Abstract
Background
Vaccination of children is of great importance for their healthy growth and development. Several concerns that have been mentioned by families due to various reasons could affect vaccination acceptance.
Objectives
This study aims to investigate pregnant women’s attitudes toward childhood vaccinations and trust in health services.
Methods
This study was designed as a descriptive study. It was conducted in a city located in the eastern part of Turkey between March and May 2019. The sample was 193 volunteer pregnant women. Data were collected using the Socio-demographic Form, the Multidimensional Trust in Health-care System Scale, and the Public Attitude toward Vaccination Scale - Health Belief Model.
Results
A positive, statistically significant relationship was found between the Multidimensional Trust in Healthcare System Scale total mean score and Perceived Susceptibility, Perceived Severity, Perceived Benefits, and Health Responsibility (p < .01). In addition, education and income level, having social security, having had a vaccination or not, and knowing vaccines affected trusts in health services; having social security, having had vaccinations or not, and knowing vaccines affected health beliefs about vaccinations (p < 0.05).
Conclusions for Practice
This study found that knowing vaccines affects both trust in health services and health beliefs about vaccination. Therefore, community health nurses working in primary care should provide parents with accurate and effective information about vaccinations.
Significance
Vaccination of children is of great importance for their healthy growth and development. Several concerns that have been mentioned by families in recent years due to various reasons could affect vaccination acceptance. The results of this study showed that there was a positive statistically significant relationship between the Trust in Health-care System and the Attitude toward Vaccination Health Belief. Besides, this study found that knowing vaccines affects both trust in health services and health beliefs about vaccination. Therefore, community health nurses working in primary care should provide parents with accurate and effective information about vaccinations.
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References
Al-lela, O. Q. B., Bahari, M. B., Al-Qazaz, H. K., Salih, M. R. M., Jamshed, S. Q., & Elkalmi, R. M. (2014). Are parents’ knowledge and practice regarding immunization related to pediatrics’ immunization compliance? A mixed method study. BMC Pediatrics, 14(20), 1–7. https://doi.org/10.1186/1471-2431-14-20.
Awadh, A. I., Hassali, M. A., Al-lela, O. Q., Bux, S. H., Elkalmi, R. M., & Hadi, H. (2014). Immunization knowledge and practice among malaysian parents: a questionnaire development and pilot-testing. Bmc Public Health, 14(1107), 1–7. https://doi.org/10.1186/1471-2458-14-1107.
Bozkurt, H. B. (2018). Aşı reddine genel bir bakış ve literatürün gözden geçirilmesi. Kafkas Tıp Bilimleri Dergisi, 8(1), 71–76.
Bukhsh, A., Rehman, H., Mallhi, T. H., Ata, H., Rehman, I. U., Lee, L. H., & Khan, T. M. (2018). Parents’ attitude, awareness and behaviour towards influenza vaccination in Pakistan. Human Vaccines & İmmunotherapeutics, 14(4), 952–957. https://doi.org/10.1080/21645515.2017.1415686.
Büyükkarakurt, Z. (2018). Evaluation of the attitudes towards childhood vaccinations of the rural area society according to the health belief model. (Unpublished Master Thesis). Selcuk University Institute of Health Sciences. Konya
Canpolat, K. S. (2018). Evaluation of attitudes of the urban community towards childhood vaccinations according to the health belief model. (Unpublished Master Thesis). Selcuk University Institute of Health Sciences. Konya
Diah, N. M., Samsudin, S., Rehman, A., & Sedu, N. (2019). Refusal towards vaccınatıon: a survey among malay parents. International Journal for Studies on Children Women Elderly And Disabled, 7, 11–16.
Dinç, L., Korkmaz, F., & Karabulut, E. (2013). A validity and reliability study of the Multidimensional Trust in Health-Care Systems Scale in a turkish patient population. Social Indicators Research, 113(1), 107–120. https://doi.org/10.1007/s11205-012-0084-y.
Downs, J. S., de Bruin, W. B., & Fischhoff, B. (2008). Parents’ vaccination comprehension and decisions. Vaccine, 26(12), 1595–1607. https://doi.org/10.1016/j.vaccine.2008.01.011
Egede, L. E., & Ellis, C. (2008). Development and testing of the multidimensional trust in health care systems scale. Journal of General Internal Medicine, 23(6), 808–815.
Güçlü, S. (2019). 12–18 aylık bebeklerin aşı enjeksiyonları sırasında uygulanan emzirme, oral glukoz ve kırmızı burun yöntemlerinin ağrıyı azaltma ve hayati bulgular üzerindeki etkisi (Unpublished Master Thesis). Tokat Gaziosmanpaşa University Institute of Health Sciences. Tokat
Gülcü, S., & Arslan, S. (2018). Vaccine application on children: a current review. Journal of Duzce University Health Sciences Institute, 8(1), 34–43.
Güler, Ç., Akın, L., Akın, A., Akşit, T., Akgün, B., Altıntaş, S., & Yıldız, K. H., A. N (2015). Halk Sağlığı Temel Bilgiler 3. Hacettepe Üniversitesi Yayınları.
Gür, E. (2019). Aşı kararsızlığı-aşı reddi. Türk Pediatri Arşivi, 54(1), 1–2.
Harmsen, I. A., Mollema, L., Ruiter, R. A. C., Paulussen, T. G. W., de Melker, H. E., & Kok, G. (2013). Why parents refuse childhood vaccination: a qualitative study using online focus groups. Bmc Public Health, 13(1183), 1–8. https://doi.org/10.1186/1471-2458-13-1183.
Kaydirak, M. M., Gumusay, M., Gulec, Y., & Sahin, N. H. (2020). Parental opinions and approaches about Childhood Vaccinations: are anti-vaccination approaches and indecisiveness parental rights? Journal of Community Health Nursing, 37(4), 222–232.
Kocoglu-Tanyer, D., Dengiz, K. S., & Sacikara, Z. (2020). Development and psychometric properties of the public attitude towards vaccination scale–health belief model. Journal of Advanced Nursing, 76(6), 1458–1468. https://doi.org/10.1111/jan.14349
Kutlu, H. H., & Altındiş, M. (2018). Aşı karşıtlığı. Flora Dergisi, 23(2), 47–58.
Larson, H. J., Clarke, R. M., Jarrett, C., Eckersberger, E., Levine, Z., Schulz, W. S., & Paterson, P. (2018). Measuring trust in vaccination: a systematic review. Human Vaccines & Immunotherapeutics, 14(7), 1599–1609. https://doi.org/10.1080/21645515.2018.1459252
Nisar, N., Mirza, M., & Qadri, M. H. (2010). Knowledge, attitude and practices of mothers regarding immunization of one year old child at Mawatch Goth, Kemari Town, Karachi. Pakistan Journal of Medical Sciences Quarterly, 26(1), 183–186.
Raosoft. Sample size calculator. http://www.raosoft.com/samplesize.html
Türkay, M., Ay, E. G., & Aytekin, M. R. (2017). Anti-vaccine status in a selected groups in Antalya. Akdeniz Medical Journal, (2), 107–112. https://doi.org/10.17954/amj.2017.78.
Usta, D., & Korkmaz, F. (2020). Trust levels in the healthcare system of the patients receiving services from tertiary care institutions in Turkey. Cukurova Medical Journal, 45(3), 860–870. https://doi.org/10.17826/cumj.647412
WHO (2014). The SAGE Vaccine Hesitancy Working Group. What Influences Vaccine Acceptance: A Model of Determinants of Vaccine Hesitancy. http://158.232.12.119/immunization/sage/meetings/2014/october/2_Summary_MacDonald_revised_final.pdf
Yiğit, T., Oktay, B., Özdemir, C. N., & Paşa, M., S (2020). Aşı karşıtlığı ve fikri gelişimi. Journal of Social and Humanities Sciences Research, 7(53), 1244–1261.
Yüksel, G. H., & Topuzoğlu, A. (2019). Aşı Redlerinin Artması ve Aşı Karşıtlığını Etkileyen Faktörler. ESTÜDAM Halk Sağlığı Dergisi, 4(2), 244–258.
Acknowledgements
The authors wish to thank all participants for engaging in this study. The authors are grateful to Duygu Ispinar for proofreading the manuscript.
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Contributions
Conceptualized and designed the study: BA, ABSB, Data collection: HYA, NA, Analysed the data: ABSB, Wrote the paper: BA, HYB, ABSB, NA. Manuscript revisions for important intellectual content: BA, ABSB, HYB.
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The authors report no actual or potential conflicts of interest.
Ethical Approval
This study was performed in line with the principles of the Declaration of Helsinki. Before the study was conducted, ethics committee approval was obtained from the university Scientific Research Ethics Committee. Verbal and written consent was received from the pregnant women’s after they were given information about the purpose of the study. Agrı Ibrahim Cecen University Scientific Research Ethics Committee, document date and number: 25/01/2019-E.2569.
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Savci Bakan, A.B., Aktas, B., Yalcinoz Baysal, H. et al. An Investigation of Pregnant Women’s Attitudes Towards Childhood Vaccination and Trust in Health Services. Matern Child Health J 27, 1051–1059 (2023). https://doi.org/10.1007/s10995-023-03630-7
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DOI: https://doi.org/10.1007/s10995-023-03630-7