Cent Eur J Public Health 2021, 29(3):183-186 | DOI: 10.21101/cejph.a6153

Investigation of knowledge, attitude and behaviours of parents refusing childhood vaccines in Malatya, an eastern city of Turkey

Ayşe Gökçe1, Neşe Karakaş2, Ali Özer3, Recep Bentli4
1 Bingol Provincial Health Directorate, Bingol, Turkey
2 Department of Emergency Aid and Disaster Management, Faculty of Health Sciences, Turgut Ozal University, Malatya, Turkey
3 Department of Public Health, Medical Faculty, Inonu University, Malatya, Turkey
4 Malatya Provincial Health Directorate, Malatya, Turkey

Objectives: The modern rise of vaccine rejection in society can alter the current progress that has been made towards the control and prevention of certain diseases, possibly even resulting in epidemics involving these preventable diseases. The aim of this study is to analyse the knowledge, attitude and behaviours of parents in Malatya city who rejected childhood vaccines.

Methods: This descriptive, cross-sectional study was conducted between September-November 2019. The study includes parents who rejected vaccines and are registered in the family medicine clinics of Malatya city - total of 453 participants. The objective was to include all parents and avoid a sampling procedure. However, only 151 (33%) parents agreed to participate. These parents who rejected vaccines were individually contacted by phone. Descriptive data was represented by number (n) and percentage (%). The chi-square test was utilized in the statistical analysis of data and p < 0.05 was considered significant in all evaluations.

Results: Mothers in the study group had a mean age of 26.07 ± 3.64, while the fathers were on average 30.03 ± 4.59 years of age; 98% of parents were aware of the health risks that vaccine rejection presented; 93% of parents were not satisfied with the explanation, insight, and advice that the healthcare personnel provided regarding vaccines. All parents of the study group stated the following: vaccines should not be administered because other children in their close environment acquired a disease as a result of vaccination, vaccines can harm the immune system of children - not yet fully developed, vaccines are unsafe and endanger the health of children.

Conclusions: It can be said that parents who have obtained a lot of false information possess altered decisions and views on vaccinations, to the point where they accept the risks presented by preventable diseases. In addition, individuals lose trust following negative experiences with vaccination.

Klíčová slova: vaccination, parents, knowledge

Vloženo: 23. únor 2020; Revidováno: 27. červenec 2021; Přijato: 27. červenec 2021; Zveřejněno: 30. září 2021  Zobrazit citaci

ACS AIP APA ASA Harvard Chicago Chicago Notes IEEE ISO690 MLA NLM Turabian Vancouver
Gökçe A, Karakaş N, Özer A, Bentli R. Investigation of knowledge, attitude and behaviours of parents refusing childhood vaccines in Malatya, an eastern city of Turkey. Cent Eur J Public Health. 2021;29(3):183-186. doi: 10.21101/cejph.a6153. PubMed PMID: 34623116.
Stáhnout citaci

Reference

  1. Aggarwal A. Childhood vaccine refusal and hesitancy - reasons. Indian J Pediatr. 2019;86(1):5-6. Přejít k původnímu zdroji... Přejít na PubMed...
  2. UNICEF. 20 million children miss out on lifesaving measles, diphtheria and tetanus vaccines in 2018 [Internet]. UNICEF; 2019 [cited 2020 Jan 22]. Available from: https://www.unicef.org/turkey/en/press-releases/20-million-children-miss-out-lifesaving-measles-diphtheria-and-tetanus-vaccines-2018.
  3. World Health Organization. Measles [Internet]. Geneva: WHO; 2019 [cited 2019 Dec 5]. Available from: https://www.who.int/news-room/fact-sheets/detail/measles.
  4. World Health Organization. Worldwide measles deaths climb 50% from 2016 to 2019 claiming over 207 500 lives in 2019 [Internet]. Geneva: WHO; 2020 [cited 2020 Nov 12]. Available from: 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.
  5. UNICEF. UNICEF Data Warehouse [Internet]. [cited 2020 Jan 22]. Available from: https://data.unicef.org/dv_index/.
  6. Ministry of Health. Health statistics yearbook 2018 Report bulletin [Internet]. Ministry of Health; 2020 [cited 2020 Jan 25]. Available from: https://sbsgm.saglik.gov.tr/TR,57543/saglik-istatistikleri-yilligi-2018-haber-bulteni.html. (In Turkish.)
  7. World Health Organization. Ten threats to global health in 2019 [Internet]. WHO [cited 2020 Jan 22]. Available from: https://www.who.int/news-room/feature-stories/ten-threats-to-global-health-in-2019.
  8. Gowda C, Dempsey AF. The rise (and fall?) of parental vaccine hesitancy. Hum Vaccin Immunother. 2013;9(8):1755-62. Přejít k původnímu zdroji... Přejít na PubMed...
  9. Population and administrative structure [Internet]. [cited 2020 Feb 7]. Available from: http://www.malatya.gov.tr/nufus-ve-idari-yapi. (In Turkish).
  10. Malatya apricot [Internet]. [cited 2020 Feb 7]. Available from: http://www.malatya.gov.tr/malatya-kayisisi-. (In Turkish).
  11. Repalust A, Šević S, Rihtar S, Štulhofer A. Childhood vaccine refusal and hesitancy intentions in Croatia: insights from a population-based study. Psychol Health Med. 2017;22(9):1045-55. Přejít k původnímu zdroji... Přejít na PubMed...
  12. Camargo K, Grant R. Public health, science, and policy debate: being right is not enough. Am J Public Health. 2015;105(2):232-5. Přejít k původnímu zdroji... Přejít na PubMed...
  13. Gross K, Hartmann K, Zemp E, Merten S. 'I know it has worked for millions of years': the role of the 'natural' in parental reasoning against child immunization in a qualitative study in Switzerland. BMC Public Health. 2015;15:373. doi: 10.1186/s12889-015-1716-3. Přejít k původnímu zdroji... Přejít na PubMed...
  14. Topçu S, Almiş 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. Přejít k původnímu zdroji... Přejít na PubMed...
  15. Ames HM, Glenton C, Lewin S. Parents' and informal caregivers' views and experiences of communication about routine childhood vaccination: a synthesis of qualitative evidence. Cochrane Database Syst Rev. 2017;2(2):CD011787. doi: 10.1002/14651858.CD011787.pub2. Přejít k původnímu zdroji... Přejít na PubMed...
  16. Napolitano F, D'Alessandro A, Angelillo IF. Investigating Italian parents' vaccine hesitancy: a cross-sectional survey. Hum Vaccin Immunother. 2018;14(7):1558-65. Přejít k původnímu zdroji... Přejít na PubMed...
  17. Freed GL, Clark SJ, Butchart AT, Singer DC, Davis MM. Sources and perceived credibility of vaccine safety information for parents. Pediatrics. 2011;127(Suppl 1):107-12. Přejít k původnímu zdroji... Přejít na PubMed...
  18. Roberts JR, Thompson D, Rogacki B, Hale JJ, Jacobson RM, Opel DJ, et al. Vaccine hesitancy among parents of adolescents and its association with vaccine uptake. Vaccine. 2015;33(14):1748-55. Přejít k původnímu zdroji... Přejít na PubMed...
  19. Korkmaz P, Kilit TP, Onbaşi K, Ozatag DM, Toka O. Influenza vaccination prevalence among the elderly and individuals with chronic disease, and factors affecting vaccination uptake. Cent Eur J Public Health. 2019;27(1):44-9. Přejít k původnímu zdroji... Přejít na PubMed...
  20. Masadeh MM, Alzoubi KH, Al-Azzam SI, Al-Agedi HS, Abu Rashid BE, Mukattash TL. Public awareness regarding children vaccination in Jordan. Hum Vaccin Immunother. 2014;10(6):1762-6. Přejít k původnímu zdroji... Přejít na PubMed...
  21. Kurugöl Z. Pertussis epidemiology in Turkey: are booster doses necessary? J Pediatr Infect. 2009;3(1):14-8.
  22. Brown AL, Sperandio M, Turssi CP, Leite R, Berton VF, Succi RM, et al. Vaccine confidence and hesitancy in Brazil. Cad Saude Publica. 2018;34(9):e00011618. doi: 10.1590/0102-311X00011618. Přejít k původnímu zdroji... Přejít na PubMed...
  23. Clarke CE. A question of balance: the autism-vaccine controversy in the British and American Elite Pres. Sci Commun. 2008;30(1):77-107. Přejít k původnímu zdroji...
  24. Gerber JS, Offit PA. Vaccines and autism: a tale of shifting hypotheses. Clin Infect Dis. 2009;48(4):456-61. Přejít k původnímu zdroji... Přejít na PubMed...
  25. Brown KF, Long SJ, Ramsay M, Hudson MJ, Green J, Vincent CA, et al. UK parents' decision-making about measles-mumps-rubella (MMR) vaccine 10 years after the MMR-autism controversy: a qualitative analysis. Vaccine. 2012;30(10):1855-64. Přejít k původnímu zdroji... Přejít na PubMed...