Annelerin COVİD-19 Salgını ve Aşılamayla İlgili Haberler/Söylentiler Sonrası Çocukluk Çağı Aşılama Programlarına Bakış Açıları
Yıl 2024,
Cilt: 18 Sayı: 6, 348 - 354, 18.11.2024
Mehmet Semih Demirtaş
,
Nihal Yaman Artunç
Öz
Amaç: Ebeveynlerin çocukluk çağı aşılarına karşı aşı tereddütleri, başta çocuklar olmak üzere tüm toplumu etkileyen önemli bir halk sağlığı sorunudur. Bu çalışmada, COVİD-19 sonrası annelerde aşı tereddütünü değerlendirmeyi amaçladık.
Gereç ve Yöntemler: Çalışmaya Şubat-Ağustos 2023 tarihleri arasında Aksaray Üniversite Hastanesi pediatri polikliniklerine 0-2 yaş arası sağlıklı çocuklarının takibi için başvuran toplam 161 anne dahil edildi. Sosyodemografik bilgiler bir anket aracılığıyla elde edildi ve çalışmada aşı tereddüt ölçeği kullanıldı.
Bulgular: Annelerin %75.8’i rutin çocukluk çağı aşılama programını güvenli buldu. COVİD-19 enfeksiyonu/pandemisi sonrası aşı haberlerinden/söylentilerinden olumsuz etkilenme oranı kararsız grupta %23 iken, bu oran güvenli grupta %2.5’ti (p<0.001). Aşı tereddüt ölçeği puanı aşı haberlerinden/söylentilerinden etkilenen grupta (22.5±4.96), etkilenmeye gruba (17.3±3.99) göre daha yüksek bulunmuştur (p<0.001). Çocukluk çağı rutin aşılamalarını güvenli bulan ebeveynlerin aşı kararsızlık ölçeği puanı (19.02±4.45) kararsız gruptan (25.41±4.66) daha düşüktü (p<0.001). Lise ve üzeri eğitime sahip annelerin aşı kararsızlık ölçek puanları (21.39±5.19) diğer gruptan (19.39±4.59) daha yüksek olduğu bulunmuştur (p=0.014).
Sonuç: Anneler sosyal medyadaki haber/söylenti ve paylaşımlardan etkilenebilmektedir ve bu nedenle ebeveynlerin dijital ebeveynlik ve sağlık okuryazarlığı konusunda bilinçli olmaları gerekmektedir. Eğitim düzeyi daha yüksek olan anneler aşılama konusunda daha fazla araştırma yapmakta ve çocukluk aşıları konusunda daha tereddütlü olabilmektedir. Çocukları için en doğru ve uygun kararı vermeye çalışan anneler için erken aşılama/hastalık konusunda en doğru bilgi başta pediatristler olmak üzere tüm sağlık profesyonellerinden sağlanmalıdır.
Kaynakça
- Demirtas MS, Alici N. The reliability and quality of YouTube videos as a source of breath holding spell. Ital J Pediatr 2024;50:8.
- Catalan-Matamoros D, Elias C. Vaccine Hesitancy in the Age of Coronavirus and Fake News: Analysis of Journalistic Sources in the Spanish Quality Press. Int J Environ Res Public Health 2020;17:18136.
- Sallam M, Dababseh D, Eid H, Hasan H, Taim D, Al-Mahzoum K, et al. Low COVID-19 Vaccine Acceptance Is Correlated with Conspiracy Beliefs among University Students in Jordan. Int J Environ Res Public Health 2021;18:2407.
- Olusanya OA, Bednarczyk RA, Davis RL, Shaban-Nejad A. Addressing Parental Vaccine Hesitancy and Other Barriers to Childhood/Adolescent Vaccination Uptake During the Coronavirus (COVID-19) Pandemic. Front Immunol 2021;12:663074.
- Rodrigues F, Block S, Sood S. What Determines Vaccine Hesitancy: Recommendations from Childhood Vaccine Hesitancy to Address COVID-19 Vaccine Hesitancy. Vaccines (Basel) 2022;10:80.
- Organisition WH. Ten threats to global health in 2019: WHO; 2019 [Available from: https://www.who.int/news-room/spotlight/ten-threats-to-global-health-in-2019.
- Martinez EZ, Zucoloto ML, Ramos VP, Dutra CDC, de Jesus GJ, Esteves AVF, et al. Brazilian Adults’ Attitudes and Practices Regarding the Mandatory COVID-19 Vaccination and Their Hesitancy towards Childhood Vaccination. Vaccines (Basel) 2022;10:1853.
- Onal O, Eroglu HN, Evcil FY, Kisioglu AN, Uskun E. Validity and reliability of Turkish version of the Vaccine Hesitancy Scale. Turk Arch Pediatr 2021;56:230-5.
- Shapiro GK, Tatar O, Dube E, Amsel R, Knauper B, Naz A, et al. The vaccine hesitancy scale: Psychometric properties and validation. Vaccine 2018;36:660-7.
- Yalcin SS, Komurluoglu A, Topac O. Rates of childhood vaccine refusal in Turkey during 2016-2017: Regional causes and solutions. Arch Pediatr 2022;29(8):594-8.
- Tang L, Fujimoto K, Amith MT, Cunningham R, Costantini RA, York F, et al. “Down the Rabbit Hole” of Vaccine Misinformation on YouTube: Network Exposure Study. J Med Internet Res 2021;23:e23262.
- Wilson SL, Wiysonge C. Social media and vaccine hesitancy. BMJ Glob Health 2020;5:e004206.
- Broadbent JJ. Vaccine hesitancy: misinformation on social media. BMJ 2019;366:l4457
- Carrieri V, Madio L, Principe F. Vaccine hesitancy and (fake) news: Quasi-experimental evidence from Italy. Health Econ 2019;28:1377-82.
- Demirtas MS, Alici N. YouTube as a source of information on infantile colic. Pediatr Int 2023;65:e15624.
- Wheeler M, Buttenheim AM. Parental vaccine concerns, information source, and choice of alternative immunization schedules. Hum Vaccin Immunother 2013;9:1782-9.
- Wilson K, Keelan J. Social media and the empowering of opponents of medical technologies: the case of anti-vaccinationism. J Med Internet Res 2013;15:e103.
- Larson HJ, Jarrett C, Eckersberger E, Smith DM, Paterson P. Understanding vaccine hesitancy around vaccines and vaccination from a global perspective: a systematic review of published literature, 2007-2012. Vaccine 2014;32:2150-9.
- Onsomu EO, Abuya BA, Okech IN, Moore D, Collins-McNeil J. Maternal Education and Immunization Status Among Children in Kenya. Matern Child Health J 2015;19:1724-33.
- Reich JA. “We are fierce, independent thinkers and intelligent”: Social capital and stigma management among mothers who refuse vaccines. Soc Sci Med 2020;257:112015.
- Anello P, Cestari L, Baldovin T, Simonato L, Frasca G, Caranci N, et al. Socioeconomic factors influencing childhood vaccination in two northern Italian regions. Vaccine 2017;35:4673-80.
- Hak E, Schonbeck Y, De Melker H, Van Essen GA, Sanders EA. Negative attitude of highly educated parents and health care workers towards future vaccinations in the Dutch childhood vaccination program. Vaccine 2005;23:3103-7.
- Opel DJ, Taylor JA, Mangione-Smith R, Solomon C, Zhao C, Catz S, et al. Validity and reliability of a survey to identify vaccine-hesitant parents. Vaccine 2011;29:6598-605.
- Facciola A, Visalli G, Orlando A, Bertuccio MP, Spataro P, Squeri R, et al. Vaccine hesitancy: An overview on parents’ opinions about vaccination and possible reasons of vaccine refusal. J Public Health Res 2019;8:1436.
- Almuqbil M, Al-Asmi R, AlRamly S, Hijazi N, Alotaibi H, AlMubarak A, et al. Parental COVID-19 Vaccine Hesitancy for Children and Its Influencing Factors: A Riyadh-Based Cross-Sectional Study. Vaccines (Basel) 2023;11:518.
- Bagateli LE, Saeki EY, Fadda M, Agostoni C, Marchisio P, Milani GP. COVID-19 Vaccine Hesitancy among Parents of Children and Adolescents Living in Brazil. Vaccines (Basel) 2021;9:1115.
- Fadl N, Abdelmoneim SA, Gebreal A, Youssef N, Ghazy RM. Routine childhood immunization in Sub-Saharan Africa: addressing parental vaccine hesitancy. Public Health 2024;226:66-73.
- Akman N, Yıldız A. Evaluation of Mothers’ Opinions on Routine Childhood Vaccinations. J Pediatr Inf 2022;16:e253-e9.
- Francis MR, Nohynek H, Larson H, Balraj V, Mohan VR, Kang G, et al. Factors associated with routine childhood vaccine uptake and reasons for non-vaccination in India: 1998-2008. Vaccine 2018;36:6559-66.
- Quadri-Sheriff M, Hendrix KS, Downs SM, Sturm LA, Zimet GD, Finnell SM. The role of herd immunity in parents’ decision to vaccinate children: a systematic review. Pediatrics 2012;130:522-30.
- Hardt K, Bonanni P, King S, Santos JI, El-Hodhod M, Zimet GD, et al. Vaccine strategies: Optimising outcomes. Vaccine 2016;34:6691-9.
- Younger DS, Younger AP, Guttmacher S. Childhood Vaccination: Implications for Global and Domestic Public Health. Neurol Clin 2016;34:1035-47.
- Hacettepe University Institute of Population Studies. 2018 Turkey Demographic and Health Survey. Hacettepe University Institute of Population Studies, TR. Presidency of Turkey Directorate of Strategy and Budget and TÜBİTAK, Ankara, Turkey 2019.
- Parrella A, Gold M, Marshall H, Braunack-Mayer A, Baghurst P. Parental perspectives of vaccine safety and experience of adverse events following immunisation. Vaccine 2013;31:2067-74.
- Yarwood J, Noakes K, Kennedy D, Campbell H, Salisbury D. Tracking mothers attitudes to childhood immunisation 1991-2001. Vaccine 2005;23:5670-87.
Mothers’ Perspectives on Childhood Vaccination Programmes after the COVID-19 Pandemic and Subsequent News/Rumours About Vaccination
Yıl 2024,
Cilt: 18 Sayı: 6, 348 - 354, 18.11.2024
Mehmet Semih Demirtaş
,
Nihal Yaman Artunç
Öz
Objective: Vaccine hesitation in parents against the childhood vaccination is an important public health problem that affects the whole society, especially children. In this study, we aimed to evaluate vaccine hesitancy in parents after COVID-19.
Methods: The study consisted of a total of 161 parents who applied to the paediatric outpatient clinics of the University Hospital between February and August 2023 for the follow-up of healthy children aged 0-2 years. Sociodemographic information about infants and parents was obtained through a questionnaire and the vaccine hesitancy scale was used in the study.
Results: The mean age of the infants was 7.4 ± 1.01 months; that of the mothers was 29.8 ± 4.3 years. 75.8% of parents considered the routine childhood vaccination programme safe. The rate of negatively affected by vaccine news/rumours after COVID-19 infection/pandemic was 23% in the hesitant group, while this rate was 2.5% in the safe group (p < 0.001). The vaccine hesitancy scale score was found to be higher in the group (22.5 ± 4.96) affected by vaccine news/rumours (p < 0.001). The vaccine hesitancy scale score of the parents who found childhood routine vaccination safe was lower than the hesitant group (p < 0.001).
Conclusion: Parents can be affected by news/rumours and posts on social media, and therefore parents need to be aware of digital parenting and health literacy. For parents who are trying to make the most accurate and appropriate decision for their children, the most accurate information about early vaccination/disease should be provided from all health professionals, especially paediatricians.
Kaynakça
- Demirtas MS, Alici N. The reliability and quality of YouTube videos as a source of breath holding spell. Ital J Pediatr 2024;50:8.
- Catalan-Matamoros D, Elias C. Vaccine Hesitancy in the Age of Coronavirus and Fake News: Analysis of Journalistic Sources in the Spanish Quality Press. Int J Environ Res Public Health 2020;17:18136.
- Sallam M, Dababseh D, Eid H, Hasan H, Taim D, Al-Mahzoum K, et al. Low COVID-19 Vaccine Acceptance Is Correlated with Conspiracy Beliefs among University Students in Jordan. Int J Environ Res Public Health 2021;18:2407.
- Olusanya OA, Bednarczyk RA, Davis RL, Shaban-Nejad A. Addressing Parental Vaccine Hesitancy and Other Barriers to Childhood/Adolescent Vaccination Uptake During the Coronavirus (COVID-19) Pandemic. Front Immunol 2021;12:663074.
- Rodrigues F, Block S, Sood S. What Determines Vaccine Hesitancy: Recommendations from Childhood Vaccine Hesitancy to Address COVID-19 Vaccine Hesitancy. Vaccines (Basel) 2022;10:80.
- Organisition WH. Ten threats to global health in 2019: WHO; 2019 [Available from: https://www.who.int/news-room/spotlight/ten-threats-to-global-health-in-2019.
- Martinez EZ, Zucoloto ML, Ramos VP, Dutra CDC, de Jesus GJ, Esteves AVF, et al. Brazilian Adults’ Attitudes and Practices Regarding the Mandatory COVID-19 Vaccination and Their Hesitancy towards Childhood Vaccination. Vaccines (Basel) 2022;10:1853.
- Onal O, Eroglu HN, Evcil FY, Kisioglu AN, Uskun E. Validity and reliability of Turkish version of the Vaccine Hesitancy Scale. Turk Arch Pediatr 2021;56:230-5.
- Shapiro GK, Tatar O, Dube E, Amsel R, Knauper B, Naz A, et al. The vaccine hesitancy scale: Psychometric properties and validation. Vaccine 2018;36:660-7.
- Yalcin SS, Komurluoglu A, Topac O. Rates of childhood vaccine refusal in Turkey during 2016-2017: Regional causes and solutions. Arch Pediatr 2022;29(8):594-8.
- Tang L, Fujimoto K, Amith MT, Cunningham R, Costantini RA, York F, et al. “Down the Rabbit Hole” of Vaccine Misinformation on YouTube: Network Exposure Study. J Med Internet Res 2021;23:e23262.
- Wilson SL, Wiysonge C. Social media and vaccine hesitancy. BMJ Glob Health 2020;5:e004206.
- Broadbent JJ. Vaccine hesitancy: misinformation on social media. BMJ 2019;366:l4457
- Carrieri V, Madio L, Principe F. Vaccine hesitancy and (fake) news: Quasi-experimental evidence from Italy. Health Econ 2019;28:1377-82.
- Demirtas MS, Alici N. YouTube as a source of information on infantile colic. Pediatr Int 2023;65:e15624.
- Wheeler M, Buttenheim AM. Parental vaccine concerns, information source, and choice of alternative immunization schedules. Hum Vaccin Immunother 2013;9:1782-9.
- Wilson K, Keelan J. Social media and the empowering of opponents of medical technologies: the case of anti-vaccinationism. J Med Internet Res 2013;15:e103.
- Larson HJ, Jarrett C, Eckersberger E, Smith DM, Paterson P. Understanding vaccine hesitancy around vaccines and vaccination from a global perspective: a systematic review of published literature, 2007-2012. Vaccine 2014;32:2150-9.
- Onsomu EO, Abuya BA, Okech IN, Moore D, Collins-McNeil J. Maternal Education and Immunization Status Among Children in Kenya. Matern Child Health J 2015;19:1724-33.
- Reich JA. “We are fierce, independent thinkers and intelligent”: Social capital and stigma management among mothers who refuse vaccines. Soc Sci Med 2020;257:112015.
- Anello P, Cestari L, Baldovin T, Simonato L, Frasca G, Caranci N, et al. Socioeconomic factors influencing childhood vaccination in two northern Italian regions. Vaccine 2017;35:4673-80.
- Hak E, Schonbeck Y, De Melker H, Van Essen GA, Sanders EA. Negative attitude of highly educated parents and health care workers towards future vaccinations in the Dutch childhood vaccination program. Vaccine 2005;23:3103-7.
- Opel DJ, Taylor JA, Mangione-Smith R, Solomon C, Zhao C, Catz S, et al. Validity and reliability of a survey to identify vaccine-hesitant parents. Vaccine 2011;29:6598-605.
- Facciola A, Visalli G, Orlando A, Bertuccio MP, Spataro P, Squeri R, et al. Vaccine hesitancy: An overview on parents’ opinions about vaccination and possible reasons of vaccine refusal. J Public Health Res 2019;8:1436.
- Almuqbil M, Al-Asmi R, AlRamly S, Hijazi N, Alotaibi H, AlMubarak A, et al. Parental COVID-19 Vaccine Hesitancy for Children and Its Influencing Factors: A Riyadh-Based Cross-Sectional Study. Vaccines (Basel) 2023;11:518.
- Bagateli LE, Saeki EY, Fadda M, Agostoni C, Marchisio P, Milani GP. COVID-19 Vaccine Hesitancy among Parents of Children and Adolescents Living in Brazil. Vaccines (Basel) 2021;9:1115.
- Fadl N, Abdelmoneim SA, Gebreal A, Youssef N, Ghazy RM. Routine childhood immunization in Sub-Saharan Africa: addressing parental vaccine hesitancy. Public Health 2024;226:66-73.
- Akman N, Yıldız A. Evaluation of Mothers’ Opinions on Routine Childhood Vaccinations. J Pediatr Inf 2022;16:e253-e9.
- Francis MR, Nohynek H, Larson H, Balraj V, Mohan VR, Kang G, et al. Factors associated with routine childhood vaccine uptake and reasons for non-vaccination in India: 1998-2008. Vaccine 2018;36:6559-66.
- Quadri-Sheriff M, Hendrix KS, Downs SM, Sturm LA, Zimet GD, Finnell SM. The role of herd immunity in parents’ decision to vaccinate children: a systematic review. Pediatrics 2012;130:522-30.
- Hardt K, Bonanni P, King S, Santos JI, El-Hodhod M, Zimet GD, et al. Vaccine strategies: Optimising outcomes. Vaccine 2016;34:6691-9.
- Younger DS, Younger AP, Guttmacher S. Childhood Vaccination: Implications for Global and Domestic Public Health. Neurol Clin 2016;34:1035-47.
- Hacettepe University Institute of Population Studies. 2018 Turkey Demographic and Health Survey. Hacettepe University Institute of Population Studies, TR. Presidency of Turkey Directorate of Strategy and Budget and TÜBİTAK, Ankara, Turkey 2019.
- Parrella A, Gold M, Marshall H, Braunack-Mayer A, Baghurst P. Parental perspectives of vaccine safety and experience of adverse events following immunisation. Vaccine 2013;31:2067-74.
- Yarwood J, Noakes K, Kennedy D, Campbell H, Salisbury D. Tracking mothers attitudes to childhood immunisation 1991-2001. Vaccine 2005;23:5670-87.