"Examining Attitudes Toward Vaccination During" by Özüm Erkin and İlknur Göl
  •  
  •  
 

ORCID ID

Özüm Erkin: 0000-0002-0977-2854

İlknur Göl: 0000-0003-3259-3886

Abstract

Background: This study aimed to investigate the effect of parents’ fear of coronavirus on their attitudes towards the vaccination of their children.

Methods: The study was conducted with 2,350 parents who were selected by using the snowball sampling method. The questionnaire included a personal information form, the Public Attitude towards Vaccination Scale – Health Belief Model, and the Fear of COVID-19 Scale.

Results: The scores of the study group from the sub-dimensions of the Public Attitude towards Vaccination Scale Health Belief Model were as follows: 17.39 ± 2.92 perceived susceptibility, 16.74 ± 3.19 perceived severity, 21.10 ± 3.54 perceived benefits, 14.16 ± 5.08 perceived barriers, and 22.07 ± 2.93 perceived health motivation. The score of the group on the total Fear of COVID-19 Scale was 21.58 ± 5.92. A statistically positive correlation was found between the scores obtained from the sub-dimensions and the Fear of COVID-19 Scale, except for the ‘perceived barriers’ sub-dimension.

Conclusions: The study found that parents’ fear of COVID-19 positively influenced their attitudes toward childhood vaccination; however, more than three-quarters of parents reported delaying their children’s vaccinations due to concerns about COVID-19 exposure, highlighting the need for better parental education on vaccines and vaccine safety.

References

  1. World Health Organization. Immunization. New York: World Health Organization, 2019.
  2. Republic of Turkey Ministry of Health. COVID-19 Vaccination Information Platform. Türkiye: National Immunization Programme, 2021.
  3. Turkish Medical Association. Status of immunization services in Turkey. Türkiye: Turkish Medical Association, 2020.
  4. Birkmeyer JD, Barnato A, Birkmeyer N, Bessler R, Skinner J. The impact of the COVID-19 pandemic on hospital admissions in the United States. Health Affairs. 2020;39:2010–7.
  5. Saso A, Skirrow H, Kampmann B. Impact of COVID-19 on immunization services for maternal and infant vaccines: Results of a survey conducted by imprint—the immune-sing pregnant women and infants network. Vaccines. 2020;8:556.
  6. World Health Organization. COVID-19 significantly impacts health services for noncommunicable diseases. New York: World Health Organization, 2020.
  7. Garg S, Basu S, Rustagi R, Borle, A. Primary health care facility preparedness for outpatient service provision during the COVID-19 pandemic in India: Cross-sectional study. JMIR Pub Health Surveill. 2020;6:e19927.
  8. Nelson R. COVID-19 disrupts vaccine delivery. Lancet Infect Dis. 2020;20:546.
  9. Saxena S, Skirrow H, Bedford H. Routine vaccination during COVID-19 pandemic response. BMJ. 2020;369: m2392.
  10. World Health Organization. At least 80 million children under one at risk of diseases such as diphtheria, measles and polio as COVID-19 disrupts routine vaccination efforts, warn Gavi, WHO and UNICEF. New York: World Health Organization, 2020.
  11. World Health Organization. Guiding principles for immunization activities during the COVID-19 pandemic: interim guidance, 26 March 2020. New York: World Health Organization, 2020.
  12. Öztek Z. Pandemi Mücadelesi ve Yan Kazanımlar [Pandemic Struggle and Side Gains]. Sağlık ve Toplum Özel Sayı Temmuz. 2020;6–14. Turkish.
  13. Aytaç Ö, Kurtdaş MÇ. Social Origins of Illness-Health and Health Sociology. J Soc Sci. 2015;25:231–50.
  14. Güngör S, Kaya E. Hastalık ve kültür ilişkisine kuramsal bakış [Theoretical perspective on the relationship between disease and culture]. Adıyaman Üniversitesi Sosyal Bilimler Enstitüsü Dergisi. 2023;44:659–91. Turkish.
  15. Larson HJ, Jarrett C, Schulz WS, Chaudhuri M, Zhou Y, Dube E, et al. Measuring vaccine hesitancy: The develop-ment of a survey tool. Vaccine. 2015;33:4165–75.
  16. Topcu S, Gur E. The silent victims of the pandemic: children during the coronavirus disease 2019 crisis. Turk Arch Pediatr. 2023;58:467–72.
  17. McKee C, Bohannon K. Exploring the reasons behind parental refusal of vaccines. J Pediatr Pharmacol Ther. 2016;21:104–9.
  18. Ugale JL, Spielvogle H, Spina C, Perreira C, Katz B, Pahud B, et al. “It’s like 1998 again”: Why parents still refuse and delay vaccines. Global Pediatr Health. 2021;8.
  19. Kara A, İlbay S, Topaç O, Arabulan EA, Tezer H, Tavukçu N, et al. Alteration in vaccination rates and an evaluation of physicians’ perceptions of the possible impact of the SARS-CoV-2 pandemic on childhood vaccinations in Ankara, Turkey. Hum Vacc Immunother. 2021;17:3457–62.
  20. Yüksel GH, Topuzoğlu A. Aşi Redlerinin Artmasi ve Aşi Karşitliğini Etkileyen Faktörler [Increase in Vaccine Refusals and Factors Affecting Anti-Vaccination]. Estüdam Halk Sağlığı Dergisi. 2019;4:244–58. Turkish.
  21. Bowling AM. Immunizations-nursing interventions to enhance vaccination rates. J Pediatr Nurs. 2018;42:126–8.
  22. Cooper S, Schmidt B-M, Sambala EZ, Swartz A, Colvin CJ, Leon N, et al. Factors that influence parents’ and informal caregivers’ views and practices regarding routine childhood vaccination: a qualitative evidence synthesis. Cochrane Db Syst Rev. 2021;10:CD013265.
  23. Kucukkendirci H, Kara F, Turgut GG. Reasons for vaccine rejection in 0 to 2 years old children registered to family health centers in Konya. J Pediatr Infect Dis. 2021;16:074–9.
  24. Sümbüloğlu K, Sümbüloğlu V. Biyoistatistik. 20th ed. Turkish: Hatipoğlu; 2017.
  25. Bakioğlu F, Korkmaz O, Ercan H. Fear of COVID-19 and positivity: Mediating role of intolerance of uncertainty, depression, anxiety, and stress. Int J Ment Health Addict. 2021;19:2369–82.
  26. Kaydirak MM, Gumusay M, Gulec Y, Sahin NH. Parental opinions and approaches about childhood vaccinations: are anti-vaccination approaches and indecisiveness parental rights? J Commun Health Nurs. 2020;37:222–32.
  27. Kocoglu-Tanyer D, Dengiz KS, Sacikara Z. Development and psychometric properties of the public attitude towards vaccination scale–Health belief model. J Adv Nurs. 2020;76:1458–68.
  28. Ahorsu DK, Lin CY, Imani V, Saffari M, Griffiths MD, Pakpour AH. The fear of COVID-19 scale: Develop-ment and initial validation. Int J Ment Health Addict. 2022;20:1537–45.
  29. Chandir S, Siddiqi DA, Setayesh H, Khan AJ. Impact of COVID-19 lock down on routine immunisation in Karachi, Pakistan. Lancet Glob Health. 2020;8:e1118–20.
  30. Aljarbou AZ, Alqahtani NJ, Abu-Alnaja AA, Alshahrani AS, Aldayel AA, et al. Routine childhood immunization status in Saudi Arabia during the COVID-19 pandemic: Cross-sectional study. Int J Med Dev Ctries. 2021;5:999–1006.
  31. Santoli JM, Lindley MC, DeSilva MB, Kharbanda EO, Daley MF, Galloway L, et al. Effects of the COVID-19 Pandemic on Routine Pediatric Vaccine Ordering and Administration - United States, 2020. MMWR Morb Mortal Wkly Rep. 2020;69:591–3.
  32. Alrabiaah AA, Alshaer AH, Estrella SMC, Inclan KAS, Aljammaz HA. Almoosa KM, et al. Effects of the Coronavirus disease 2019 pandemic on routine pediatric immunization coverage rates at the main University Hospital in Saudi Arabia. Saudi Med J. 2020;41:1197–1203.
  33. Alsuhaibani M, Alaqeel A. Impact of the COVID-19 Pandemic on routine childhood immunization in Saudi Arabia. Vaccines (Basel). 2020;8:581.
  34. McDonald HI, Tessier E, White JM, Woodruff M, Knowles C, Bates C, et al. Early impact of the coronavirus disease (COVID-19) pandemic and physical distancing measures on routine childhood vaccinations in England, January to April 2020. Euro Surveill. 2020;25:2000848.
  35. Silveira MF, Tonial CT, Maranhão AGK, Teixeira AM, Hallal PC, Menezes AMB, et al. Missed childhood immunizations during the COVID-19 pandemic in Brazil: analyses of routine statistics and of a national household survey. Vaccine. 2021;39:3404–9.
  36. World Health Organization. WHO and UNICEF warn of a decline in vaccinations during COVID-19. New York: World Health Organization, 2020.
  37. Weller C. While we wait for a COVID-19 vaccine, let’s not forgetthe importance of the vaccines we already have. London: Wellcome Trust, 2020.
  38. Çoruh Akyol B, Üçüncü MZ, Özceylan G. The effect of the coronavirus outbreak on childhood vaccinations made in family health centers in Turkey. Istanbul Gelisim University J Health Sci. 2021;13:42–55.
  39. Bhattacharyya H, Agarwalla R, Khandelwal A. Impact of COVID-19 on child health and healthcare services. Med J Armed Forces India. 2022;78:3–6.
  40. Altuntas SB, Elitok GK. Routine pediatric vaccination during pandemic: Attitudes of parents. Turk Arch Pediatr. 2022;57:342–8.
  41. World Health Organization. Routine immunization services during the COVID-19 pandemic. New York: World Health Organization, 2020.
  42. Andre FE, Booy R, Bock HL, Clemens J, Datta SK, John TJ, et al. Vaccination greatly reduces disease, disability, death and inequity worldwide. Bull World Health Organ. 2008;86:140–6.
  43. Ministry of the Interior. Koronavirüs ile Mücadele Kapsamında-Yeni Kısıtlama ve Tedbirler Genelgeleri. Türkiye: Ministry of the Interior, 2020.
  44. Republic of Turkey Ministry of Health. Life Fits into Home 2020. Türkiye: Hayat Eve Sığar, 2020.
  45. Nicholson E, McDonnell T, Conlon C, Barrett M, Cummins F, Hensey C, et al. Understanding the impact of public health advice on paediatric healthcare use during COVID-19: A cross-sectional survey of parents. Research Square [Preprint]. 2020.
  46. Çakır H, Taban G, TAŞER M. Covid-19 Pandemi Sürecinde Uzaktan Eğitim Planlaması ve Yönetim Yaklaşımları [Distance Education Planning and Management Approaches in the Covid-19 Pandemic Process]. MANAS Sosyal Araştırmalar Dergisi0 2023;12: 107–22. Turkish.

Creative Commons License

Creative Commons Attribution-Share Alike 4.0 International License
This work is licensed under a Creative Commons Attribution-Share Alike 4.0 International License.

Share

COinS
 
 

To view the content in your browser, please download Adobe Reader or, alternately,
you may Download the file to your hard drive.

NOTE: The latest versions of Adobe Reader do not support viewing PDF files within Firefox on Mac OS and if you are using a modern (Intel) Mac, there is no official plugin for viewing PDF files within the browser window.