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      COVID‐19 Vaccine Hesitancy: A Community‐Based Research in Turkey

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          Abstract

          <div class="section"> <a class="named-anchor" id="ijcp14336-sec-0001"> <!-- named anchor --> </a> <h5 class="section-title" id="d3678569e196">Aim</h5> <p id="d3678569e198">The frequency of vaccine refusal and hesitation, which is associated with many factors, is increasing worldwide. The purpose of this study is to estimate the frequency of vaccine refusal against COVID‐19 vaccines and to identify the underlying factors for refusal or hesitation. </p> </div><div class="section"> <a class="named-anchor" id="ijcp14336-sec-0002"> <!-- named anchor --> </a> <h5 class="section-title" id="d3678569e201">Materials and Methods</h5> <p id="d3678569e203">This is a cross‐sectional study carried out in a district of Istanbul from 25 to 30 December 2020. A sample of people from the ages of 20 to 85 in the district was selected, and a total of 384 people were enrolled. A questionnaire about the COVID‐19 vaccine was administered to the participants by phone. The questionnaire consisted of questions about the sociodemographic characteristics of participants and their thoughts about possible COVID‐19 vaccines. </p> </div><div class="section"> <a class="named-anchor" id="ijcp14336-sec-0003"> <!-- named anchor --> </a> <h5 class="section-title" id="d3678569e206">Results</h5> <p id="d3678569e208">45.3% of the participants were hesitant about getting the COVID‐19 vaccine, which was declared appropriate by the Ministry of Health. The rate of those who think that the COVID‐19 vaccine will be effective in preventing and controlling the disease was 51.6%. 89.6% of the participants were hesitant about getting their children vaccinated. Those who do not consider COVID‐19 disease as a risk to their health were 22.9%, and 32.8% thought that they would be protected from the disease by natural and traditional ways. The median score of the participants' risk perception was 7 (IQR: 6‐8; Mean: 6.8; SD: 1.7). The median value of risk perception score of those who accept the vaccine was 6 (IQR: 4‐6), while the median value for those who did not accept the vaccine was 4 (IQR: 4‐6) ( <i>P</i> &lt; .01). Factors affecting vaccine acceptance were determined as the perception of risk (OR: 1.26% 95CI 1.03‐1.55) and age (OR: 0.94% 95CI: 0.91‐0.98) in logistic regression analysis. </p> </div><div class="section"> <a class="named-anchor" id="ijcp14336-sec-0004"> <!-- named anchor --> </a> <h5 class="section-title" id="d3678569e214">Conclusion</h5> <p id="d3678569e216">Half of the participants were hesitant about the COVID‐19 vaccines. The success of COVID‐19 vaccination programmes largely depends on the public willingness to accept the vaccine. </p> </div>

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          Most cited references36

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          The COVID-19 pandemic has resulted in over 1.4 million confirmed cases and over 83,000 deaths globally. It has also sparked fears of an impending economic crisis and recession. Social distancing, self-isolation and travel restrictions forced a decrease in the workforce across all economic sectors and caused many jobs to be lost. Schools have closed down, and the need of commodities and manufactured products has decreased. In contrast, the need for medical supplies has significantly increased. The food sector has also seen a great demand due to panic-buying and stockpiling of food products. In response to this global outbreak, we summarise the socio-economic effects of COVID-19 on individual aspects of the world economy.
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            Several coronavirus disease 2019 (COVID-19) vaccines are currently in human trials. In June 2020, we surveyed 13,426 people in 19 countries to determine potential acceptance rates and factors influencing acceptance of a COVID-19 vaccine. Of these, 71.5% of participants reported that they would be very or somewhat likely to take a COVID-19 vaccine, and 61.4% reported that they would accept their employer’s recommendation to do so. Differences in acceptance rates ranged from almost 90% (in China) to less than 55% (in Russia). Respondents reporting higher levels of trust in information from government sources were more likely to accept a vaccine and take their employer’s advice to do so.
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              Vaccine hesitancy remains a barrier to full population inoculation against highly infectious diseases. Coincident with the rapid developments of COVID-19 vaccines globally, concerns about the safety of such a vaccine could contribute to vaccine hesitancy. We analyzed 1941 anonymous questionnaires completed by healthcare workers and members of the general Israeli population, regarding acceptance of a potential COVID-19 vaccine. Our results indicate that healthcare staff involved in the care of COVID-19 positive patients, and individuals considering themselves at risk of disease, were more likely to self-report acquiescence to COVID-19 vaccination if and when available. In contrast, parents, nurses, and medical workers not caring for SARS-CoV-2 positive patients expressed higher levels of vaccine hesitancy. Interventional educational campaigns targeted towards populations at risk of vaccine hesitancy are therefore urgently needed to combat misinformation and avoid low inoculation rates.
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                Author and article information

                Journal
                International Journal of Clinical Practice
                International Journal of Clinical Practice
                Wiley
                1368-5031
                1742-1241
                May 11 2021
                Affiliations
                [1 ]Istanbul Medeniyet University Faculty of Medicine Department of Public Health Istanbul Turkey
                [2 ]Institute of Health Sciences Istanbul University Department of Public Health Üsküdar Provincial Health Directorate Istanbul Turkey
                Article
                10.1111/ijcp.14336
                13e85592-8654-46f7-8c82-0e06f9793fec
                © 2021

                http://onlinelibrary.wiley.com/termsAndConditions#vor

                http://doi.wiley.com/10.1002/tdm_license_1.1

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