Research Article

Evaluation of Spiritual Well-Being, Vaccine Hesitancy, and Vaccine Advocacy Among Parents of Children Aged 0–2 Years

Volume: 17 Number: July, August, September 2026 July 16, 2026

Evaluation of Spiritual Well-Being, Vaccine Hesitancy, and Vaccine Advocacy Among Parents of Children Aged 0–2 Years

Abstract

Purpose: Although vaccination is one of the most effective public health interventions against infectious diseases, vaccine hesitancy has been increasing globally. Parental vaccine decisions may be influenced by multidimensional factors, including belief systems and spiritual well-being. This study evaluates the relationships between spiritual well-being, vaccine hesitancy, and vaccine advocacy among parents of children aged 0–2 years. Materials and Methods: This cross-sectional study was conducted with 164 parents at the Pediatric Outpatient Clinics and Wards of Sivas Cumhuriyet University between 16 January and 2 April 2026. Data were collected using the Spirituality Index of Well-Being (SIWB), the Vaccine Conspiracy Beliefs Scale (VCBS), and the Vaccine Advocacy Scale (VAS). Mann Whitney U, Kruskal-Wallis (Bonferroni post-hoc), Spearman correlation, and binary logistic regression were used. Results: Of the parents, 17.1% (n=28) had refused or delayed at least one vaccine. SIWB correlated negatively with VCBS (rs=-0.167, p=0.033) and positively with VAS (rs=0.235, p=0.002). VCBS correlated negatively with VAS (rs=-0.344, p<0.001); this relationship was stronger for the Community Advocacy subscale (rs=-0.417, p<0.001). Education was associated with SIWB and VAS (p<0.001) but not with VCBS (p=0.152). In logistic regression, VCBS was the only significant predictor of vaccine refusal (OR=1.153, 95% CI: 1.076–1.235, p<0.001); model accuracy was 84.8%. Conclusion: Parents with higher spiritual well-being showed lower vaccine hesitancy and greater vaccine advocacy. Vaccine hesitancy was independent of education and affected all socioeconomic groups. The strong negative association between Community Advocacy and vaccine hesitancy points to the importance of training parents as active vaccine advocates.

Keywords

Supporting Institution

No support has been received from any institution.

Ethical Statement

Ethical approval was obtained from the Health Sciences Research Ethics Committee of Sivas Cumhuriyet University (Decision No: 2025-12/23, dated 11.12.2025). Institutional permission was obtained (Document No: E-93596471-010.01-664530, dated 16.01.2026). Written informed consent was obtained from all participants. The study was conducted in accordance with the Declaration of Helsinki and the Good Clinical Practice Guidelines.

Thanks

I would like to thank my professor who contributed to the preparation of this study and the ‘Acıbadem University Journal of Health Sciences’.

References

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Details

Primary Language

English

Subjects

Immunology (Other), Public Health (Other), Pediatric Health and Illnesses Nursing

Journal Section

Research Article

Publication Date

July 16, 2026

Submission Date

May 19, 2026

Acceptance Date

June 9, 2026

Published in Issue

Year 2026 Volume: 17 Number: July, August, September 2026

APA
Akaydın Gültürk, E., & Karamercimek, N. (2026). Evaluation of Spiritual Well-Being, Vaccine Hesitancy, and Vaccine Advocacy Among Parents of Children Aged 0–2 Years. Acıbadem Üniversitesi Sağlık Bilimleri Dergisi, 17(July, August, September 2026). https://doi.org/10.31067/acusaglik.1954960
AMA
1.Akaydın Gültürk E, Karamercimek N. Evaluation of Spiritual Well-Being, Vaccine Hesitancy, and Vaccine Advocacy Among Parents of Children Aged 0–2 Years. Acibadem Univ Saglik Bilim Derg. 2026;17(July, August, September 2026). doi:10.31067/acusaglik.1954960
Chicago
Akaydın Gültürk, Esra, and Nurcan Karamercimek. 2026. “Evaluation of Spiritual Well-Being, Vaccine Hesitancy, and Vaccine Advocacy Among Parents of Children Aged 0–2 Years”. Acıbadem Üniversitesi Sağlık Bilimleri Dergisi 17 (July, August, September 2026). https://doi.org/10.31067/acusaglik.1954960.
EndNote
Akaydın Gültürk E, Karamercimek N (July 1, 2026) Evaluation of Spiritual Well-Being, Vaccine Hesitancy, and Vaccine Advocacy Among Parents of Children Aged 0–2 Years. Acıbadem Üniversitesi Sağlık Bilimleri Dergisi 17 July, August, September 2026
IEEE
[1]E. Akaydın Gültürk and N. Karamercimek, “Evaluation of Spiritual Well-Being, Vaccine Hesitancy, and Vaccine Advocacy Among Parents of Children Aged 0–2 Years”, Acibadem Univ Saglik Bilim Derg, vol. 17, no. July, August, September 2026, July 2026, doi: 10.31067/acusaglik.1954960.
ISNAD
Akaydın Gültürk, Esra - Karamercimek, Nurcan. “Evaluation of Spiritual Well-Being, Vaccine Hesitancy, and Vaccine Advocacy Among Parents of Children Aged 0–2 Years”. Acıbadem Üniversitesi Sağlık Bilimleri Dergisi 17/July, August, September 2026 (July 1, 2026). https://doi.org/10.31067/acusaglik.1954960.
JAMA
1.Akaydın Gültürk E, Karamercimek N. Evaluation of Spiritual Well-Being, Vaccine Hesitancy, and Vaccine Advocacy Among Parents of Children Aged 0–2 Years. Acibadem Univ Saglik Bilim Derg. 2026;17. doi:10.31067/acusaglik.1954960.
MLA
Akaydın Gültürk, Esra, and Nurcan Karamercimek. “Evaluation of Spiritual Well-Being, Vaccine Hesitancy, and Vaccine Advocacy Among Parents of Children Aged 0–2 Years”. Acıbadem Üniversitesi Sağlık Bilimleri Dergisi, vol. 17, no. July, August, September 2026, July 2026, doi:10.31067/acusaglik.1954960.
Vancouver
1.Esra Akaydın Gültürk, Nurcan Karamercimek. Evaluation of Spiritual Well-Being, Vaccine Hesitancy, and Vaccine Advocacy Among Parents of Children Aged 0–2 Years. Acibadem Univ Saglik Bilim Derg. 2026 Jul. 1;17(July, August, September 2026). doi:10.31067/acusaglik.1954960