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Covid-19 Pandemisi Öncesinde ve Sırasında Aşı Reddinde Bulunan Ebeveynlerin Görüş ve Tutumlarının Karşılaştırılması

Yıl 2023, Cilt: 2 Sayı: 1, 1 - 14, 31.03.2023

Öz

Amaç: Bu çalışma, COVID-19 pandemisi öncesinde ve sırasında doğumda aşı reddinde bulunan ebeveynlerin görüş ve tutumlarını karşılaştırmayı amaçlamıştır.

Yöntem ve Bulgular: Bu karşılaştırmalı-tanımlayıcı tasarımda yapılan çalışmaya, Türkiye'deki ilk COVID-19 vakasından önce ilk doz Hep B aşısını yaptırmayı reddeden 20 ebeveyn (Grup1) ve pandemi başlangıcından sonra aşılamayı reddeden 24 ebeveyn (Grup2) dahil edilmiştir. Pandemi sonrası Grup1'deki ebeveynlerin %95'inin ve Grup2'dekilerin %87,5'inin çocukluk çağı aşıları konusundaki fikirlerini değiştirmediği ve gruplar arasında anlamlı bir fark olmadığı görüldü. Her iki gruptaki ebeveynler çocuklarına COVID-19 aşısı yaptırmak istemedi. Ebeveynlerin çocuklarına aşı yaptırmama nedenleri incelendiğinde Grup2’de “Hastalıktan koruduğuna inanmıyorum”, “Gerekli olduğunu düşünmüyorum” ve “Aşıların neden olduğu farklı hastalıkların geliştiğine inanıyorum” diyen ebeveyn sayısının daha fazla olduğu görüldü. Ebeveynlerin aşıların çocuk sağlığına etkilerine ilişkin görüşleri incelendiğinde, pandemi sırasında aşıyı reddeden ebeveynlerin, pandemi öncesinde reddeden ebeveynlere kıyasla “bulaşıcı hastalıklara yakalanıyorlar” düşüncesinin anlamlı derecede yüksek olduğu belirlendi.

Sonuç: COVID-19 pandemisi sırasında ebeveynlerin çocukluk çağı aşılarını reddetme nedenleri, pandemi öncesinde reddeden ebeveynlerle benzerdir ve ebeveynlerin çocukluk çağı aşılarına yönelik tutumları büyük ölçüde değişmemiştir.

Kaynakça

  • Ahmed, S., Mvalo, T., Akech, S., Agweyu, A., & Baker, K. (2020). Protecting children in low-income and middle-income countries from COVID-19. BMJ Global Health, 5, 50. https://doi.org/10.1136/bmjgh-2020-002844
  • Amanna, I., & Slifka, M. K. (2005). Public fear of vaccination: Separating fact from fiction. Viral Immunology, 18(2), 307–315. https://doi.org/10.1089/VIM.2005.18.307
  • Arede, M., Bravo-Araya, M., Bouchard, É., Gill, G. S., Plajer, V., Shehraj, A., & Shuaib, Y. A. (2019). Combating vaccine hesitancy: Teaching the next generation to navigate through the post truth era. Frontiers in Public Health, 6(1), 381. https://doi.org/10.3389/fpubh.2018.00381
  • Benecke, O., & DeYoung, S. E. (2019). Anti-Vaccine Decision-Making and Measles Resurgence in the United States. Global Pediatric Health, 6, 1–5. https://doi.org/10.1177/2333794X19862949
  • Borba, R. C. N., Vidal, V. M., & Moreira, L. de O. (2015). The re-emergency and persistence of vaccine preventable diseases. Anais Da Academia Brasileira de Ciencias, 87(2), 1311–1322. https://doi.org/10.1590/0001-3765201520140663
  • Callender, D. (2016). Vaccine hesitancy: More than a movement. Human Vaccines and Immunotherapeutics, 12(9), 2464–2468. https://doi.org/10.1080/21645515.2016.1178434
  • Cheung, E. W., Zachariah, P., Gorelik, M., Boneparth, A., Kernie, S. G., Orange, J. S., & Milner, J. D. (2020). Multisystem Inflammatory Syndrome Related to COVID-19 in Previously Healthy Children and Adolescents in New York City. Journal of the American Medical Association, 324(3), 294–296. https://doi.org/10.1001/jama.2020.10374
  • Daley, M. F., Narwaney, K. J., Shoup, J. A., Wagner, N. M., & Glanz, J. M. (2018). Addressing Parents’ Vaccine Concerns: A Randomized Trial of a Social Media Intervention. American Journal of Preventive Medicine, 55(1), 44–54. https://doi.org/10.1016/j.amepre.2018.04.010
  • Detoc, M., Bruel, S., Frappe, P., Tardy, B., Botelho-Nevers, E., & Gagneux-Brunon, A. (2020). Intention to participate in a COVID-19 vaccine clinical trial and to get vaccinated against COVID-19 in France during the pandemic. Vaccine, 38(45), 7002–7006. https://doi.org/10.1016/J.VACCINE.2020.09.041
  • Dubé, E., Gagnon, D., Ouakki, M., Bettinger, J. A., Witteman, H. O., MacDonald, S., Fisher, W., Saini, V., & Greyson, D. (2018). Measuring vaccine acceptance among Canadian parents: A survey of the Canadian Immunization Research Network. Vaccine, 36(4), 545–552. https://doi.org/10.1016/J.VACCINE.2017.12.005
  • Dubé, E., Vivion, M., & MacDonald, N. E. (2015). Vaccine hesitancy, vaccine refusal and the anti-vaccine movement: Influence, impact and implications. Expert Review of Vaccines, 14(1), 99–117. https://doi.org/10.1586/14760584.2015.964212
  • Fine, P., Eames, K., & Heymann, D. (2011). “Herd immunity”: a rough guide. Clinical Infectious Diseases, 52(7), 911–916. https://doi.org/10.1093/cid/cir007
  • Goldman, R. D., Marneni, S. R., Seiler, M., Brown, J. C., Klein, E. J., Cotanda, C. P., Gelernter, R., Yan, T. D., Hoeffe, J., Davis, A. L., Griffiths, M. A., Hall, J. E., Gualco, G., Mater, A., Manzano, S., Thompson, G. C., Ahmed, S., Ali, S., & Shimizu, N. (2020). Caregivers’ Willingness to Accept Expedited Vaccine Research During the COVID-19 Pandemic: A Cross-sectional Survey. Clinical Therapeutics, 42(11), 2124–2133. https://doi.org/10.1016/J.CLINTHERA.2020.09.012
  • Gowda, C., & Dempsey, A. F. (2013). The rise (and fall?) of parental vaccine hesitancy. Human Vaccines and Immunotherapeutics, 9(8), 1755–1762. https://doi.org/10.4161/hv.25085
  • Gür, E. (2019). Vaccine hesitancy - vaccine refusal. Turk Pediatri Arsivi, 54(1), 1–2. https://doi.org/10.14744/TurkPediatriArs.2019.79990
  • Hacettepe Üniversitesi Nüfus Etütleri Enstitüsü. (2019). 2018 Türkiye Nüfus ve Sağlık Araştırması. http://www.hips.hacettepe.edu.tr/tnsa2018/rapor/TNSA2018_ana_Rapor.pdf
  • Hussain, A., Ali, S., Ahmed, M., & Hussain, S. (2018). The Anti-vaccination Movement: A Regression in Modern Medicine. Cureus, 10(7). https://doi.org/10.7759/CUREUS.2919
  • Kumar, D., Chandra, R., Mathur, M., Samdariya, S., & Kapoor, N. (2016). Vaccine hesitancy: Understanding better to address better. Israel Journal of Health Policy Research, 5(1), 1–8. https://doi.org/10.1186/s13584-016-0062-y
  • Larson, H. J., Cooper, L. Z., Eskola, J., Katz, S. L., & Ratzan, S. (2011). Addressing the vaccine confidence gap. The Lancet, 378(9790), 526–535. https://doi.org/10.1016/S0140-6736(11)60678-8
  • Larson, H. J., Jarrett, C., Schulz, W. S., Chaudhuri, M., Zhou, Y., Dube, E., Schuster, M., MacDonald, N. E., Wilson, R., Eskola, J., Liang, X., Gellin, B., Goldstein, S., Larson, H., Manzo, M. L., Reingold, A., Tshering, K., Duclos, P., Guirguis, S., & Hickler, B. (2015). Measuring vaccine hesitancy: The development of a survey tool. Vaccine, 33(34), 4165–4175. https://doi.org/10.1016/J.VACCINE.2015.04.037
  • Marquez, R. R., Gosnell, E. S., Thikkurissy, S., Schwartz, S. B., & Cully, J. L. (2021). Caregiver acceptance of an anticipated COVID-19 vaccination. Journal of the American Dental Association, In press. https://doi.org/10.1016/j.adaj.2021.03.004
  • Nakra, N., Blumberg, D., Herrera-Guerra, A., & Lakshminrusimha, S. (2020). Multi-System Inflammatory Syndrome in Children (MIS-C) Following SARS-CoV-2 Infection: Review of Clinical Presentation, Hypothetical Pathogenesis, and Proposed Management. Children, 7(7), 69. https://doi.org/10.3390/children7070069
  • Neumann-Böhme, S., Varghese, N. E., Sabat, I., Barros, P. P., Brouwer, W., van Exel, J., Schreyögg, J., & Stargardt, T. (2020). Once we have it, will we use it? A European survey on willingness to be vaccinated against COVID-19. European Journal of Health Economics, 21(7), 977–982. https://doi.org/10.1007/S10198-020-01208-6
  • Olson, O., Berry, C., & Kumar, N. (2020). Addressing parental vaccine hesitancy towards childhood vaccines in the united states: A systematic literature review of communication interventions and strategies. Vaccines, 8(4), 590. https://doi.org/10.3390/vaccines8040590
  • Özdemir, İ. N., & Kadıoğlu, H. (2020). Validity and Reliability of Turkish version of Vaccination Confidence Scale for Parents. Florence Nightingale Journal of Nursing, 28(1), 48. https://doi.org/10.5152/FNJN.2020.18079
  • Phadke, V. K., Bednarczyk, R. A., Salmon, D. A., & Omer, S. B. (2016). Association between vaccine refusal and vaccine-preventable diseases in the United States A review of measles and pertussis. Journal of the American Medical Association, 315(11), 1149–1158. https://doi.org/10.1001/jama.2016.1353
  • Reiter, P. L., Pennell, M. L., & Katz, M. L. (2020). Acceptability of a COVID-19 vaccine among adults in the United States: How many people would get vaccinated? Vaccine, 38(42), 6500–6507. https://doi.org/10.1016/J.VACCINE.2020.08.043
  • Salmon, D. A., Dudley, M. Z., Glanz, J. M., & Omer, S. B. (2015). Vaccine hesitancy: Causes, consequences, and a call to action. Vaccine, 33, D66–D71. https://doi.org/10.1016/J.VACCINE.2015.09.035
  • Salmon, D. A., Sotir, M. J., Pan, W. K., Berg, J. L., Omer, S. B., Stokley, S., Hopfensperger, D. J., Davis, J. P., & Halsey, N. A. (2009). Parental Vaccine Refusal in Wisconsin: A Case-Control Study. WMJ, 108(1), 23. /pmc/articles/PMC6359894/
  • Wang, J., Peng, Y., Xu, H., Cui, Z., & Williams, R. O. (2020). The COVID-19 Vaccine Race: Challenges and Opportunities in Vaccine Formulation. AAPS PharmSciTech, 21(6), 1–12. https://doi.org/10.1208/s12249-020-01744-7
  • Wong, L. P., Wong, P. F., & AbuBakar, S. (2020). Vaccine hesitancy and the resurgence of vaccine preventable diseases: the way forward for Malaysia, a Southeast Asian country. Human Vaccines & Immunotherapeutics, 16(7), 1511–1520. https://doi.org/10.1080/21645515.2019.1706935
  • World Health Organization. (2014). Report of the Sage Working Group on Vaccıne Hesitancy. https://www.who.int/immunization/sage/meetings/2014/october/1_Report_WORKING_GROUP_vaccine_hesitancy_final.pdf
  • World Health Organization. (2019). Ten threats to global health in 2019. Geneva Switzerland. https://www.who.int/news-room/spotlight/ten-threats-to-global-health-in-2019
  • World Health Organization. (2020). Global and regional immunization profile: Western Pacific region. https://www.who.int/immunization/monitoring_surveillance/data/gs_wprprofile.pdf
  • Yigit, M., Ozkaya-Parlakay, A., & Senel, E. (2021). Evaluation of COVID-19 Vaccine Refusal in Parents. Pediatric Infectious Disease Journal, 40(4), E134–E136. https://doi.org/10.1097/INF.0000000000003042
  • Yılmazbas, P., Terzi, O., & Ozceker, D. (2020). Did Covid-19 Pandemic Changed Parents’ Approach To Vaccination? Running Title: Covid-19 and Vaccine Hesitation. Journal of Health and Social Behavior, 24, 385–396. https://doi.org/10.14744/etd.2020.85451

Comparison of Opinions and Attitudes of Parents with Vaccine Refusal Before and During The Covid-19 Pandemic

Yıl 2023, Cilt: 2 Sayı: 1, 1 - 14, 31.03.2023

Öz

Aim: This study aimed to compare parents’ opinions and attitudes who refused vaccination at birth before and during the COVID-19 pandemic.

Methods/design: This comparative-descriptive-design study was conducted with 20 parents (Group1) who refused to receive the first dose of Hep B vaccine before the first COVID-19 case in Turkey and 24 parents (Group2) who refused that vaccine after the onset of the pandemic. It was observed that 95% of the parents in Group1 and 87.5% of Group2 did not change their ideas about childhood vaccines after the pandemic, and there was no significant difference between the groups. Parents in both groups did not want to get vaccinated children against COVID-19. Examining the reasons why parents do not vaccinate their children; It was observed that the number of parents who thought "I do not believe it protects from the disease", "I do not think it is necessary" and "I believe that different diseases caused by vaccines develop" were higher in the pandemic group compared to the pre-pandemic group. When the views on the effects of vaccines on children's health are examined; It was found that the parents who refused the vaccine during the pandemic reported a statistically significant opinion of "They get communicable diseases" compared to the parents who refused before the pandemic.

Conclusion: The reasons for parents to refuse childhood vaccines during the COVID-19 pandemic are similar to those of parents who refused before the pandemic, and parents’ attitudes towards childhood vaccines have not changed to a large extent.

Kaynakça

  • Ahmed, S., Mvalo, T., Akech, S., Agweyu, A., & Baker, K. (2020). Protecting children in low-income and middle-income countries from COVID-19. BMJ Global Health, 5, 50. https://doi.org/10.1136/bmjgh-2020-002844
  • Amanna, I., & Slifka, M. K. (2005). Public fear of vaccination: Separating fact from fiction. Viral Immunology, 18(2), 307–315. https://doi.org/10.1089/VIM.2005.18.307
  • Arede, M., Bravo-Araya, M., Bouchard, É., Gill, G. S., Plajer, V., Shehraj, A., & Shuaib, Y. A. (2019). Combating vaccine hesitancy: Teaching the next generation to navigate through the post truth era. Frontiers in Public Health, 6(1), 381. https://doi.org/10.3389/fpubh.2018.00381
  • Benecke, O., & DeYoung, S. E. (2019). Anti-Vaccine Decision-Making and Measles Resurgence in the United States. Global Pediatric Health, 6, 1–5. https://doi.org/10.1177/2333794X19862949
  • Borba, R. C. N., Vidal, V. M., & Moreira, L. de O. (2015). The re-emergency and persistence of vaccine preventable diseases. Anais Da Academia Brasileira de Ciencias, 87(2), 1311–1322. https://doi.org/10.1590/0001-3765201520140663
  • Callender, D. (2016). Vaccine hesitancy: More than a movement. Human Vaccines and Immunotherapeutics, 12(9), 2464–2468. https://doi.org/10.1080/21645515.2016.1178434
  • Cheung, E. W., Zachariah, P., Gorelik, M., Boneparth, A., Kernie, S. G., Orange, J. S., & Milner, J. D. (2020). Multisystem Inflammatory Syndrome Related to COVID-19 in Previously Healthy Children and Adolescents in New York City. Journal of the American Medical Association, 324(3), 294–296. https://doi.org/10.1001/jama.2020.10374
  • Daley, M. F., Narwaney, K. J., Shoup, J. A., Wagner, N. M., & Glanz, J. M. (2018). Addressing Parents’ Vaccine Concerns: A Randomized Trial of a Social Media Intervention. American Journal of Preventive Medicine, 55(1), 44–54. https://doi.org/10.1016/j.amepre.2018.04.010
  • Detoc, M., Bruel, S., Frappe, P., Tardy, B., Botelho-Nevers, E., & Gagneux-Brunon, A. (2020). Intention to participate in a COVID-19 vaccine clinical trial and to get vaccinated against COVID-19 in France during the pandemic. Vaccine, 38(45), 7002–7006. https://doi.org/10.1016/J.VACCINE.2020.09.041
  • Dubé, E., Gagnon, D., Ouakki, M., Bettinger, J. A., Witteman, H. O., MacDonald, S., Fisher, W., Saini, V., & Greyson, D. (2018). Measuring vaccine acceptance among Canadian parents: A survey of the Canadian Immunization Research Network. Vaccine, 36(4), 545–552. https://doi.org/10.1016/J.VACCINE.2017.12.005
  • Dubé, E., Vivion, M., & MacDonald, N. E. (2015). Vaccine hesitancy, vaccine refusal and the anti-vaccine movement: Influence, impact and implications. Expert Review of Vaccines, 14(1), 99–117. https://doi.org/10.1586/14760584.2015.964212
  • Fine, P., Eames, K., & Heymann, D. (2011). “Herd immunity”: a rough guide. Clinical Infectious Diseases, 52(7), 911–916. https://doi.org/10.1093/cid/cir007
  • Goldman, R. D., Marneni, S. R., Seiler, M., Brown, J. C., Klein, E. J., Cotanda, C. P., Gelernter, R., Yan, T. D., Hoeffe, J., Davis, A. L., Griffiths, M. A., Hall, J. E., Gualco, G., Mater, A., Manzano, S., Thompson, G. C., Ahmed, S., Ali, S., & Shimizu, N. (2020). Caregivers’ Willingness to Accept Expedited Vaccine Research During the COVID-19 Pandemic: A Cross-sectional Survey. Clinical Therapeutics, 42(11), 2124–2133. https://doi.org/10.1016/J.CLINTHERA.2020.09.012
  • Gowda, C., & Dempsey, A. F. (2013). The rise (and fall?) of parental vaccine hesitancy. Human Vaccines and Immunotherapeutics, 9(8), 1755–1762. https://doi.org/10.4161/hv.25085
  • Gür, E. (2019). Vaccine hesitancy - vaccine refusal. Turk Pediatri Arsivi, 54(1), 1–2. https://doi.org/10.14744/TurkPediatriArs.2019.79990
  • Hacettepe Üniversitesi Nüfus Etütleri Enstitüsü. (2019). 2018 Türkiye Nüfus ve Sağlık Araştırması. http://www.hips.hacettepe.edu.tr/tnsa2018/rapor/TNSA2018_ana_Rapor.pdf
  • Hussain, A., Ali, S., Ahmed, M., & Hussain, S. (2018). The Anti-vaccination Movement: A Regression in Modern Medicine. Cureus, 10(7). https://doi.org/10.7759/CUREUS.2919
  • Kumar, D., Chandra, R., Mathur, M., Samdariya, S., & Kapoor, N. (2016). Vaccine hesitancy: Understanding better to address better. Israel Journal of Health Policy Research, 5(1), 1–8. https://doi.org/10.1186/s13584-016-0062-y
  • Larson, H. J., Cooper, L. Z., Eskola, J., Katz, S. L., & Ratzan, S. (2011). Addressing the vaccine confidence gap. The Lancet, 378(9790), 526–535. https://doi.org/10.1016/S0140-6736(11)60678-8
  • Larson, H. J., Jarrett, C., Schulz, W. S., Chaudhuri, M., Zhou, Y., Dube, E., Schuster, M., MacDonald, N. E., Wilson, R., Eskola, J., Liang, X., Gellin, B., Goldstein, S., Larson, H., Manzo, M. L., Reingold, A., Tshering, K., Duclos, P., Guirguis, S., & Hickler, B. (2015). Measuring vaccine hesitancy: The development of a survey tool. Vaccine, 33(34), 4165–4175. https://doi.org/10.1016/J.VACCINE.2015.04.037
  • Marquez, R. R., Gosnell, E. S., Thikkurissy, S., Schwartz, S. B., & Cully, J. L. (2021). Caregiver acceptance of an anticipated COVID-19 vaccination. Journal of the American Dental Association, In press. https://doi.org/10.1016/j.adaj.2021.03.004
  • Nakra, N., Blumberg, D., Herrera-Guerra, A., & Lakshminrusimha, S. (2020). Multi-System Inflammatory Syndrome in Children (MIS-C) Following SARS-CoV-2 Infection: Review of Clinical Presentation, Hypothetical Pathogenesis, and Proposed Management. Children, 7(7), 69. https://doi.org/10.3390/children7070069
  • Neumann-Böhme, S., Varghese, N. E., Sabat, I., Barros, P. P., Brouwer, W., van Exel, J., Schreyögg, J., & Stargardt, T. (2020). Once we have it, will we use it? A European survey on willingness to be vaccinated against COVID-19. European Journal of Health Economics, 21(7), 977–982. https://doi.org/10.1007/S10198-020-01208-6
  • Olson, O., Berry, C., & Kumar, N. (2020). Addressing parental vaccine hesitancy towards childhood vaccines in the united states: A systematic literature review of communication interventions and strategies. Vaccines, 8(4), 590. https://doi.org/10.3390/vaccines8040590
  • Özdemir, İ. N., & Kadıoğlu, H. (2020). Validity and Reliability of Turkish version of Vaccination Confidence Scale for Parents. Florence Nightingale Journal of Nursing, 28(1), 48. https://doi.org/10.5152/FNJN.2020.18079
  • Phadke, V. K., Bednarczyk, R. A., Salmon, D. A., & Omer, S. B. (2016). Association between vaccine refusal and vaccine-preventable diseases in the United States A review of measles and pertussis. Journal of the American Medical Association, 315(11), 1149–1158. https://doi.org/10.1001/jama.2016.1353
  • Reiter, P. L., Pennell, M. L., & Katz, M. L. (2020). Acceptability of a COVID-19 vaccine among adults in the United States: How many people would get vaccinated? Vaccine, 38(42), 6500–6507. https://doi.org/10.1016/J.VACCINE.2020.08.043
  • Salmon, D. A., Dudley, M. Z., Glanz, J. M., & Omer, S. B. (2015). Vaccine hesitancy: Causes, consequences, and a call to action. Vaccine, 33, D66–D71. https://doi.org/10.1016/J.VACCINE.2015.09.035
  • Salmon, D. A., Sotir, M. J., Pan, W. K., Berg, J. L., Omer, S. B., Stokley, S., Hopfensperger, D. J., Davis, J. P., & Halsey, N. A. (2009). Parental Vaccine Refusal in Wisconsin: A Case-Control Study. WMJ, 108(1), 23. /pmc/articles/PMC6359894/
  • Wang, J., Peng, Y., Xu, H., Cui, Z., & Williams, R. O. (2020). The COVID-19 Vaccine Race: Challenges and Opportunities in Vaccine Formulation. AAPS PharmSciTech, 21(6), 1–12. https://doi.org/10.1208/s12249-020-01744-7
  • Wong, L. P., Wong, P. F., & AbuBakar, S. (2020). Vaccine hesitancy and the resurgence of vaccine preventable diseases: the way forward for Malaysia, a Southeast Asian country. Human Vaccines & Immunotherapeutics, 16(7), 1511–1520. https://doi.org/10.1080/21645515.2019.1706935
  • World Health Organization. (2014). Report of the Sage Working Group on Vaccıne Hesitancy. https://www.who.int/immunization/sage/meetings/2014/october/1_Report_WORKING_GROUP_vaccine_hesitancy_final.pdf
  • World Health Organization. (2019). Ten threats to global health in 2019. Geneva Switzerland. https://www.who.int/news-room/spotlight/ten-threats-to-global-health-in-2019
  • World Health Organization. (2020). Global and regional immunization profile: Western Pacific region. https://www.who.int/immunization/monitoring_surveillance/data/gs_wprprofile.pdf
  • Yigit, M., Ozkaya-Parlakay, A., & Senel, E. (2021). Evaluation of COVID-19 Vaccine Refusal in Parents. Pediatric Infectious Disease Journal, 40(4), E134–E136. https://doi.org/10.1097/INF.0000000000003042
  • Yılmazbas, P., Terzi, O., & Ozceker, D. (2020). Did Covid-19 Pandemic Changed Parents’ Approach To Vaccination? Running Title: Covid-19 and Vaccine Hesitation. Journal of Health and Social Behavior, 24, 385–396. https://doi.org/10.14744/etd.2020.85451
Toplam 36 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Sağlık Kurumları Yönetimi
Bölüm Araştırma Makaleleri
Yazarlar

Nihan Korkmaz 0000-0002-1384-3563

Tuğba Karakuş Türker 0000-0003-1159-5313

Merve Azak 0000-0003-4299-3322

Fatma Hacıoğlu 0000-0003-4958-1267

Nur Bahar Kuru Aktürk 0000-0003-3711-3271

Suzan Yıldız 0000-0002-2528-2185

Yayımlanma Tarihi 31 Mart 2023
Yayımlandığı Sayı Yıl 2023 Cilt: 2 Sayı: 1

Kaynak Göster

APA Korkmaz, N., Karakuş Türker, T., Azak, M., Hacıoğlu, F., vd. (2023). Comparison of Opinions and Attitudes of Parents with Vaccine Refusal Before and During The Covid-19 Pandemic. Doğu Karadeniz Sağlık Bilimleri Dergisi, 2(1), 1-14.

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