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COVID-19 Vaccine Acceptance, Trust in Vaccine, Anxiety Levels, and Related Factors in Turkish Society

Published online by Cambridge University Press:  04 September 2023

Merve Aydın
Affiliation:
Karadeniz Technical University, Health Sciences Faculty, Nursing Department, Trabzon, Turkey
Nurşen Kulakaç*
Affiliation:
Gümüşhane University, Health Sciences Faculty, Nursing Department, Gümüşhane, Turkey
Ceyda Uzun Şahin
Affiliation:
Ceyda Uzun Şahin, Department of Vocational School of Health Services, Recep Tayyip Erdogan University, Rize, Turkey
*
Corresponding author: Nurşen Kulakaç; Email: nrsnklkc@gmail.com.

Abstract

Background:

Vaccine acceptance and trust in vaccines pose a complex process affected by many factors. The present study was conducted to determine coronavirus disease 2019 (COVID-19) vaccine acceptance, trust in vaccines, anxiety levels, and related factors in Turkish society.

Methods:

The data of this cross-sectional and descriptive-correlational study were collected with the snowball method by using an online questionnaire throughout Turkey. The study was conducted between March 15 and April 3, 2021, with 3148 participants from 7 regions and 81 cities in Turkey.

Results:

It was found that the participants accepted the vaccine at 72.8%, and the trust rate in the vaccine was 66.0%. It was also found that women, single participants, those who had immune system diseases, and with COVID-19 had higher Coronavirus Anxiety Scale scores at significant levels. According to Logistic Regression Analysis, gender, age, trust in the vaccine, perception of risk levels regarding COVID-19, and coronavirus anxiety levels are factors affecting the intentions of participants to accept/reject the vaccine. It was determined that male participants were more likely to accept the coronavirus vaccine (P = 0.028). It was found that health-care employees had higher trust in the coronavirus vaccine (P = 0.006) and acceptance rates (P = 0.010) at significant levels compared with the general population.

Conclusion:

The COVID-19 vaccine acceptance rate in Turkish society was found to be high, and the level of trust in vaccines and anxiety levels were above the moderate level.

Type
Original Research
Copyright
© The Author(s), 2023. Published by Cambridge University Press on behalf of the Society for Disaster Medicine and Public Health

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References

Colak, FU. COVID-19 as a metaphor: understanding COVID-19 through social media users. Disaster Med Public Health Prep. 2022;17:e159. doi: /10.1017/dmp.2022.83 CrossRefGoogle ScholarPubMed
James, JJ. COVID-19: reflections. Disaster Med Public Health Prep. 2020:14(6):e8-e11. doi: 10.1017/dmp.2020.191 CrossRefGoogle Scholar
Joos, A. Psychosomatic medicine and Covid-19 pandemic. Psychother Psychosom. 2020;89(4):263-264. doi: 10.1159/000507640 CrossRefGoogle ScholarPubMed
Al-Mohaithef, M, Padhi, BK. Determinants of COVID-19 vaccine acceptance in Saudi Arabia: a web-based national questionnaire. J Multidiscp Healthc. 2020;13:1657-1663. doi: 10.2147/JMDH.S276771 CrossRefGoogle Scholar
Larson, HJ, Jarrett, C, Eckersberger, E, et al. Understanding vaccine hesitancy around vaccines and vaccination from a global perspective: a systematic review of published literature, 2007-2012. Vaccine. 2014;32(19):2150-2159. doi: 10.1016/j.vaccine.2014.01.081 CrossRefGoogle ScholarPubMed
Funk, C, Kennedy, B, Johnson, C. Trust in medical scientists has grown in the US, but mainly among democrats. Pew Research Center. 2020. Accessed August 14, 2023. https://phys.org/news/2020-05-medical-scientists-grown-democrats.html Google Scholar
Tyson, A, Johnson, C, Funk, C. U.S. public now divided over whether to get COVID-19 vaccine. Pew Research Center. 2020. https://www.pewresearch.org/science/2020/09/17/u-s-public-now-divided-over-whether-to-get-covid-19-vaccine/ Google Scholar
Jungmann, SM, Witthöft, M. Health anxiety, cyberchondria, and coping in the current COVID-19 pandemic: which factors are related to coronavirus anxiety?. J Anxiety Disord. 2020;73:102239. doi: 10.1016/j.janxdis.2020.102239 CrossRefGoogle ScholarPubMed
Ağan, B. The Covid-19 pandemic process in behavioral economics: the effect of anxiety level on socio-economic decision-making behavior. Turk Stud. 2020;15(6):1001-1016. doi: 10.7827/TurkishStudies.43731 Google Scholar
Moghanibashi-Mansourieh A. Assessing the anxiety level of Iranian general population during COVID-19 outbreak. Asian J Psychiatr. 2020;51:102076. doi: 10.1016/j.ajp.2020.102076 CrossRefGoogle Scholar
Fu, C, Wei, Z, Zhu, F, et al. Acceptance and preference for COVID-19 vaccination in health-care workers (HCWs). medRxiv. 2020. doi: 10.1101/2020.04.09.20060103 Google Scholar
Thunstrom, L, Ashworth, M, Finnoff, D, et al. Hesitancy towards a COVID-19 vaccine and prospects for herd immunity (June 30, 2020). Accessed August 14, 2023. https://papers.ssrn.com/sol3/papers.cfm?abstract_id=3593098 CrossRefGoogle Scholar
Von Elm, E, Altman, DG, Egger, M, et al. Strobe Initiative. The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement: guidelines for reporting observational studies (2007). PLoS Med. 2007;4(10):e296 CrossRefGoogle Scholar
Lee, SA. Coronavirus Anxiety Scale: a brief mental health screener for COVID-19 related anxiety. Death Stud. 2020;44(7):393-401. doi: 10.1080/07481187.2020.1748481 CrossRefGoogle Scholar
Lazarus, JV, Ratzan, SC, Palayew, A, et al. A global questionnaire of potential acceptance of a COVID-19 vaccine. Nat Med. 2021;27(2):225-228. doi: 10.1038/s41591-020-1124-9 CrossRefGoogle ScholarPubMed
Detoc, M, Bruel, S, Frappe, P, et al. 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
Dodd, RH, Cvejic, E, Bonner, C, et al. Willingness to vaccinate against COVID-19 in Australia. Lancet Infect Dis. 2021;21(3):318-319. doi: 10.1016/S1473-3099(20)30559-4 CrossRefGoogle ScholarPubMed
Faasse, K, Newby, J. Public perceptions of COVID-19 in Australia: perceived risk, knowledge, health-protective behaviors, and vaccine intentions. Front Psychol. 2020;11:551004. doi: 10.3389/fpsyg.2020.551004 CrossRefGoogle ScholarPubMed
Freeman, D, Loe, BS, Chadwick, A, et al. COVID-19 vaccine hesitancy in the UK: the Oxford coronavirus explanations, attitudes, and narratives questionnaire (Oceans) II. Psychol Med. 2022;52(14):3127-3141. doi: 10.1017/S0033291720005188 CrossRefGoogle Scholar
Wang, D, Hu, B, Hu, C, et al. Clinical characteristics of 138 hospitalized patients with 2019 novel Coronavirus-infected pneumonia in Wuhan, China. JAMA. 2020;323(11):1061-1069. doi: 10.1001/jama.2020.1585 CrossRefGoogle ScholarPubMed
Lim, GY, Tam, WW, Lu, Y, et al. Prevalence of depression in the community from 30 countries between 1994 and 2014. Sci Rep. 2018;8(1):2861. doi: 10.1038/s41598-018-21243-x CrossRefGoogle ScholarPubMed
Lee, SA, Mathis, AA, Jobe, MC, et al. Clinically significant fear and anxiety of COVID-19: a psychometric examination of the Coronavirus Anxiety Scale. Psychiatry Res. 2020;290:113112. doi: 10.1016/j.psychres.2020.113112 CrossRefGoogle ScholarPubMed
Xiong, J, Lipsitz, O, Nasri, F, et al. Impact of COVID-19 pandemic on mental health in the general population: a systematic review. J Affect Disord. 2020;277:55-64. doi: 10.1016/j.jad.2020.08.001 CrossRefGoogle ScholarPubMed
Center for Disease Control and Prevention. Coronavirus disease 2019 (COVID-19). People who are at higher risk for severe ilness. https://www.cdc.gov/coronavirus/2019-ncov/your-health/risks-getting-very-sick.html Google Scholar
Altın, Z. The elderly in the Covid-19 pandemic. Tepecik Eğit ve Araşt Hast Dergisi. 2020;30:49-57. Accessed April 1, 2021. https://jag.journalagent.com/terh/pdfs/TERH-93723-REVIEW-ALTIN.pdf risk.html?CDC_AA_refVal=https%3A%2F%2Fwww.cdc.gov%2Fcoronavirus%2F2019-ncov%2Fspecific-groups%2Fhigh-risk-complications.htmlGoogle Scholar
Ho, SMY, Kwong-Lo, RSY, Mak, CWY, et al. Fear of severe acute respiratory syndrome (SARS) among health care workers. J Consult Clin Psychol. 2005;73(2):344-349. doi: 10.1037/0022-006X.73.2.344 CrossRefGoogle ScholarPubMed
Ruiz, JB, Bell, RA. Predictors of intention to vaccinate against COVID-19: results of a nationwide questionnaire. Vaccine. 2021;39(7):1080-1086. doi: 10.1016/j.vaccine.2021.01.010 CrossRefGoogle Scholar
Chen, N, Zhou, M, Dong, X, et al. Epidemiological and clinical characteristics of 99 cases of 2019 novel coronavirus pneumonia in Wuhan, China: a descriptive study. Lancet. 2020;395(10223):507-513. doi: 10.1016/S0140-6736(20)30211-7 CrossRefGoogle ScholarPubMed
Huang, C, Wang, Y, Li, X, et al. Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China. Lancet. 2020;395(10223):497-506. doi: 10.1016/S0140-6736(20)30183-5 CrossRefGoogle ScholarPubMed
Verity, R, Okell, LC, Dorigatti, I, et al. Estimates of the severity of coronavirus disease 2019: a model-based analysis. Lancet Infect Dis. 2020;20(6):669-677. doi: 10.1016/S1473-3099(20)30243-7 CrossRefGoogle ScholarPubMed
Schmid, P, Rauber, D, Betsch, C, et al. Barriers of influenza vaccination intention and behavior - a systematic review of influenza vaccine hesitancy, 2005-2016. PLoS One. 2017;12(1):e0170550. doi: 10.1371/journal.pone.0170550 CrossRefGoogle ScholarPubMed
Flanagan, KL, Fink, AL, Plebanski, M, et al. Sex and gender differences in the outcomes of vaccination over the life course. Annu Rev Cell Dev Biol. 2017;33:577-599. doi: 10.1146/annurev-cellbio-100616-060718 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. Eur J Health Econ. 2020;21(7):977-982. doi: 10.1007/s10198-020-01208-6 CrossRefGoogle ScholarPubMed
Tabachnick, BG, Fidell, LS. Using Multivariate Statistics. (6th Edition). Harlow: Pearson; 2014 Google Scholar