School of Health, Department of Midwifery, Balıkesir University, Balikesir, Turkey.
Training And Research Hospital, Sakarya University, Sakarya, Turkey.
Hum Vaccin Immunother. 2021 Nov 2;17(11):4505-4511. doi: 10.1080/21645515.2021.1953348. Epub 2021 Oct 19.
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. 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. 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 ( < .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. Our findings suggest that the prevalence of vaccine hesitancy and risk factors should be monitored closely in the following years.
本研究旨在确定在土耳其一家三级医院产前班接受服务的 12 个月至 6 岁儿童的女性中，疫苗犹豫的流行率及其相关因素。研究组包括 370 名在三级医院接受服务的父母。研究的数据收集工具是描述性数据表格和儿童疫苗家长态度调查。使用卡方分析和逻辑回归分析对数据进行分析。在我们的研究中，疫苗犹豫的流行率确定为 13.8%，疫苗拒绝的流行率为 4.8%。在单因素分析中，具有大学学历的母亲、接受治疗怀孕的母亲、在产前随访中未接受儿科疫苗培训的母亲、在社交媒体上关注反疫苗组织的母亲以及未定期使用维生素 D 和铁补充剂或从未为孩子使用过的母亲，疫苗犹豫的发生率显著更高。疫苗犹豫率在以下几类父母中显著更高：表示疫苗信息来源不科学、担心疫苗成分（铝、汞、猪明胶）和使用替代医学实践的父母（<0.05）。在多因素分析中，治疗妊娠的疫苗犹豫风险增加 3.05 倍，不使用维生素 D 或铁制剂的风险增加 3.74 倍，在社交媒体上关注反疫苗组织的风险增加 3.01 倍，担心疫苗成分的父母的风险增加 2.93 倍。我们的研究结果表明，未来几年应密切监测疫苗犹豫的流行率和风险因素。
