The Indian Journal of Pediatrics

, Volume 86, Issue 1, pp 38–43 | Cite as

Evaluation of Childhood Vaccine Refusal and Hesitancy Intentions in Turkey

  • Seda TopçuEmail author
  • Habip Almış
  • Sevgi Başkan
  • Mehmet Turgut
  • Filiz Şimşek Orhon
  • Betül Ulukol
Original Article



To assess the factors affecting parental childhood vaccine refusal and hesitancy (CVRH) intentions in Turkey.


A total of 33 children’s parents who were referred to two different child health care clinics because of CVRH and 99 controls were enrolled into this study from November through December 2017. The socio-demographic characteristics and perceptions of the parents who refused at least one vaccine for their child/children were compared with controls.


The monthly household income was significantly lower in CVRH group than control group. Refusal of the heel stick, refusal of hearing test, not using baby car seat, irregular use of vitamin D and iron prophylaxis, using alterative/complementary medicine, distrust in vaccines were the parameters which were found significantly higher in refused vaccine group than in control group. The beliefs “It may be dangerous for children” and “Distrust to the vaccines” were the most determined factors with a ratio of 51.5% in CVRH group.


This is the first study conducted to investigate the social-demographic characteristics and perception of parental CVRH in Turkey. The beliefs “It may be dangerous for the children” and “Distrust the vaccines” were the most determined factors which may affect CVRH. Some child health protective strategies were less undertaken in CVRH group than in controls; including heel stick test, hearing test, using baby car seat and using of Vitamin D and iron prophylaxis. The parents who have CVRH intentions tend to behave irresponsibly in care of their children.


Vaccine hesitancy Vaccine refusal Turkey Alternative medicine 


Author’s Contributions

ST: Prepared the concept of the study, designed the study, provided materials for the study and wrote the manuscript; HA: Prepared the concept of the study and provided materials for the study; SB, FŞO and MT: Supervised the study; BU: Prepared the concept of the study and designed the study. SB will act as guarantor for this paper.

Compliance with Ethical Standards

Conflict of Interest



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Copyright information

© Dr. K C Chaudhuri Foundation 2018

Authors and Affiliations

  • Seda Topçu
    • 1
    Email author
  • Habip Almış
    • 2
  • Sevgi Başkan
    • 1
  • Mehmet Turgut
    • 3
  • Filiz Şimşek Orhon
    • 1
  • Betül Ulukol
    • 1
  1. 1.Division of Social Pediatrics, Department of PediatricsAnkara University School of MedicineAnkaraTurkey
  2. 2.Department of PediatricsAdıyaman University School of MedicineAdıyamanTurkey
  3. 3.Division of Pediatric Infectious Diseases, Department of PediatricsAdıyaman University School of MedicineAdıyamanTurkey

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