Ateş Burçin Özlem, Özyavuz Gözde, Cöngöloğlu Mehmet Ayhan
Department of Child and Adolescent Psychiatry, Gülhane Training and Research Hospital, Ankara, Türkiye.
Turk J Pediatr. 2023;65(2):205-217. doi: 10.24953/turkjped.2022.879.
Vaccinating adolescents and determining the factors influencing their vaccination status are critical in the event of a pandemic. One of the factors affecting vaccination is vaccine hesitancy, which is an increasing problem worldwide. Vaccine hesitancy and the vaccination rates of some special groups, such as psychiatric patients and their families, may differ from the general population. The purpose of this study was to identify any vaccine hesitancy to the coronavirus disease 2019 (COVID-19) vaccination in adolescents evaluated in a child psychiatry outpatient clinic, as well as to determine the factors influencing vaccination in these adolescents and their families.
Two hundred forty-eight adolescents examined in the child psychiatry outpatient clinic were evaluated using a semi-structured psychiatric interview, strengths and difficulties questionnaire (SDQ), the fear of COVID-19 scale, and a form about coronavirus vaccine hesitancy. The parents completed the vaccine hesitancy scale and answered the vaccine hesitancy questions.
The vaccination rate was higher in patients with anxiety disorders. The patients age (odds ratio [OR]:1.59; 95% confidence interval [CI]:1.26, 2.02), the parents vaccine hesitancy (OR: 0.91; CI:0.87-0.95), the status of chronic disease in a family member (OR: 2.26; CI:1.10, 4.65), and the vaccination status of the adolescent`s parents (OR:7.40; CI:1.39, 39.34) were found to be predictive for adolescent vaccination. While 2.8% of the adolescents said that they were definitely against getting vaccinated, 7.7% were undecided. While the rate of undecided parents was 7.3%, those who were against vaccination was 1.6%.
Age, parental vaccine hesitancy, and parental vaccination status can affect the vaccination of adolescents admitted to a child psychiatry clinic. Recognizing vaccine hesitancy in adolescents admitted to a child psychiatry clinic and in their families is beneficial for public health.
在大流行期间，为青少年接种疫苗并确定影响其疫苗接种状况的因素至关重要。影响疫苗接种的因素之一是疫苗犹豫，这在全球范围内是一个日益严重的问题。疫苗犹豫以及一些特殊群体（如精神病患者及其家属）的疫苗接种率可能与普通人群有所不同。本研究的目的是确定在儿童精神病门诊接受评估的青少年中对2019冠状病毒病（COVID-19）疫苗接种是否存在任何疫苗犹豫，以及确定影响这些青少年及其家庭疫苗接种的因素。
使用半结构化精神病访谈、优势与困难问卷（SDQ）、对COVID-19的恐惧量表以及一份关于冠状病毒疫苗犹豫的表格，对在儿童精神病门诊接受检查的248名青少年进行评估。父母完成疫苗犹豫量表并回答疫苗犹豫问题。
焦虑症患者的疫苗接种率较高。发现患者年龄（比值比[OR]：1.59；95%置信区间[CI]：1.26，2.02）、父母的疫苗犹豫（OR：0.91；CI：0.87 - 0.95）、家庭成员的慢性病状况（OR：2.26；CI：1.10，4.65）以及青少年父母的疫苗接种状况（OR：7.40；CI：1.39，39.34）可预测青少年的疫苗接种情况。虽然2.8%的青少年表示他们绝对反对接种疫苗，但7.7%的人尚未决定。父母尚未决定的比例为7.3%，反对接种疫苗的比例为1.6%。
年龄、父母的疫苗犹豫以及父母的疫苗接种状况会影响儿童精神病诊所收治青少年的疫苗接种情况。认识到儿童精神病诊所收治的青少年及其家庭中的疫苗犹豫情况对公共卫生有益。
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