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.
Abstract

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