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Background <p>The World Health Organization recognizes vaccines as the most effective method for preventing infectious diseases in terms of cost-effectiveness and safety.</p> Aims <p>The aim of this study was to determine whether the factors determining the social status of the mother affect children’s access to paid vaccines that are not included in the national vaccination program.</p> Methods <p>The population of the cross-sectional study consisted of children between the ages of 6 months and 6&#xa0;years who were examined in state hospitals. The sample size was calculated as 383. Face-to-face interview technique was used in data collection between May and September 2023. Chi-square tests were used in pairwise analyses, and logistic regression analysis was used to investigate causal relationships.</p> Results <p>The mother’s education level was above 8&#xa0;years (OR 0.299; CI .129–.695), having a job where she could retire (OR 1.700; CI 1.025–2.821), residing in the city center (OR 1.835; CI 1.117–3.015), age above 24&#xa0;years (OR 0.227; CI .078–.664), and full compliance with the routine vaccination schedule (OR 3.700; CI 1.245–11.000) increase non-routine vaccination of children.</p> Conclusion <p>Factors affecting the social status of mothers also affect children’s access to out-of-pocket vaccines. Every investment made to raise the status of women will positively affect the health of children. The most common reasons given for not vaccinating were a lack of knowledge about the vaccine and not being recommended by the doctor. Healthcare professionals should update their knowledge and inform their patients about vaccines outside the national vaccination program.</p>

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Out-of-pocket vaccination of 0–6 aged children: choice or face of women’s status

  • 期刊论文

  • 发表日期：

    2025年10月11日

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  • Sevinç Sütlü,
  • Binali Çatak

摘要

Background

The World Health Organization recognizes vaccines as the most effective method for preventing infectious diseases in terms of cost-effectiveness and safety.

Aims

The aim of this study was to determine whether the factors determining the social status of the mother affect children’s access to paid vaccines that are not included in the national vaccination program.

Methods

The population of the cross-sectional study consisted of children between the ages of 6 months and 6 years who were examined in state hospitals. The sample size was calculated as 383. Face-to-face interview technique was used in data collection between May and September 2023. Chi-square tests were used in pairwise analyses, and logistic regression analysis was used to investigate causal relationships.

Results

The mother’s education level was above 8 years (OR 0.299; CI .129–.695), having a job where she could retire (OR 1.700; CI 1.025–2.821), residing in the city center (OR 1.835; CI 1.117–3.015), age above 24 years (OR 0.227; CI .078–.664), and full compliance with the routine vaccination schedule (OR 3.700; CI 1.245–11.000) increase non-routine vaccination of children.

Conclusion

Factors affecting the social status of mothers also affect children’s access to out-of-pocket vaccines. Every investment made to raise the status of women will positively affect the health of children. The most common reasons given for not vaccinating were a lack of knowledge about the vaccine and not being recommended by the doctor. Healthcare professionals should update their knowledge and inform their patients about vaccines outside the national vaccination program.