Farklı Etiyopatogeneze Sahip Hastalığı Olan Çocukların Ebeveynlerinde Aşı Kabulü Ve İlişkili Faktörler

Abstract

Vaccination is the most successful, safest and most cost-effective approach to protecting children's health and preventing infectious diseases. In recent years, 'Vaccine Hesitancy’ (VH) and 'Vaccine Refusal’ (VR) have been increasing worldwide. This study aimed to evaluate vaccine acceptance and related factors in the parents of children with diseases of different etiopathogenesis. The study included children aged 6-12 years diagnosed with Autism Spectrum Disorder (ASD), Attention deficit and hyperactivity disorder (ADHD), Type 1 Diabetes Mellitus (T1DM), Congenital heart disease (CHD), Congenital hypothyroidism (KH), Familial Mediterranean Fever (FMF) and a healthy control group. A sociodemographic data form, the Parent Attitudes About Childhood Vaccinations Survey (PACV) and the Parental Attitude Research Instrument (PARI) were administered to the mothers of the participants. A total of 1163 participants (546 patients and 617 healthy controls) participated in the study. The VH rate was 14.7%. Among the disease groups, parents of children diagnosed with T1DM had the highest rate of VH (33.7%) and the highest PACV mean score (42.37±19.15) (p<0.05). The rate of VH was significantly higher among housewives and those with a monthly low income (p<0.05). Vaccine adverse effects, parents' COVID-19 vaccination status, and the information sources about vaccines significantly affected the rate of VH (p<0.05). Concern that vaccine ingredients cause diseases, and fear of side effects were the two most common reasons for vaccine hesitancy. The most frequently suggested solution to VH was for healthcare workers (HCWs) to provide families more information about vaccines. It is important for parents to be informed in detail about vaccines and the disease, which is very critical in protecting against vaccine-preventable diseases. It has been shown that different factors influence the parental vaccination decision.