ÖZET
Amaç:
Koronavirüs hastalığı-2019 (COVID-19) pandemisini önlemek için maske kullanımı, temizlik önlemleri ve sosyal mesafe gibi uygulamalar ön plana çıkmıştır. Bunun yanı sıra, salgınla mücadelenin en önemli yolunun aşı olduğu görülmektedir. Ancak “aşı tereddütü” pandemiyi kontrol altına alma girişimlerinin önünde önemli bir engeldir. Bu çalışmanın amacı COVID-19 aşısına yönelik tutumların olası belirleyicilerinden biri olan yetersiz veya yanlış bilgiye sahip olmanın etkilerinin değerlendirilmesidir.
Yöntemler:
Tanımlayıcı tipteki bu çalışmanın verileri hastalardan (N=496), Sosyodemografik Veri Formu, Türkiye Sağlık Okuryazarlığı Ölçeği-32 ve Aşı Karşıtlığı Ölçeğini içeren çevrimiçi anket yoluyla toplanmıştır.
Bulgular:
Veriler, katılımcıların %7,5’inin aşı olmayacağını ve %14,3’ünün kararsız olduğunu ortaya koymuştur. Aşı tereddüdü ile sağlık okuryazarlığı arasında negatif bir ilişki bulunmuş ve çalışmanın ana hipotezi doğrulanmıştır. Ayrıca eğitim yılındaki artışın aşı tereddüdünün olumsuz bir yordayıcısı olduğu saptanmıştır.
Sonuç:
Şu anda pandemi ile mücadelede en önemli yaklaşım toplumun aşılanmasıdır. Doğru bilgiye sahip olmak, aşı reddi tutumlarıyla mücadele etmek için son derece önemlidir. Aşı tereddütü ile mücadele, hükümetlerin ve sosyal medya dahil medya kaynaklarının ortak çabalarını gerektirir.
References
1
Chakraborty I, Maity P. COVID-19 outbreak: Migration, effects on society, global environment and prevention. Sci Total Environ 2020;728:138882.
2
Aghababaeian H, Hamdanieh L, Ostadtaghizadeh A. Alcohol intake in an attempt to fight COVID-19: A medical myth in Iran. Alcohol 2020;88:29-32.
3
Broadbent JJ. Vaccine hesitancy: Misinformation on social media. BMJ 2019;366:l4457.
4
Carrieri V, Madio L, Principe F. Vaccine hesitancy and (fake) news: Quasi‐experimental evidence from Italy. Health Econ 2019;28:1377-82.
5
Bertin P, Nera K, Delouvée S. Conspiracy beliefs, rejection of vaccination, and support for hydroxychloroquine: A conceptual replication-extension in the COVID-19 pandemic context. Front in Psychol 2020;11:2471.
6
Montagni I, Ouazzani-Touhami K, Mebarki A, Texier N, Schück S, Tzouri C ; CONFINS group. Acceptance of a COVID-19 vaccine is associated with ability to detect fake news and health literacy. J Public Health (Oxf) 2021;43:695-702.
7
Jones-Jang S, Mortensen T, Liu J. Does media literacy help identification of fake news? Information literacy helps, but other literacies don’t. Am Behavi Sci 2021;65:371-88.
8
World Health Organization. Health literacy: The solid facts [homepage on the Internet]. 2013 [cited 28 July 2021]. Available from: https://apps.who.int/iris/bitstream/handle/10665/128703/e96854.pdf
9
Diviani N, van den Putte B, Giani S, van Weert JC. Low health literacy and evaluation of online health information: a systematic review of the literature. J Med Internet Res 2015;17:e112.
10
Viswanath K, Kreuter Matthew W. Health disparities, communication inequalities, and eHealth. Am J Prev Med 2007;32(5 Suppl): S131-3.
11
Baker DW, Gazmararian JA, Williams MV, Scott T, Parker RM, Green D, et al. Functional health literacy and the risk of hospital admission among Medicare managed care enrollees. Am J Public Health 2002;92:1278-83.
12
Poureslami I, Nimmon, L, Rootman I, Fitzgerald MJ. Health literacy and chronic disease management: drawing from expert knowledge to set an agenda. Health Promot Int 2017;32:743-54.
13
Lorini C, Santomauro F, Donzellini M, Capecchi L, Bechini A, Boccalini S, et al. Health literacy and vaccination: A systematic review. Hum Vaccin Immunother 2018;14:478-88.
14
Veldwijk J, van der Heide I, Rademakers J, Schuit AJ, De Wit GA, Uiters E, et al. Preferences for vaccination: Does health literacy make a difference? Med Dec Making 2015;35:948-58.
15
World Health Organization. Vaccination: European commission and world health organization join forces to promote the benefits of vaccines [homepage on the Internet]. 2019 [cited 28 July 2021]. Available from: https://www.who.int/news/item/12-09-2019-vaccination-european-commission-and-world-health-organization-join-forces-to-promote-the-benefits-of-vaccines
16
Barello S, Nania T, Dellafiore F, Graffigna G, Caruso R. Vaccine hesitancy’among university students in Italy during the COVID-19 pandemic. Eur J Epidemiol 2020;35:781-3.
17
Chou WYS, Budenz A. Considering emotion in COVID-19 vaccine communication: Addressing vaccine hesitancy and fostering vaccine confidence. Health Commun 2020;35:1718-22.
18
Kata A. A postmodern Pandora’s box: Anti-vaccination misinformation on the Internet. Vaccine 2010;28:1709-16.
19
Bean SJ. Emerging and continuing trends in vaccine opposition website content. Vaccine 2011;29:1874-80.
20
Broniatowski DA, Jamison AM, Qi S, AlKulaib L, Chen T, Benton A, et al. Weaponized health communication: Twitter bots and Russian trolls amplify the vaccine debate. Am J Public Health 2018;108:1378-84.
21
Turkey Ministry of Health. Türkiye Sağlık Okuryazarlığı Ölçekleri Güvenilirlik ve Geçerlilik Çalışması. Ankara: Anıl Reklam Matbaacılık; 2016.
22
Kılınçarslan MG, Sarıgül B, Toraman Ç, Şahin EM. Development of valid and reliable scale of vaccine hesitancy in Turkish Language. Konuralp Medical Journal 2020;12:420-9.
23
Giambi C, Fabiani M, D’Ancona F, Ferrara L, Fiacchini D, Gallo T, et al. Parental vaccine hesitancy in Italy-results from a national survey. Vaccine 2018;36:779-87.
24
White S, Chen J, Atchison R. Relationship of preventive health practices and health literacy: A national study. A J Health Behav 2008;32:227-42.
25
Bennett IM, Chen J, Soroui JS, White S. The contribution of health literacy to disparities in self-rated health status and preventive health behaviors in older adults. Ann Fam Med 2009;7:204-11.
26
Neumann-Böhme S, Varghese NE, Sabat I, Barros PP, Brouwer W, van Exel J, et al. Once we have it, will we use it? A European survey on willingness to be vaccinated against COVID-19. Eur J Health Econ 2020;21:977-82.
27
Salali GD, Uysal MS. COVID-19 vaccine hesitancy is associated with beliefs on the origin of the novel coronavirus in the UK and Turkey. Psychol Med 2020;1-3.
28
İkiışık H, Akif Sezerol M, Taşçı Y, Maral I. COVID‐19 vaccine hesitancy: A community‐based research in Turkey. International Journal of Clinical Practice 2021;75:e14336.
29
Okan O, Bollweg TM, Berens EM, Hurrelmann K, Bauer U, Schaeffer D. Coronavirus-related health literacy: A cross-sectional study in adults during the COVID-19 infodemic in Germany. Int J Environ Res Public Health 2020;17:5503.
30
Murphy J, Vallières F, Bentall R, Shevlin M, McBride O, Hartman TK, et al. Psychological characteristics associated with COVID-19 vaccine hesitancy and resistance in Ireland and the United Kingdom. Nat Commun 2021;12:1-15.
31
Dror AA, Eisenbach N, Taiber S, Morozov NG, Mizrachi M, Zigron A, et al. Vaccine hesitancy: the next challenge in the fight against COVID-19. Eur J Epidemiol 2020;35:775-9.
32
Biasio LR, Carducci A, Fara GM, Giammanco G, Lopalco PL. Health literacy, emotionality, scientific evidence: Elements of an effective communication in public health. Hum Vaccin Immunother 2018;14:1515-6.
33
Biasio LR, Bonaccorsi G, Lorini C, Pecorelli S. Assessing COVID-19 vaccine literacy: A preliminary online survey. Hum Vaccin Immunother 2020;17:1304-12.
34
Ratzan SC. Vaccine literacy: A new shot for advancing health. Taylor & Francis;2011.
35
Odone A, Fara GM, Giammaco G, Blangiardi F, Signorelli C. The future of immunization policies in Italy and in the European Union: The Declaration of Erice. Hum Vaccin Immunother 2015;11:1268-71.
36
Biasio LR. Vaccine hesitancy and health literacy. Hum Vaccin Immunother 2017;13:701.
