Abstract
Introduction
The aim of this study was to evaluate the knowledge and attitudes of parents with children aged 0-24 months about childhood vaccines.
Materials and Methods
In this cross-sectional and descriptive study, 408 parents with children aged 0-24 months who applied to the General Paediatrics Polyclinics of Sabuncuoğlu Şerefeddin Training and Research Hospital in April and May 2024 for examination or control purposes and who agreed to participate in the survey study were included. The questionnaires were conducted by face-to-face interviews with the parents and the information obtained was recorded on a questionnaire form consisting of 22 questions in total. SPSS package programme was used for data analysis and p<0.05 was accepted as significant.
Results
It was observed that 43% (n=179) were boys, 56.1% (n=229) were girls and the mean age was 12 months. When the distribution of the surveyed parents was analysed, it was seen that 73.3% were mothers. While the rate of complete vaccination among all participants was 88%, 85% of the parents thought that vaccines were necessary. The rate of parents who were against vaccination was found to be 4%. While the rate of knowing the vaccines not included in the Ministry of Health vaccination calendar (Rota virus, Influenza, Meningococcus and Human papilloma virus) was 57.6%, the rate of vaccination was 31.9%. A statistically significant relationship was found between the knowledge of non-routine vaccines and both the educational level and financial income status of the parents (p<0.05).
Conclusion
Income and education levels of parents were found to be important in the administration of non-routine vaccines, and we think that they should be included in the routine vaccination schedule considering the severity of the diseases. It was determined that vaccine refusal is an increasing problem in our country as in the whole world. Despite all these, the fact that parents prefer healthcare professionals as a source of information shows that healthcare professionals are an effective factor on vaccination rates.
Keywords: Vaccination status, anti-vaccination, child, parent
References
World Health Organization. Immunization coverage. Available from: https://www.who.int/data/gho/data/themes/topics/immunization-coverage
Kutlu R. Çocukluk çağı aşıları. Turkiye Klinikleri Journal of Family Medicine-Special Topics. 2017;8:311-8.
Gür E. Vaccine hesitancy - vaccine refusal. Turk Pediatri Ars. 2019;54:1-2.
Orhon FŞ. An overview of the extended immunization program. Osmangazi Tıp Dergisi. 2020:6-14.
Argüt N, Keskindemirci G, Kılıç A, Gökçay G. Vaccine knowledge, attitudes and practices of families of 12-60-month-old children. Journal of Child. 2023;23:1-7.
TTB. Aşı konusunda yaşanan tereddütler, aşı reddi ve aşı karşıtlığı konusunda etik kurul görüşü 2019. Available from: https://www.ttb.org.tr/makale_goster.php?Guid=c21adfbc-e1c4-11e8-b159-336a7b2d6c99
World Health Organization. Measles reported cases and incidence. Retrieved June 2024, Available from: https://immunizationdata.who.int/global/wiise-detail-page/measles-reported-cases-and-incidence
Akbulak MA, Çöl M. Vaccination attitude and overview of COVID-19 vaccines in Turkey and across the World. ESTÜDAM Halk Sağlığı Dergisi. 2022;7:531-40.
Çıtak G, Aksoy ÖD. An important obstacle in vaccination: vaccination rejection. ERÜ Sağlık Bilimleri Fakültesi Dergisi. 2020;7:15-20.
Altuntaş SB, Elitok GK. Routine pediatric vaccination during pandemic: attitudes of parents. Turk Arch Pediatr. 2022;57:342.
Cvjetkovic SJ, Jeremic VL, Tiosavljevic DV. Knowledge and attitudes toward vaccination: a survey of Serbian students. J Infect Public Health. 2017;10:649-56. Epub 2017 Jun 29.
Savci Bakan AB, Aktas B, Yalcinoz Baysal H, Aykut N. An investigation of pregnant women’s attitudes towards childhood vaccination and trust in health services. Matern Child Health J. 2023;27:1051-9. Epub 2023 Mar 6.
Çıklar S, Güner PD. Knowledge, behavior and attitude of mother’s about childhood immunization and reasons of vaccination rejection and hesitancy: a study of mixed methodology. 2020;20:180-95.
Lannon C, Brack V, Stuart J, Caplow M, McNeill A, Bordley WC, et al. What mothers say about why poor children fall behind on immunizations. A summary of focus groups in North Carolina. Arch Pediatr Adolesc Med. 1995;149:1070-5.
Dáňová J, Šálek J, Kocourková A, Čelko AM. Factors Associated with parental refusal of routine vaccination in the Czech Republic. Cent Eur J Public Health. 2015;23:321-3.
Üzüm Ö, Eliaçık K, Örsdemir HH, Öncel EK. Factors affecting the immunization approaches of caregivers: an example of a teaching and research hospital. J Pediatr Inf 2019;13:144-9.
Uzuner A, Akman M, ALTIOKKA Ö, Çelik U, Abubeker İ, Varol A. Knowledge level of recently delivered mothers about childhood vaccinations. Turk Klin J Pediatr. 2005;14:1-9.
Çiklar S. Determining the knowledge, behavior and attitude of mothers on child and adult vaccines and evaluating their reasons to or not to have themselves and their children vaccinated. Hatay Mustafa Kemal Üniversitesi, Tıp Fakültesi, Aile Hekimliği Anabilim Dalı. Tıpta Uzmanlık Tezi, 2019.
Bilir-Göksügür S. Annelerin aşı bilgi düzeyleri, çocuklarının aşılanma durumu ve bunları etkileyen faktörler. Uzmanlık Tezi. 2006.
Aycicek A. Şanlıurfa kırsal alanında 2-23 aylık çocukların aşılanma hızları. Çoçuk Sağlığı ve Hastalıkları Dergisi. 2003;47:183-8.
Odusanya OO, Alufohai EF, Meurice FP, Ahonkhai VI. Determinants of vaccination coverage in rural Nigeria. BMC Public health. 2008;8:1-8.
Tagbo BN, Eke CB, Omotowo BI, Onwuasigwe CN, Onyeka EB, Mildred UO. Vaccination coverage and its determinants in children aged 11-23 months in an urban district of Nigeria. 2014.
Vonasek BJ, Bajunirwe F, Jacobson LE, Twesigye L, Dahm J, Grant MJ, et al. Do maternal knowledge and attitudes towards childhood immunizations in rural Uganda correlate with complete childhood vaccination? PloS one. 2016;11:e0150131.
Freed GL, Clark SJ, Butchart AT, Singer DC, Davis MM. Parental vaccine safety concerns in 2009. Pediatrics. 2010;125:654-9.
Çapanoğlu E. Sağlık çalışanı ve ebeveyn perspektifinden çocukluk çağı aşılarının reddi niteliksel bir araştırma. Master’s thesis, Acıbadem Üniversitesi Sağlık Bilimleri Enstitüsü. 2018.
Güngör G, Ersoy S, Pala E. Evaluating the knowledge of parents who have children between 0-24 months about childhood vaccination. Firat Med J. 2021;26:198-205.
