Academic Journal
Parental childhood vaccination hesitancy and refusal in Türkiye: A systematic review of contributing factors.
| Τίτλος: | Parental childhood vaccination hesitancy and refusal in Türkiye: A systematic review of contributing factors. |
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| Συγγραφείς: | Çakır GN; Istanbul Gedik University, Faculty of Health Sciences, Department of Nursing, Istanbul, Türkiye. Electronic address: gokcenaz.cakir@gedik.edu.tr., Musaoğlu Ş; Fenerbahçe University, Vocational School of Health Sciences, Istanbul, Türkiye. Electronic address: sukran.musaoglu@fbu.edu.tr., Karaman O; Department of Pediatric Nursing, School of Nursing, Koç University, Istanbul, Türkiye. Electronic address: okaraman24@ku.edu.tr., Semerci Şahin R; Department of Pediatric Nursing, School of Nursing, Koç University, Istanbul, Türkiye. Electronic address: rsemerci@ku.edu.tr., Gözen D; Department of Pediatric Nursing, School of Nursing, Koç University, Istanbul, Türkiye. Electronic address: dugozen@ku.edu.tr., Karadağ Aytemiz ÖE; Department of Pediatric Nursing, School of Nursing, Koç University, Istanbul, Türkiye. Electronic address: oaytemiz@ku.edu.tr. |
| Πηγή: | Journal of pediatric nursing [J Pediatr Nurs] 2026 Sep-Oct; Vol. 90, pp. 308-323. Date of Electronic Publication: 2026 Jul 03. |
| Τύπος έκδοσης: | Journal Article; Systematic Review; Review |
| Γλώσσα: | English |
| Στοιχεία περιοδικού: | Publisher: W.B. Saunders Country of Publication: United States NLM ID: 8607529 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1532-8449 (Electronic) Linking ISSN: 08825963 NLM ISO Abbreviation: J Pediatr Nurs Subsets: MEDLINE |
| Imprint Name(s): | Publication: 1989- : Philadelphia, Pa : W.B. Saunders Original Publication: [Orlando, FL] : Grune & Stratton, [c1986- |
| Ιατρικοί όροι (MeSH): | Vaccination Hesitancy*/psychology , Vaccination Hesitancy*/statistics & numerical data , Parents*/psychology , Vaccination Refusal*/psychology , Vaccination Refusal*/statistics & numerical data , Vaccination*/psychology , Vaccination*/statistics & numerical data , Health Knowledge, Attitudes, Practice*, Humans ; Female ; Male ; Child |
| Περίληψη: | Background: Childhood vaccinations are among the most successful public health strategies for preventing infectious diseases. However, rising parental vaccine hesitancy and refusal pose a significant threat to immunization coverage in Türkiye. This systematic review aimed to synthesize current evidence on the factors influencing parental hesitancy and refusal to childhood vaccinations in Türkiye. Methods: This review followed PRISMA guidelines and was registered in PROSPERO. A comprehensive search of six databases (Scopus, Web of Science, PubMed, Cochrane Library, Medline and TR Dizin (ULAKBIM) was conducted up to March 2025. Quantitative studies evaluating parental attitudes toward routine childhood and pandemic vaccinations in Türkiye were included. Factors influencing vaccine hesitancy were categorized into individual, familial, social, and structural domains. Results: Of 412 records identified, 26 met the inclusion criteria across diverse regions and samples in Türkiye. Factors including social media misinformation, distrust in healthcare professionals, low health literacy, prior negative vaccine experiences, and religious or cultural beliefs shaped vaccine hesitancy. Education, income, and gender showed mixed associations. Hesitancy was also linked to limited postpartum follow-up and pandemic-related vaccine experiences. Several studies highlighted the protective role of health literacy, digital competence, and accurate information from trusted healthcare providers. Conclusion: Parental vaccine hesitancy and refusal in Türkiye are shaped by personal beliefs, trust in the health system, and information sources. Implications for Practice: Healthcare professionals, policymakers, and public health authorities should implement coordinated, evidence-based strategies to strengthen parental health literacy, address misinformation, build trust, and improve childhood vaccination uptake in Türkiye through targeted education and communication. (Copyright © 2026 Elsevier Inc. All rights reserved.) |
| Competing Interests: | Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper. |
| Contributed Indexing: | Keywords: Child; Parents; Vaccination; Vaccination hesitancy; Vaccination refusal |
| Entry Date(s): | Date Created: 20260703 Date Completed: 20260907 Latest Revision: 20260916 |
| Update Code: | 20260916 |
| DOI: | 10.1016/j.pedn.2026.06.018 |
| PMID: | 42398421 |
| Βάση Δεδομένων: | MEDLINE |
| ISSN: | 1532-8449 |
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| DOI: | 10.1016/j.pedn.2026.06.018 |