Alteration in vaccination rates and an evaluation of physicians’ perceptions of the possible impact of the SARS-CoV-2 pandemic on childhood vaccinations in Ankara, Turkey

Kara, Ateş; İlbay, Sare; Topaç, Osman; Arabulan, Elif; Tezer, Hasan; Tavukçu, Nilüfer; Şimşek, Çiğdem

doi:10.1080/21645515.2021.1923345

Cited by 12 publications

(12 citation statements)

References 5 publications

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“…The 38.3% reduction in average monthly immunizations during the COVID-19 interruption period in our study was lower compared to the 50-85% decline in vaccine administration in Sierra Leone [17] , 52.5% in Pakistan [6] , and 80.0% in Saudi Arabia [18] . Studies in Canada [19] , Turkey [20] , Lebanon [5] , and India [21] reported a lower reduction in average monthly immunization compared to our findings.…”

Section: Discussioncontrasting

confidence: 84%

Attendance and vaccination at immunization clinics in rural Gambia before and during the COVID-19 pandemic

Osei

Sarwar²,

Hossain³

et al. 2022

Vaccine

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Section: Discussioncontrasting

confidence: 84%

Attendance and vaccination at immunization clinics in rural Gambia before and during the COVID-19 pandemic

Osei

Sarwar²,

Hossain³

et al. 2022

Vaccine

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“…Therefore, healthcare providers should use face-to-face education, autodialers, mail, and text messages to emphasize the COVID-19 pandemic situation, the benefits of vaccination, and the safety and efficacy of vaccines, to address parental concerns about vaccines. Moreover, training for healthcare providers, support from health authorities, and related media and social media channels should promote vaccinations (48,49).…”

Section: Discussionmentioning

confidence: 99%

The Association Between Risk Perception and COVID-19 Vaccine Hesitancy for Children Among Reproductive Women in China: An Online Survey

Tao

Liu

2021

Front. Med.

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Background: This study aimed to explore the association between risk perception and coronavirus disease 2019 (COVID-19) vaccine hesitancy among reproductive women in China to supplement limited studies in this area.Methods: From December 14, 2020, to January 31, 2021, an anonymous cross-sectional online survey was conducted on COVID-19 vaccine hesitancy for children among reproductive women in China. We assessed risk perception, including perceived susceptibility, severity, barriers, and benefits using the health belief model, and then classified each variable into three groups (low, moderate, and high) based on tertiles. Information on sociodemographic characteristics, health status, and knowledge of COVID-19 was also collected. The Pearson χ2-test was used to compare vaccine hesitancy among the above mentioned factors. Logistic regression models were used to calculate the adjusted odds ratio (aOR) of risk perception related to vaccine hesitancy after controlling for the above covariates.Results: Among 3,011 reproductive women, 8.44% (95%CI: 7.44. 9.43) had COVID-19 vaccine hesitancy. Vaccine hesitancy was observed more in women who lived in eastern China (11.63%), aged >45 years (12.00%), had a lower than high school education level (12.77%), and a low score on knowledge of COVID-19 (12.22%). Vaccine hesitancy was associated with lower perceived susceptibility (moderate: aOR = 1.72, 95%CI: 1.17–2.54, P = 0.0061; low: aOR = 2.44, 95%CI: 1.60–3.70, P < 0.0001), high perceived barriers (aOR = 2.86, 95%CI: 1.57–5.22, P < 0.0001), and lower perceived benefit (moderate: aOR = 3.29, 95%CI: 2.30–4.70, P < 0.0001; low: aOR = 4.59, 95%CI: 2.98–7.07, P < 0.0001), but not with perceived severity.Conclusions: Although the proportion of COVID-19 vaccine hesitancy for children among Chinese reproductive women was <1 out of 10, to improve COVID-19 vaccine hesitancy, our findings suggest that tailored public health measures are needed to increase perceived susceptibility and benefit, and decrease perceived barriers among reproductive women.

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“…Sixteen studies did not specify their study type, and so were categorised as observational studies [28-30, 34, 38, 40-42, 44-47, 49, 50, 52, 55] (see Table 1). Twenty studies focused on HICs (Japan [27], US [28,29,32,38,[40][41][42]44], Netherlands [30], Singapore [31], Canada [33], England [34][35][36]43], South Korea [37], Sweden [39], Italy [45,46]), seven focused on LMICs (Pakistan [47,50], South Africa [48], Brazil [49], Nigeria [51], Turkey [52], Lebanon [53]), and three studies focused on larger geographical areas including multiple countries which will be referred to as regional studies (global [56], Africa [55], South-East Asia and Western Pacific [54]), listed in Table 1. One study analysed multicentre data from a number of vaccination service providers (9 healthcare facilities across Singapore) [31], 19 studies analysed routinely collected data (eight at national-level [30,34,35,37,39,41,49,55], and 11 at regional-level within the country…”

Section: Study Characteristicsmentioning

confidence: 99%

“…18 studies examined infant vaccination coverage, representing all seven LMICs [47][48][49][50][51][52][53], nine HICs [28,30,32,34,35,[37][38][39]46] and two larger regional studies [54,55]. 17 of these studies (13 low ROB [28, 30, 32, 34, 35, 37, 47-51, 54, 55], 4 high ROB [39,46,52,53]), reported decreases in vaccination coverage including for varicella, JE, PCV, HepA, BCG, HepB/HBV0, DTaP, Polio/OPV/IPV, and MMR/MMRV/MCV, though four of these also reported some mixed results [32,37,38,55]. One study (with a higher ROB) reported only an increase in vaccination uptake (first dose MMR, US) [39] (see Table 1).…”

Section: Vaccine Coveragementioning

confidence: 99%

“…One study (with a higher ROB) reported only an increase in vaccination uptake (first dose MMR, US) [39] (see Table 1). Between all studies included in this review decreases up to -79% were seen across all vaccinations [28,30,32,34,35,37,38,[46][47][48][49][50][51][52][53][54][55]. We compared our most robust studies (ROB score � 7) that reported changes in vaccination coverage between HICs and LMICs.…”

Section: Vaccine Coveragementioning

confidence: 99%

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The impact of the Covid-19 pandemic on the uptake of routine maternal and infant vaccines globally: A systematic review

Yunusa

Cabral²,

Anderson³

2022

PLOS Glob Public Health

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Maintaining routine vaccination coverage is essential to avoid outbreaks of vaccine-preventable diseases. We aimed to understand the international impact of the COVID-19 pandemic on routine vaccination in pregnant women and children aged 0-5-years-old. A systematic review of quantitative and mixed methods studies exploring changes in vaccination coverage, vaccination services, and vaccine confidence since the start of the Covid-19 pandemic was conducted. MEDLINE, EMBASE, CINHAL, PsychINFO, Web of Science, Google Scholar, World Health Organisation, UK Government Joint Committee on Vaccination and Immunisation (including EU and US equivalents), and SAGE Journals were searched between 15-17th June 2021. Selected studies included pregnant women, health professionals, and/or infants aged 0-5-years-old including their parents (population); reported on the Covid-19 pandemic (exposure); presented comparisons with pre-COVID-19 pandemic period (comparator) and reported changes in routine maternal and infant vaccination coverage, services, and confidence (outcomes). Sources published only in non-English language were excluded. The Newcastle Ottawa Scale was used to assess study quality and risk of bias (ROB), and a narrative synthesis was undertaken. This review has been registered with PROSPERO (CRD42021262449). 30 studies were included in the review; data from 20 high-income countries (HICs), seven low- and middle-income countries (LMICs), and three regional studies (groups of countries). 18 studies had a low ROB, 12 had a higher risk, however both low and high ROB studies showed similar results. Two studies meeting the inclusion criteria discussed changes in routine vaccinations for pregnant women while 29 studies discussed infants. Both groups experienced declines in vaccination coverage (up to -79%) with larger disruptions in the accessibility and delivery of vaccination services reported within LMICs compared to HICs. Changes in vaccine confidence remained unclear. The COVID-19 pandemic resulted in decreased vaccine coverage and reduced routine vaccination services for pregnant women and infants, impacts on vaccine confidence requires more research.

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Alteration in vaccination rates and an evaluation of physicians’ perceptions of the possible impact of the SARS-CoV-2 pandemic on childhood vaccinations in Ankara, Turkey

Cited by 12 publications

References 5 publications

Attendance and vaccination at immunization clinics in rural Gambia before and during the COVID-19 pandemic

Attendance and vaccination at immunization clinics in rural Gambia before and during the COVID-19 pandemic

The Association Between Risk Perception and COVID-19 Vaccine Hesitancy for Children Among Reproductive Women in China: An Online Survey

The impact of the Covid-19 pandemic on the uptake of routine maternal and infant vaccines globally: A systematic review

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