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In or Out? Identifying the Factors Playing a Role in Covid-19 Decision Making in Turkiye

Published online by Cambridge University Press:  11 January 2023

Hasan Giray Ankara Open the ORCID record for Hasan Giray Ankara [Opens in a new window] ,
Havvana Degerli Open the ORCID record for Havvana Degerli [Opens in a new window]  and
Hakan Degerli Open the ORCID record for Hakan Degerli [Opens in a new window]
Hasan Giray Ankara
Affiliation:
Department of Health Management, The University of Health Sciences, Istanbul, Turkey
Havvana Degerli*
Affiliation:
Department of Health Management, The University of Health Sciences, Istanbul, Turkey
Hakan Degerli
Affiliation:
Department of Medical Services and Techniques, Vocational School of Health Services, Seyh Edebali University, Bilecik, Turkey
*
Corresponding author: Havvana Degerli, Email: hhavvanadegerli@gmail.com.
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Abstract

Objective:

The study aimed at investigating the social, demographic, and economic factors affecting Covid-19 vaccine decisions before the vaccination started in Turkey. The study also aimed to understand the attitudes towards Covid-19 vaccines.

Methods:

The study was conducted by exploiting the data of 693 individuals living in Turkey. The data was collected via a virtually applied questionnaire according to snowball sampling in late 2020 when the vaccination program had not started in Turkey yet. Multinomial logistic regression design was used to identify the factors affecting Covid-19 vaccine decisions.

Results:

It was observed that Covid-19 vaccine acceptance was notably low before the vaccination started in Turkey. Further, almost 50% of the participants were indecisive about getting vaccinated. It was identified that age, gender, educational status, and residential status, as well as occupational status, the number of dependents, smoking, and the vaccination of governmental authorities, have associations with Covid-19 vaccination decisions.

Conclusions:

Covid-19 vaccine acceptance is generally low, although it is relatively high among vulnerable groups (i.e., the elderly and smokers), and among those who are unable to isolate themselves. In addition, the vaccination of governmental authorities is remarkably effective on Covid-19 vaccine acceptance in Turkey.

Keywords

Covid-19turkeyvaccinevaccinationvaccination decision
Type
Original Research
Information
Disaster Medicine and Public Health Preparedness , Volume 17 , 2023 , e356
Copyright
© The Author(s), 2023. Published by Cambridge University Press on behalf of Society for Disaster Medicine and Public Health, Inc.

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References

Dong, E, Du, H, Gardner, L. An interactive web-based dashboard to track COVID-19 in real-time. The Lancet infectious diseases. 2020;20(5):533-534.CrossRefGoogle ScholarPubMed
World Health Organization. COVID-19 Dashboard; 2021. https://covid19.who.int/ Google Scholar
World Health Organization. COVID-19 region dashboard.; 2021. https://covid19.who.int/region/euro/country/tr Google Scholar
Sallam, M, Al-Sanafi, M, Sallam, M. A global map of covid-19 vaccine acceptance rates per country: an updated concise narrative review. J Multidiscip Healthc. 2022;15:21-45.CrossRefGoogle ScholarPubMed
Sharpe, HR, Gilbride, C, Allen, E, et al. The early landscape of coronavirus disease 2019 vaccine development in the UK and rest of the world. Immunology. 2020;160(3):223-232.CrossRefGoogle ScholarPubMed
Abo, SMC, Smith, SR. Is a covid-19 vaccine likely to make things worse? Vaccines. 2020;8(4):761.CrossRefGoogle ScholarPubMed
Bedford, J, Enria, D, Giesecke, J, et al. COVID-19: towards controlling of a pandemic. Lancet. 2020;395(10229):1015-18. doi: 10.1016/S0140-6736(20)30673-5 CrossRefGoogle ScholarPubMed
Thanh Le, T, Andreadakis, Z, Kumar, A, et al. The COVID-19 vaccine development landscape. Nat Rev Drug Discov. 2020;19(5):305-06. doi: 10.1038/d41573-020-00073-5 CrossRefGoogle ScholarPubMed
Lurie, N, Saville, M, Hatchett, R, Halton, J. Developing Covid-19 vaccines at pandemic speed. N Engl J Med. 2020;382 (21):1969-73. doi: 10.1056/NEJMp2005630 CrossRefGoogle ScholarPubMed
Alamer, E, Hakami, F, Hamdi, S, et al. Knowledge, attitudes and perception toward COVID-19 vaccines among adults in Jazan Province, Saudi Arabia. Vaccines. 2021;9(11):1259.CrossRefGoogle ScholarPubMed
Green, MS, Abdullah, R, Vered, S, Nitzan, D. A study of ethnic, gender and educational differences in attitudes toward COVID-19 vaccines in Israel–implications for vaccination implementation policies. Israel J Health Policy Res. 2021;10(1):1-12.CrossRefGoogle Scholar
Danabal, KGM, Magesh, SS, Saravanan, S, Gopichandran, V. Attitude towards COVID 19 vaccines and vaccine hesitancy in urban and rural communities in Tamil Nadu, India–a community-based survey. BMC Health Services Res. 2021;21(1):1-10.CrossRefGoogle Scholar
Agrawal, A, Kolhapure, S, Di Pasquale, A, Rai, J, Mathur, A. Vaccine hesitancy as a challenge or vaccine confidence as an opportunity for childhood immunisation in India. Infect Dis Ther. 2020;9:421-432.CrossRefGoogle ScholarPubMed
Bish, A, Yardley, L, Nicoll, A, Michie, S. Factors associated with uptake of vaccination against pandemic influenza: a systematic review. Vaccine. 2011;29(38):6472-6484.CrossRefGoogle ScholarPubMed
Malik, AA, McFadden, SM, Elharake, J, Omer, SB. Determinants of COVID-19 vaccine acceptance in the US. EClinicalMedicine. 2020;26:100495.CrossRefGoogle ScholarPubMed
Sun, S, Lin, D, Operario, D. Interest in COVID-19 vaccine trials participation among young adults in China: willingness, reasons for hesitancy, and demographic and psychosocial determinants. medRxiv. 2020;2020.07.20152678.CrossRefGoogle Scholar
Leng, A, Maitland, E, Wang, S, Nicholas, S, Liu, R, Wang, J. Individual preferences for COVID-19 vaccination in China. Vaccine. 2021;39(2):247-254.CrossRefGoogle ScholarPubMed
Wong, LP, Alias, H, Wong, PF, Lee, HY, AbuBakar S. The use of the health belief model to assess predictors of intent to receive the COVID-19 vaccine and willingness to pay. Hum Vaccines Immunother. 2020;16(9):2204-2214.CrossRefGoogle ScholarPubMed
Sherman, SM, Smith, LE, Sim, J, et al. COVID-19 vaccination intention in the UK: results from the COVID-19 vaccination acceptability study (CoVAccS), a nationally representative cross-sectional survey. Hum Vaccines Immunother. 2021;17(6):1612-1621.CrossRefGoogle ScholarPubMed
Fu, C, Wei, Z, Pei, S, Li, S, Sun, X, Liu, P. Acceptance and preference for COVID-19 vaccination in health-care workers (HCWs). MedRxiv. 2020;4(9). https://doi.org/10.1101/2020.04.09.20060103 Google Scholar
Kwok, KO, Li, KK, Wei, WI, Tang, A, Wong, SYS, Lee, SS. Influenza vaccine uptake, COVID-19 vaccination intention and vaccine hesitancy among nurses: a survey. Int J Nurs Stud. 2021;114:103854.CrossRefGoogle ScholarPubMed
Harapan, H, Wagner, AL, Yufika, A, et al. Acceptance of a COVID-19 vaccine in Southeast Asia: a cross-sectional study in Indonesia. Front Public Health. 2020;8:381. Published 2020 Jul 14. doi: 10.3389/fpubh.2020.00381 CrossRefGoogle ScholarPubMed
Al-Mohaithef, M, Padhi, BK. Determinants of COVID-19 Vaccine acceptance in Saudi Arabia: a web-based national survey. J Multidiscip Healthc. 2020;13:1657-1663. doi: 10.2147/JMDH.S276771 CrossRefGoogle ScholarPubMed
Alqudeimat, Y, Alenezi, D, AlHajri, B, et al. Acceptance of a COVID-19 vaccine and its related determinants among the general adult population in Kuwait. Med Princ Pract. 2021;30(3):262-271. doi: 10.1159/000514636 CrossRefGoogle ScholarPubMed
Karlsson, LC, Soveri, A, Lewandowsky, S, et al. Fearing the disease or the vaccine: the case of COVID-19. Pers Individ Dif. 2021;172:110590. doi: 10.1016/j.paid.2020.110590 CrossRefGoogle ScholarPubMed
Pogue, K, Jensen, JL, Stancil, CK, et al. Influences on attitudes regarding potential COVID-19 Vaccination in the United States. Vaccines (Basel). 2020;8(4):582. doi: 10.3390/vaccines8040582 CrossRefGoogle ScholarPubMed
Wang, J, Jing, R, Lai, X, et al. Acceptance of COVID-19 Vaccination during the COVID-19 Pandemic in China. Vaccines (Basel). 2020;8(3):482. doi: 10.3390/vaccines8030482 CrossRefGoogle ScholarPubMed
Republic of Turkey Ministry of Health. Turkish national covid-19 vaccine administration strategy; 2022. https://covid19asi.saglik.gov.tr/TR-77706/covid-19-asisi-ulusal-uygulama-stratejisi.html Google Scholar
Goodman, JL, Grabenstein, JD, Braun, MM. Answering key questions about covid-19 vaccines. JAMA. 2020;324(20):2027-2028. doi: 10.1001/jama.2020.20590 CrossRefGoogle ScholarPubMed
Johnson, DK, Mello, EJ, Walker, TD, Hood, SJ, Jensen, JL, Poole, BD. Combating vaccine hesitancy with vaccine-preventable disease familiarization: an interview and curriculum intervention for college students. Vaccines. 2019; 7(2):39. https://doi.org/10.3390/vaccines7020039 CrossRefGoogle ScholarPubMed
Kreps, S, Prasad, S, Brownstein, JS, et al. Factors associated with US adults’ likelihood of accepting covid-19 vaccination [published correction appears in JAMA Netw Open. 2020 Nov 2;3(11):e2030649]. JAMA Netw Open. 2020;3(10):e2025594. doi:10.1001/jamanetworkopen.2020.25594CrossRefGoogle Scholar
Michel, JP, Gusmano, M, Blank, PR, Philp, I. Vaccination and healthy ageing: how to make life-course vaccination a successful public health strategy. Euro Geriatric Med. 2010;1(3):155-165.CrossRefGoogle Scholar
Cameron, AC, Trivedi, PK. Microeconometrics: methods and applications. Cambridge University Press; 2005.CrossRefGoogle Scholar
Gagneux-Brunon, A, Detoc, M, Bruel, S, et al. Intention to get vaccinations against COVID-19 in French healthcare workers during the first pandemic wave: a cross-sectional survey. J Hosp Infect. 2021;108:168-173. doi: 10.1016/j.jhin.2020.11.020 CrossRefGoogle ScholarPubMed
Ward, JK, Alleaume, C, Peretti-Watel, P; COCONEL, Group. The French public’s attitudes to a future COVID-19 vaccine: the politicization of a public health issue. Soc Sci Med. 2020;265:113414. doi: 10.1016/j.socscimed.2020.113414 CrossRefGoogle ScholarPubMed
Detoc, M, Bruel, S, Frappe, P, Tardy, B, Botelho-Nevers, E, Gagneux-Brunon, A. Intention to participate in a COVID-19 vaccine clinical trial and to get vaccinated against COVID-19 in France during the pandemic. Vaccine. 2020;38(45):7002-7006. doi: 10.1016/j.vaccine.2020.09.041 CrossRefGoogle Scholar
Lazarus, JV, Ratzan, SC, Palayew, A, et al. A global survey of potential acceptance of a COVID-19 vaccine [published correction appears in Nat Med. 2021 Jan 11;:]. Nat Med. 2021;27(2):225-228. doi: 10.1038/s41591-020-1124-9 CrossRefGoogle ScholarPubMed
Taylor, S, Landry, CA, Paluszek, MM, Groenewoud, R, Rachor, GS, Asmundson, GJG. A proactive approach for managing covid-19: the importance of understanding the motivational roots of vaccination hesitancy for sars-cov2. Front Psychol. 2020;11:575950.CrossRefGoogle ScholarPubMed
Lin, Y, Hu, Z, Zhao, Q, Alias, H, Danaee, M, Wong, LP. Understanding COVID-19 vaccine demand and hesitancy: A nationwide online survey in China. PLoS Negl Trop Dis. 2020;14:e0008961.CrossRefGoogle ScholarPubMed
Neumann-Böhme, S, Varghese, NE, Sabat, I, et al. Once we have it, will we use it? A European survey on willingness to be vaccinated against COVID-19. Euro J Health Econs. 2020;1-6.Google ScholarPubMed
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.Google ScholarPubMed
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;35:781-783.CrossRefGoogle ScholarPubMed
Rhodes, A, Hoq, M, Measey, MA, Danchin, M. Intention to vaccinate against COVID-19 in Australia. Lancet Infect Dis. 2021;21(5):e110. doi: 10.1016/S1473-3099(20)30724-6 CrossRefGoogle ScholarPubMed
Dror, AA, Eisenbach, N, Taiber, S, et al. Vaccine hesitancy: the next challenge in the fight against COVID-19. Eur J Epidemiol. 2020;35:775-779.CrossRefGoogle ScholarPubMed
Sarasty, O, Carpio, CE, Hudson, D, Guerrero-Ochoa, PA, Borja, I. The demand for a COVID-19 vaccine in Ecuador. Vaccines. 2020;38:8090-8098.CrossRefGoogle ScholarPubMed
Al-Mistarehi, AH, Kheirallah, KA, Yassin, A, et al. Determinants of the willingness of the general population to get vaccinated against COVID-19 in a developing country. Clin Exper Vaccine Res. 2021;10(2):171.CrossRefGoogle ScholarPubMed
Graffigna, G, Palamenghi, L, Boccia, S, Barello, S. Relationship between citizens’ health engagement and intention to take the COVID-19 vaccine in Italy: a mediation analysis. Vaccines. 2020;8(4):576.CrossRefGoogle ScholarPubMed
Mahmud, S, Mohsin, M, Khan, IA, Mian, AU, Zaman, MA. Knowledge, beliefs, attitudes and perceived risk about COVID-19 vaccine and determinants of COVID-19 vaccine acceptance in Bangladesh. PloS One. 2021;16(9):e0257096.CrossRefGoogle ScholarPubMed
Zhao, Q, Meng, M, Kumar, R, et al. The impact of COPD and smoking history on the severity of COVID-19: A systemic review and meta-analysis. J Med Virol. 2020;92(10):1915-1921. doi: 10.1002/jmv.25889 CrossRefGoogle ScholarPubMed
Reddy, RK, Charles, WN, Sklavounos, A, Dutt, A, Seed, PT, Khajuria, A. The effect of smoking on COVID-19 severity: a systematic review and meta-analysis. J Med Virol. 2021;93(2):1045-1056.CrossRefGoogle ScholarPubMed
Vardavas, CI, Nikitara, K. COVID-19 and smoking: a systematic review of the evidence. Tobacco Induced Dis. 2020;18.Google ScholarPubMed
Cattaruzza, MS, Zagà, V, Gallus, S, D’Argenio, P, Gorini, G. Tobacco smoking and COVID-19 pandemic: old and new issues. a summary of the evidence from the scientific literature. Acta Biomed. 2020;91(2):106-112. doi: 10.23750/abm.v91i2.9698 Google ScholarPubMed
Mozid, NE, Amin, MA, Jhumur, SS, et al. COVID-19 risk of infection and vaccination during Ramadan fasting: knowledge and attitudes of Bangladeshi general population. Heliyon. 2021;7(10):e08174. doi: 10.1016/j.heliyon.2021.e08174 CrossRefGoogle ScholarPubMed
Viswanath, K, Bekalu, M, Dhawan, D, Pinnamaneni, R, Lang, J, McLoud, R. Individual and social determinants of COVID-19 vaccine uptake. BMC Public Health. 2021;21(1):1-10.CrossRefGoogle ScholarPubMed
Paul, A, Sikdar, D, Mahanta, J, et al. Peoples’ understanding, acceptance, and perceived challenges of vaccination against COVID-19: a cross-sectional study in Bangladesh. PLoS One. 2021;16(8):e0256493. doi: 10.1371/journal.pone.0256493 CrossRefGoogle ScholarPubMed
Mannan, DKA, Knowledge, Farhana KM., attitude, and acceptance of a COVID-19 vaccine: a global cross-sectional study. Int Res J Bus Soc Sci. 2021;6(4).Google Scholar
Holzmann-Littig, C, Braunisch, MC, Kranke, P, et al. COVID-19 vaccination acceptance and hesitancy among healthcare workers in Germany. Vaccines. 2021;9(7):777.CrossRefGoogle ScholarPubMed
Huynh, G, Nguyen, TV, Nguyen, DD, Lam, QM, Pham, TN, Nguyen, HTN. Knowledge about covid-19, beliefs and vaccination acceptance against covid-19 among high-risk people in Ho Chi Minh City, Vietnam. Infect Drug Resist. 2021;14:1773-1780. doi: 10.2147/IDR.S308446 CrossRefGoogle ScholarPubMed