Factors associated with pediatric vaccine hesitancy of parents: a cross-sectional study in Turkey

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Vaccine Coverage and Hesitancy Misinformation and Its Impacts Intramuscular injections and effects

Abstract

Aim: 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.Method: 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.Results: 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 (p < .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.Conclusion: Our findings suggest that the prevalence of vaccine hesitancy and risk factors should be monitored closely in the following years.

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References

2008Vaccination greatly reduces disease, disability, death and inequity worldwide 2014Vaccine hesitancy, vaccine refusal and the anti-vaccine movement: influence, impact and implications 2018Vaccine hesitancy around the globe: Analysis of three years of WHO/UNICEF Joint Reporting Form data-2015–2017 2011Validity and reliability of a survey to identify vaccine-hesitant parents 2013The Relationship Between Parent Attitudes About Childhood Vaccines Survey Scores and Future Child Immunization Status 2018Parental vaccine hesitancy in Italy – Results from a national survey 2019Parent perspectives on childhood vaccination: How to deal with vaccine hesitancy and refusal?2017Vaccine hesitancy among parents in a multi-ethnic country, Malaysia

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2022Rates of childhood vaccine refusal in Turkey during 2016–2017: Regional causes and solutions 2023Evaluating COVID-19 vaccination intentions and vaccine hesitancy among parents of children with autism spectrum disorder

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