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Why Turkish Parents Refuse Childhood Vaccination? A Qualitative Study
Salih Aslan1, Adem Ozkara2, Ismail Kasım2
1Evren Integrated Health Center, Ankara, Türkiye.
Archives of Iranian Medicine
|February 1, 2024
Summary
Parental mistrust in vaccine companies, health authorities, and healthcare professionals drives vaccine refusal in Turkey. Addressing these concerns is crucial to combat rising infectious diseases due to vaccine rejection.
Area of Science:
- Public Health
- Sociology of Health
- Medical Ethics
Background:
- Rising anti-vaccination sentiment in Turkey, with 23,000 families refusing vaccinations in 2017.
- Observed increase in infectious diseases potentially linked to vaccine refusal.
- Underlying reasons for vaccine hesitancy among parents remain largely unknown.
Purpose of the Study:
- To investigate and identify the primary reasons behind vaccine refusal among parents in Turkey.
- To understand the specific concerns contributing to vaccine hesitancy.
- To inform strategies for improving vaccination rates.
Main Methods:
- Qualitative research methodology employing the "grounded theory" approach.
- Semi-structured interviews and voice-recorded face-to-face interviews with 21 parents across 13 Turkish cities.
- Analysis of data from anti-vaccination blogs to identify interview participants.
Main Results:
- Mistrust emerged as the predominant theme driving vaccine rejection.
- Key sources of mistrust include vaccine manufacturers (conspiratorial beliefs), health authorities (lack of transparency), and healthcare professionals (poor communication).
- Other identified themes include concerns about vaccine efficacy, decision-making processes, and legal-ethical considerations.
Conclusions:
- Deep-seated mistrust is a significant barrier to vaccination, difficult to overcome.
- Parental beliefs regarding vaccines are resistant to change.
- Recommendations are provided for health authorities, healthcare professionals, and industry stakeholders to address vaccine hesitancy.
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