Aim: In this study, it is aimed to examine the relationship between dementia and health literacy in individuals over the age of sixty and the decision not to receive COVID-19 vaccine.
Methods: In the study, participants over 60 years of age who were registered in Mustafakemalpaşa Sırmalar and Yalıntaş Family Health Center between July-2021 and June-2022 and who received and did not receive COVID-19 vaccination were evaluated.The Newest Vital Sign scale (Newest Vital Sign); Standardized Minimental Test was used.
Results: In this sample, 82 people were found to have dementia. While this rate was 14% in those who received the vaccine, it was 68% in those who did not. It was determined that the rate of participants who received tetanus vaccine, flu and pneumonia vaccine was higher in the control group compared to the case group (p=0.013).In the case group, the rate of those who did not trust the vaccine, who were afraid of the vaccine and who thought that the vaccine was not protective was higher than the control group (p<0.001, p<0.001 and p<0.001, respectively).According to the results of multivariate logistic regression analysis, it was designated that the risk of single participants not getting vaccinated was 24.04 times higher than those who were married. It was determined that the settlement was not effective on the decision to get vaccinated. It was defined that those who did not have Gastroesophageal Reflux Disease had a 2.54 times higher tendency not to get vaccinated compared to the participants with this disease. It was determined that the participants without DM tended not to get vaccinated 4.20 times more than the patients with DM and the participants without HBP tended not to get vaccinated 6.01 times more than the patients with HBP. It was identified that a one-unit increase in the total score obtained from the NVS scale reduced the tendency not to get vaccinated by 29%.
Conclusion: When it comes to individuals living alone, with reduced cognitive functions and low health literacy, family physicians may need to make extra efforts to follow up and train these patients. In the fight against COVID-19, which is one of the vaccine-protectable diseases, family physicians should identify their patients in the risky group and follow these patients more closely.