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Evaluation of Childhood Vaccine Refusal and Hesitancy Intentions in Turkey
Seda Topçu1, Habip Almış2, Sevgi Başkan3
1Division of Social Pediatrics, Department of Pediatrics, Ankara University School of Medicine, Ankara, Turkey. mdsedatopcu@gmail.com.
Insights
Parental distrust in vaccines and beliefs about their danger significantly drive childhood vaccine refusal and hesitancy (CVRH) in Turkey. Lower income and reduced use of protective health strategies were also observed in CVRH families.
Area of Science:
- Public Health
- Pediatrics
- Social Science
Background:
- Childhood vaccine refusal and hesitancy (CVRH) pose a significant public health challenge globally.
- Understanding parental factors influencing CVRH is crucial for developing targeted interventions.
Purpose of the Study:
- To identify socio-demographic characteristics and perceptions associated with parental CVRH intentions in Turkey.
- To determine the key beliefs and attitudes driving vaccine hesitancy in Turkish parents.
Main Methods:
- A case-control study involving 33 parents with CVRH and 99 controls was conducted in Turkish child healthcare clinics.
- Parents' socio-demographic data and perceptions regarding vaccination were collected and compared between groups.
Main Results:
- Lower monthly household income was significantly associated with CVRH.
- Higher prevalence of distrust in vaccines, belief in vaccine danger, refusal of routine screenings (heel stick, hearing test), and inconsistent use of supplements (Vitamin D, iron) were found in the CVRH group.
- Beliefs that vaccines are dangerous and general distrust in vaccines were the strongest predictors of CVRH.
Conclusions:
- This study highlights "vaccine danger" beliefs and "distrust in vaccines" as primary drivers of CVRH in Turkey.
- Parents with CVRH intentions demonstrated reduced adherence to essential child health protective strategies.
- Findings suggest a potential link between CVRH and irresponsible child care behaviors.
Objective:
To assess the factors affecting parental childhood vaccine refusal and hesitancy (CVRH) intentions in Turkey.
Methods:
A total of 33 children's parents who were referred to two different child health care clinics because of CVRH and 99 controls were enrolled into this study from November through December 2017. The socio-demographic characteristics and perceptions of the parents who refused at least one vaccine for their child/children were compared with controls.
Results:
The monthly household income was significantly lower in CVRH group than control group. Refusal of the heel stick, refusal of hearing test, not using baby car seat, irregular use of vitamin D and iron prophylaxis, using alterative/complementary medicine, distrust in vaccines were the parameters which were found significantly higher in refused vaccine group than in control group. The beliefs "It may be dangerous for children" and "Distrust to the vaccines" were the most determined factors with a ratio of 51.5% in CVRH group.
Conclusions:
This is the first study conducted to investigate the social-demographic characteristics and perception of parental CVRH in Turkey. The beliefs "It may be dangerous for the children" and "Distrust the vaccines" were the most determined factors which may affect CVRH. Some child health protective strategies were less undertaken in CVRH group than in controls; including heel stick test, hearing test, using baby car seat and using of Vitamin D and iron prophylaxis. The parents who have CVRH intentions tend to behave irresponsibly in care of their children.
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