaccine hesitancy constitute a heterogeneous group whose members have differing levels of hesitation and concern about the vaccination of their children. It is also observed that the most important factor that affects their decisions is related to trust.
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Affiliation(s)
- Kezban Çelik
- TED University, Faculty of Art and Science, Department of Sociology, Ziya Gökalp Caddesi No: 48, Kolej, Çankaya, Ankara, Turkey.
| | - Sevgi Turan
- Department of Medical Education and Informatics, Hacettepe University School of Medicine, Sihhiye, Ankara, Turkey.
| | - Sarp Üner
- Lokman Hekim University School of Medicine, Department of Public Health, Söğütözü Mh. 2179 Cd. No: 6, Çankaya, Ankara, Turkey.
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Papaioannou A, Konstantinidi AE, Primikiri E, Asimakopoulou F, Aravantinos D, Mavromichali Z. Influenza vaccination rate among high risk group patients in primary health care in Greece. Cent Eur J Public Health 2021; 28:297-301. [PMID: 33338366 DOI: 10.21101/cejph.a5237] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/22/2017] [Accepted: 08/11/2020] [Indexed: 11/15/2022]
Abstract
OBJECTIVE Seasonal influenza vaccination is the main method for influenza prevention. The main objective of this study is to estimate the frequency of vaccinations in patients with chronic illnesses presented to a primary health care (PHC) centre. METHODS This cross-sectional study was performed in patients admitted to the Kapandriti Health Centre. Their vaccination status with an influenza vaccine and their underlying diseases were recorded. RESULTS 34.8% of the subjects had been vaccinated against seasonal influenza. Vaccination coverage was found to be 53.9% in pulmonary, 55.6% in chronic kidney disease, 43.7% in cardiovascular disorders, 40.6% in diabetes, 40.6% in any kind of malignancy, and finally 33.3% in neurological patients. The most significant predictors for vaccination were the age group of 60 to 79 years (OR = 3.08, 95% CI: 1.79-5.29), age over 80 years (OR = 2.91, 95% CI: 1.58-5.36), respiratory disease (OR = 2.25, 95% CI: 1.33-3.76), cardiovascular disorder (OR = 1.46, 95% CI: 1.02-2.10), and 3 to 5 visits to the unit annually (OR = 1.57, 95% CI: 1.12-2.24). Finally, it was discovered that coexistence of one to three diseases reduced the likelihood ratio for vaccine uptake (OR = 0.15, 95% CI: 0.03-0.79, p < 0.05). CONCLUSIONS The influenza vaccination rate for the population of the present study has been found higher than that reported previously in literature. We believe that there is a need to implement new and more effective strategies such as educating vulnerable groups on the benefits of vaccination and so reducing the incidence of influenza and its complications especially in vulnerable groups.
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Affiliation(s)
- Anastasia Papaioannou
- Health Centre of Nea Makri, Athens, Greece.,Health Centre of Kapandriti, Athens, Greece
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Kaydirak MM, Gumusay M, Gulec Y, Sahin NH. Parental Opinions and Approaches about Childhood Vaccinations: Are Anti-vaccination Approaches and Indecisiveness Parental Rights? J Community Health Nurs 2020; 37:222-232. [PMID: 33150813 DOI: 10.1080/07370016.2020.1809860] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Abstract
This study aimed to analyze parental opinions regarding immunization services and the factors that affect parental decisions regarding the vaccination of their children. We conducted descriptive study with 373 parents. The Parent Information Form and the Public Attitude Toward Vaccination Scale-Health Belief Model developed to evaluate vaccination approaches, were used. Of the parents who participated in the study, 35.9% stated that they found the information on childhood vaccinations unreliable or that they doubted the credibility of the information. In addition, most of the parents (71%) stated that they believed that the high number of immigrant children in the country causes contagious diseases to increase. It is found that there are statistically significant higher scores in the subscales of severity, susceptibility, and health motivation among the parents who disagree with the media statements on anti-vaccination attitudes (p < 0,001). Opinions and approaches of parents toward childhood vaccinations are affected by sociodemographic characteristics. In this study, the educational level of parents was found to be the most important variable affecting the approach of parents toward vaccinations.
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Affiliation(s)
- Meltem Mecdi Kaydirak
- Department of Women's Health and Diseases Nursing, Istanbul University - Cerrahpasa, Florence Nightingale Faculty of Nursing , Istanbul, Turkey
| | - Mehtap Gumusay
- Department of Women's Health and Diseases Nursing, Istanbul University - Cerrahpasa, Florence Nightingale Faculty of Nursing , Istanbul, Turkey
| | - Yağmur Gulec
- Department of Nursing, Koc University Hospital , Istanbul, Turkey
| | - Nevin Hotun Sahin
- Department of Women's Health and Diseases Nursing, Istanbul University - Cerrahpasa, Florence Nightingale Faculty of Nursing , Istanbul, Turkey
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CELLA PAOLA, VOGLINO GIANLUCA, BARBERIS ILARIA, ALAGNA ENRICO, ALESSANDRONI CLAUDIA, CUDA ALESSANDRO, D’ALOISIO FRANCESCO, DALLAGIACOMA GIULIA, DE NITTO SARA, DI GASPARE FRANCESCA, GALLIPOLI ORIANA, GENTILE LEANDRO, KUNDISOV LUCIA, NAVARO MONICA, PROVENZANO SANDRO, SANTANGELO OMARENZO, STEFANIZZI PASQUALE, GIANFREDI VINCENZA. Resources for assessing parents' vaccine hesitancy: a systematic review of the literature. JOURNAL OF PREVENTIVE MEDICINE AND HYGIENE 2020; 61:E340-E373. [PMID: 33150224 PMCID: PMC7595070 DOI: 10.15167/2421-4248/jpmh2020.61.3.1448] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/09/2019] [Accepted: 07/22/2020] [Indexed: 11/17/2022]
Abstract
The concept of Vaccine Hesitancy has begun to appear in the scientific landscape, referring to the reluctance of a growing proportion of people to accept the vaccination offer. A variety of factors were identified as being associated with vaccine hesitancy but there was no universal algorithm and currently there aren’t any established metrics to assess either the presence or impact of vaccine hesitancy. The aim of this study was to systematically review the published questionnaires evaluating parental vaccine hesitancy, to highlight the differences among these surveys and offer a general overview on this matter. This study offers a deeper perspective on the available questionnaires, helping future researches to identify the most suitable one according to their own aim and study setting.
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Affiliation(s)
- PAOLA CELLA
- Post Graduate School of Hygiene and Preventive Medicine, Department of Medicine and Surgery, University of Parma, Italy
| | - GIANLUCA VOGLINO
- Post Graduate School of Hygiene and Preventive Medicine, Department of Public Health, University of Turin, Italy
| | - ILARIA BARBERIS
- Health Science Department, University of Genoa, Italy
- Correspondence: Ilaria Barberis, Health Science Department, University of Genoa, largo Rosanna Benzi 10, Pad. 3 San Martino Hospital, Italy - Tel./Fax +39 010 3538502 - E-mail:
| | - ENRICO ALAGNA
- Post Graduate School of Hygiene and Preventive Medicine, Department of Health Promotion, Mother and Child Care, Internal Medicine and Medical Specialties “G. D’Alessandro”, University of Palermo, Italy
| | - CLAUDIA ALESSANDRONI
- Post Graduate School of Hygiene and Preventive Medicine, University of Rome Tor Vergata, Rome, Italy
| | - ALESSANDRO CUDA
- Post Graduate School of Hygiene and Preventive Medicine, Department of Public Health, Experimental and Forensic Medicine, University of Pavia, Italy
| | - FRANCESCO D’ALOISIO
- Post Graduate School of Hygiene and Preventive Medicine, Department of Life, Health and Environmental Sciences, University of L’Aquila, Italy
| | - GIULIA DALLAGIACOMA
- Post Graduate School of Hygiene and Preventive Medicine, Department of Public Health, Experimental and Forensic Medicine, University of Pavia, Italy
| | - SARA DE NITTO
- Post Graduate School of Hygiene and Preventive Medicine, Department of Biomedical Science and Human Oncology, University of Bari Aldo Moro, Italy
| | - FRANCESCA DI GASPARE
- Post Graduate School of Hygiene and Preventive Medicine, University of Rome Tor Vergata, Rome, Italy
| | - ORIANA GALLIPOLI
- Post Graduate School of Hygiene and Preventive Medicine, Department of Life, Health and Environmental Sciences, University of L’Aquila, Italy
| | - LEANDRO GENTILE
- Post Graduate School of Hygiene and Preventive Medicine, Department of Public Health, Experimental and Forensic Medicine, University of Pavia, Italy
| | - LUCIA KUNDISOV
- Post Graduate School of Public Health, University of Siena, Italy
| | - MONICA NAVARO
- Post Graduate School of Hygiene and Preventive Medicine, Department of Experimental Medicine, University of Campania “L. Vanvitelli”, Italy
| | - SANDRO PROVENZANO
- Post Graduate School of Hygiene and Preventive Medicine, Department of Health Promotion, Mother and Child Care, Internal Medicine and Medical Specialties “G. D’Alessandro”, University of Palermo, Italy
| | - OMAR ENZO SANTANGELO
- Post Graduate School of Hygiene and Preventive Medicine, Department of Health Promotion, Mother and Child Care, Internal Medicine and Medical Specialties “G. D’Alessandro”, University of Palermo, Italy
| | - PASQUALE STEFANIZZI
- Post Graduate School of Hygiene and Preventive Medicine, Department of Biomedical Science and Human Oncology, University of Bari Aldo Moro, Italy
| | - VINCENZA GIANFREDI
- Post Graduate School of Hygiene and Preventive Medicine, Department of Experimental Medicine, University of Perugia, Italy
- School of Medicine, University Vita-Salute San Raffaele, Milan, Italy
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Šálek J, Čelko AM, Dáňová J. Vaccination Perception and Attitude among Undergraduate Medical and Teacher Education Students at Charles University, Prague, Czech Republic. Vaccines (Basel) 2020; 8:vaccines8010136. [PMID: 32204313 PMCID: PMC7157727 DOI: 10.3390/vaccines8010136] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/20/2020] [Revised: 03/12/2020] [Accepted: 03/17/2020] [Indexed: 11/16/2022] Open
Abstract
This cross-sectional comparative study was designed to evaluate different opinions and their impact on vaccine confidence, as perceived by students of two different university programs (medicine and teacher education), as both of them play important roles in patient education, with the latter major shaping the skills of critical thinking. Multi-item, opinion-based, paper-and-pencil anonymous questionnaires were distributed among students of medicine and teacher education. Data were sorted and divided into two sets to be analyzed using logistic regression. Out of a total of 722 respondents, 386 were medical students and 336 were teacher education students. While most respondents said they were not in favor of alternative medicine, a significantly higher number of alternative medicine followers were teacher education students. The positive vaccination perception rate (PVPR) is not dependent on the behavioral factors of student respondents (irrespective of their major) but is largely affected by their attitude to alternative medicine. Fear of infection dramatically increased the PVPR (up to 6.7 times) in those who were versus were not afraid of getting infected or were not quite sure whether to fear it. Fear of side effects of vaccination clearly decreased the PVPR, by at least 84%.
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Sochocka L, Widera A, Szwamel K. Intensity of the phenomenon of refusal to subject children to preventive vaccinations in the years 2002-2016 based on analysis of primary health care medical records. MEDICAL SCIENCE PULSE 2018. [DOI: 10.5604/01.3001.0012.5064] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Background. Vaccinations are the most effective method for preventing infectious diseases. Massive implementation of long-term vaccinations strategies has resulted in elimination or a reduced incidence of many infectious diseases.
Aim of the study. To evaluate the intensity of the phenomenon of refusal to subject children to preventive vaccinations by attempting to characterize the parental group who refuse to vaccinate their children, determining the type and number of unrealized vaccinations, and identifying the reasons for being unvaccinated.
Material and methods. The research material was medical records from the Non-Public Heath Care Unit in Opole. It concerned implementation of the Protective Vaccine Program over the years 2002-2016. A method of retrospective analysis of medical records using modern technology was applied.
Results. The phenomenon of refusal to subject children to preventive vaccinations is increasing. In the years 2002-2016, our retrospective analysis identified that 81 vaccinations (0.8% of the 10,057 vaccinations) were not carried out. The largest percentage of unrealized vaccinations involved hepatitis B (23.4%). Parents refusing to vaccinate their children were adults (Median = 31 years old, range: 27-36 years) and predominantly living in cities (87.88%). The reasons for abandoning mandatory vaccinations were not reporting with a child for vaccination (48.1%), deliberate refusal to subject a child to the vaccination (28.4%) and postponement of vaccination due to contraindications (23.5%).
Conclusions. The vaccination coverage level in the study area was assessed as satisfactory and is comparable to the results obtained on the national scale. The scale of the refusal for preventive vaccinations is not an epidemiological threat currently. However, it requires constant monitoring, and educational and information actions directed at parents/guardians.
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Affiliation(s)
- Lucyna Sochocka
- Faculty of Medical Sciences, Department of Nursing, Opole Medical School, Poland
| | - Anna Widera
- "Vita" Non-Public Heath Care Unit Okos, Horbowy – Hordyńska, Partnership Company of Doctors, Poland
| | - Katarzyna Szwamel
- Faculty of Medical Sciences, Department of Nursing, Opole Medical School, Poland
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