Journal of Umraniye Pediatrics, cilt.4, sa.1, ss.32-38, 2024 (Hakemli Dergi)
Objective: Vaccine hesitancy represents a significant and contemporary public health concern. In particular, vaccine efficacy, vaccine content, and personal beliefs and moral values have a profound impact on vaccination decisions. Additionally, concerns about side effects, lack of confidence in natural immunity, and political and economic distrust of vaccines also influence parents’ vaccination decisions. This study aims to examine the processes leading to vaccine hesitancy among participants with different sociodemographic characteristics. Material and Methods: This qualitative study examines parental perspectives on child vaccination among families with newborns at Istanbul Medipol University Hospital, Türkiye. Semi-structured interviews were conducted to explore vaccination decision-making processes. Data collection involved face-to-face interviews and follow-ups via phone. Thematic analysis was employed for data interpretation. Ethical approval was obtained and informed consent was secured from all participants, adhering to the principles of the Declaration of Helsinki. Results: Participants expressed uncertainty about the necessity of vaccinations in the absence of current illness. Some participants preferred to address health issues as they arose rather than take proactive preventive measures like vaccination. Concerns about vaccine content were also raised, including distrust towards synthetic components and uncertainties about the composition of imported vaccines. Participants highlighted the influence of their beliefs and spirituality on vaccine decisions, with religious convictions playing a significant role. Concerns about potential side effects and a preference for trust in natural immunity were common among hesitant participants. Additionally, participants expressed skepticism regarding the political and economic motivations behind vaccinations. Conclusion: The study underscores the complexity of vaccine hesitancy, stressing the importance of tailored strategies. Targeted education, transparency on vaccine content, and culturally sensitive approaches are vital. Building trust in vaccine safety, addressing side effect concerns, and ensuring transparent communication are key. Strengthening confidence in vaccine regulatory processes is crucial for overcoming political and economic distrust.