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Factors associated with pediatric vaccine hesitancy of parents: a cross-sectional study in Turkey
1School of Health, Department of Midwifery, Balıkesir University, Balikesir, Turkey.
Insights
Vaccine hesitancy affects 13.8% of parents in Turkey, with factors including social media use and concerns about vaccine ingredients. Understanding these risks is crucial for public health initiatives.
Area of Science:
- Public Health
- Pediatrics
- Social Sciences
Background:
- Vaccine hesitancy poses a significant challenge to public health, impacting childhood immunization rates.
- Identifying specific risk factors is essential for developing targeted interventions to improve vaccine uptake.
Purpose of the Study:
- To determine the prevalence of vaccine hesitancy among parents of young children (12 months to 6 years) in Turkey.
- To identify associated factors contributing to vaccine hesitancy in this population.
Main Methods:
- A cross-sectional study involving 370 parents attending antenatal classes at a tertiary hospital.
- Data collected using a descriptive form and the Parent Attitudes about Childhood Vaccines survey.
- Statistical analysis included chi-square and logistic regression.
Main Results:
- The prevalence of vaccine hesitancy was 13.8%, with 4.8% vaccine refusal.
- Significant factors included university education, pregnancy conceived via treatment, lack of antenatal vaccine education, following anti-vaccine social media groups, and irregular use of supplements.
- Concerns about vaccine ingredients (aluminum, mercury, pig gelatin) and use of alternative medicine were also associated with hesitancy.
Conclusions:
- Vaccine hesitancy is a notable issue in the studied population, influenced by educational background, reproductive history, information sources, and specific parental concerns.
- The findings underscore the need for continued monitoring of vaccine hesitancy prevalence and associated risk factors.
Abstract:
Aim: This study aims to determine the prevalence and associated factors of vaccine hesitancy in females with children aged 12 months to 6 years who receive service from the antenatal class of a tertiary hospital in Turkey.Method: The study group includes 370 parents receiving service from a tertiary hospital. The data collection tools of the study were a descriptive data form and the Parent Attitudes about Childhood Vaccines survey.The data were analyzed using chi-square analysis and logistic regression analysis.Results: In our study, the prevalence of vaccine hesitancy was determined as 13.8% and vaccine refusal prevalence as 4.8%. In univariate analysis, vaccine hesitancy was found to be significantly higher in mothers with a university education, who got pregnant with treatment, who were not trained about pediatric vaccines in the antenatal follow-up, who followed anti-vaccine groups on social media, and who did not use vitamin D and iron supplements regularly or never used for their child. Vaccine hesitancy was significantly higher in parents who stated that their information sources of vaccines were not scientific, who were worried about vaccine ingredients (aluminum, mercury, pig gelatine) and who used alternative medicine practices (p < .05). In multivariate analysis, the risk of vaccine hesitancy increases 3.05 times in pregnancies with treatment, 3.74 times in those who did not use vitamin D or iron preparations, 3.01 times in those who followed anti-vaccine groups on social media,2.93 times in parents who were worried about the vaccine ingredients.Conclusion: Our findings suggest that the prevalence of vaccine hesitancy and risk factors should be monitored closely in the following years.
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