Abstract

Objective: It was aimed to examine the knowledge levels and attitudes of the parents about childhood vaccinations and the vaccination status of their children, to determine the factors that may affect the vaccination rates, and to investigate the reasons for vaccine hesitancy.

Material and Methods: The study was performed by a questionnaire with parents who applied to Ankara City Hospital Children’s Hospital Well Child Clinic in August-September 2020. A total of 150 families were offered a questionnaire. Among these, 17 families did not accept the survey proposal due to reasons such as not having time and not wanting to participate. The questionnaires were filled in by face-to-face interview method after giving information about the study and obtaining consent from the participants. SPSS-25 package program was used for the statistical analysis of the study, and a value of p <0.05 was considered significant.


Results: 97.7% of the parents participating in the study stated that vaccination is a necessary practice. It was observed that 93.9% of the parents had complete vaccination for their babies, 47.7% had information about non-routine vaccines, but 17.4% had non-routine vaccines. It was seen that the most known non-routine vaccines was the rota virus vaccine. It has been observed that there is a positive correlation between the mother’s education level and occupation and having non-routine vaccinations of her children (p <0.001).


Conclusion: Raising the awareness of families about vaccination, educating healthcare professionals, eliminating the concerns of families and including non-routine vaccines in the vaccination calendar may increase vaccine acceptance.
Key Words: Vaccine, Immunization, Knowledge, Behavior, Attitude

Keywords: Vaccine, Immunization, Knowledge, Behavior, Attitude

References

  1. 1. Adeyinka DA, Oladimeji O, Adeyinka FE, Aimakhu C. Uptake of childhood immunization among mothers of under five in southwestern Nigeria. The Internet Journal of Epidemiology; 2009, 7(2);1-9
  2. 2. Miller, M.A.; Hinman, A.R. Economic Analyses of Vaccine Policies. In Vaccines, 4th ed.; Plotkin, S.A., Orenstein, W.A., Eds.; Elsevier Inc.: Philadelphia, PA, USA, 2004; Chapter 57.
  3. 3. World Health Organization. Immunization coverage. Erişim Adresi; https://www.who.int/data/gho/data/themes/topics/immunization-coverage. Erişim Tarihi:19.09.2020
  4. 4. World Health Organization. 2016. Erişim Adresi: https://apps.who.int/iris/bitstream/handle/10665/170250/9789240694439_eng.pdf?sequence=1 Erişim Tarihi; 19.09.2020
  5. 5. Dolar O, Gökçay G, Bulut A, Neyzi O, İstanbul’da Beş Yaş Altı Çocuk Ölümlerinin Epidemiyolojisi: 12 Yılda Neler Değişti? Nüfusbilim DergisiTurkish Journal Of Population Studies. 2016; 27(1): 35-48.
  6. 6. Yüksel F, Turkkan D, Ünal BM, Dinc AH, Medico-Legal Autopsy Results of Preschool Childhood Deaths. Trakya Universitesi Tip Fakultesi Dergisi. 2010; 27(1):65-67.
  7. 7. Arvas A, Aşılamada Yapılan Hatalar. Türk Pediatri Arşivi, 2004, 39; 9-13.
  8. 8. Sağlık İstatistikleri Yıllığı 2019, Erişim Adresi; https://dosyamerkez.saglik.gov.tr/Eklenti/39024,haber-bulteni-2019pdf.pdf?0 Erişim Tarihi: 29.10.2020
  9. 9. World Health Organization. https://apps.who.int/immunization_monitoring/globalsummary/countries?countrycriteria%5Bcountry%5D%5B%5D=TUR Erişim Tarihi 1.11.2020
  10. 10. Sağlık Göstergeleri; Erişim Adresi, https://khgmozellikli.saglik.gov.tr/svg/inc/saglik_gostergeleri.pdf.Erişim Tarihi; 2.11.2020
  11. 11. T.C. Sağlık Bakanlığı. Genişletilmiş Bağışıklama Programı Genelgesi. Erişim adresi; https://khgmsaglikhizmetleridb.saglik.gov.tr/TR-42937/genisletilmis-bagisiklama-programi-genelgesi.html. Erişim Tarihi: 30.10.2020
  12. 12. Arısoy ES, Çiftçi E, Hacımustafaoğlu M, Kara A, Kuyucu N, Somer A, et al. Clinical Practical Recommendations for Turkish National Vaccination Schedule for Previously Healthy Children (National Vaccination Schedule) and Vaccines not Included in the Schedule. J Pediatr Inf. 2015; 9(1): 1-11
  13. 13. Gür E. Vaccine Hesitancy - Vaccine Refusal. Turk Pediatri Arşivi. 2019; 54(1): 1–2.
  14. 14. Taşbakan MI, Göç, Mülteciler ve Aşılama, Erişim adresi; file:///C:/Users/win10/Downloads/gocmenlerde-bagisiklama.pdf. Erişim tarihi: 2.11.2020
  15. 15. Çıklar S, Güner PD, Annelerin Çocukluk Çağı Aşıları Hakkındaki Bilgi, Davranış ve Tutumları ve Aşı Reddi Nedenleri: Nitel ve Nicel Bir Araştırma Ankara Med J, 2020;(1):180-195.
  16. 16. Šeškutė M, Tamulevičienė E, Levinienė G. Knowledge and Attitudes of Postpartum Mothers towards Immunization of Their Children in a Lithuanian Tertiary Teaching Hospital. Medicina (Kaunas). 2018; 12;54(1):2.
  17. 17. Odusanya OO, Alufohai EF, Meurice FP, Ahonkhai VI. Determinants of Vaccination Coverage in Rural Nigeria. BMC Public Health. 2008 Nov 5;8:381. doi: 10.1186/1471-2458-8-381.
  18. 18. Kara SS, Polat M, Yayla BC, Demirdag TB, Tapisiz A, Tezer H, et al. Parental Vaccine Knowledge and Behaviours: a Survey of Turkish Families. East Mediterr Health J. 2018; 17;24(5):451-458.
  19. 19. Burghouts J, Del Nogal B, Uriepero A, Hermans PW, de Waard JH, Verhagen LM. Childhood Vaccine Acceptance and Refusal among Warao Amerindian Caregivers in Venezuela; A Qualitative Approach. PLoS One. 2017 Jan 20;12(1):e0170227.
  20. 20. Garcia LD, Velandia-Gonzalez M, Trumbo SP, Pedreira MC, Bravo-Alcantara P, Danovaro-Holliday MC. Understanding the Main Barriers to Immunization in Colombia to Better Tailor Communication Strategies. BMC Public Health. 2014;14:669 10.1186/1471-2458-14-669.
  21. 21. Cobos Munoz D, Monzon Llamas L, Bosch-Capblanch X. Exposing Concerns About Vaccination in Low- and Middle-income Countries: a Systematic Review. Int J Public Health. 2015;60(7):767–80.
  22. 22. 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? PloSone. 2016;11(2):255-262.
  23. 23. Kumar MV, Anjaneyulu G, Sree VN, Sai WMG. Immunization Status and Knowledge Regarding Ewer Vaccines Among Mothers in a Rural Area of Rangareddy District, Telangana, India. Community Med Public Health 2016;3:3157-60
  24. 24. Benin AL, Wisler-Scher DJ, Colson E, Shapiro ED, Holmboe ES. Qualitative Analysis of Mothers' Decision-making About Vaccines for Infants: the Importance of Trust. Pediatrics 2006;117(5):1532-41
  25. 25. Williams SE. What Are the Factors That Contribute to Parental Vaccine-hesitancy and What Can We Do About It? Hum Vaccin Immunother. 2014;10(9):2584–96.
  26. 26. Onsomu EO, Abuya BA, Okech IN, Moore D, Collins-McNeil J. Maternal Education and Immunization Status Among Children in Kenya. Matern Child Health J. 2015;19(8):1724-33.
  27. 27. Gust DA, Strine TW, Maurice E, Smith P, Yusuf H, Wilkinson M, et al. Underimmunization Among Children: Effects of Vaccine Safety Concerns on Immunization Status. Journal of the American Academy of Pediatrics. 2004;114(1):16-22
  28. 28. Mukherjee R, Arora M, Kotwal A, Hooda P, Awareness and Attitudes of Mothers Towards New Vaccines in the Childhood Vaccination Programme in Delhi State: A Cross Sectional Study, International Journal of Community Medicine and Public Health. 2017; 4(10):3859-63.
  29. 29. Omer SB, Salmon DA, Orenstein WA, deHart MP, Halsey N. Vaccine Refusal, Mandatory Immunization, and the Risks of Vaccine-Preventable Diseases. N Engl J Med. 2009;7;360(19):1981-8.

Copyright and license

How to cite

1.
Yüksel F, Kara Uzun A. Knowledge, Behavior and Attitude of Parents’ About Childhood Immunization. Turk J Pediatr Dis [Internet]. 2021 Jan. 22 [cited 2025 May 24];15(1):35-42. Available from: https://turkjpediatrdis.org/article/view/819