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ÇAĞAÇ, NİL KADER

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    Publication
    Influenza vaccination knowledge, vaccination status and associated factors among intern doctors of a medical school
    (Bilimsel Tip Yayinevi, 2023-01-01) Sertçelik, Ahmet; Özden, Mustafa Enes; Özyürek, Damla; Pak, Dilek Yıldırım; Karaçorlu, Fatma Nur; Ucael, Deren Özyürek; Kaya, Ebru Çakmakçı; Özden, Kamer Billur Yücel; Demir, Şerife; Çakır, Banu; ÇAĞAÇ, NİL KADER; Kaykilarli, Pinar; KAYKILARLI, PINAR; Tıp Fakültesi; Halk Sağlığı Ana Bilim Dalı; JNF-1023-2023; JNF-1087-2023
    Introduction: Seasonal influenza vaccination is recommended for healthcare workers as they are considered to be in the risk group for contracting influenza. Final year medical students (intern doctors) are a special group because they are healthcare providers and at the beginning of their professional lives. It was aimed to determine the knowledge of intern doctors at a state university about the seasonal influenza vaccine, their vaccination status and the associated factors, given that it will affect their behavior towards themselves and in consulting their patients in future years.Materials and Methods: This descriptive study was conducted in March 2020 at a state university medical school. Intern doctors completed a standardized data collection form consisting of a total of 57 questions prepared for this study under supervision. The incidence of seasonal influenza vaccination in the last three years and factors associated with vaccination behavior were determined. Certain questions about seasonal influenza vaccination were asked.Results: Of the 254 students who participated in the study, 30 (11.8%) reported having received seasonal influenza vaccine in the last season and 86 (33.9%) in the last three years. Having received influenza vaccine in the last three years was 4.28 (95% CI= 1.53-11.90) times higher among those who had the intention to receive influenza vaccine if it was provided free of charge and on time compared to their counterparts. In the same model, excluding "intention", receiving education about influenza infection and vaccination (OR= 1.84; 95% CI= 1.03-3.27), and being the people surrounding who had received influenza vaccination (OR= 3.06; 95% CI= 1.60-5.84) were positively associated with the students' influenza vaccination status. In this model, those perceiving their own risk of influenza infection as "high" and/or "more severe than that in others" were 5.23 (95% CI= 1.11-24.45) times more likely to be vaccinated for influenza over the last three years. Responses to eight of the 12 statements questioning knowledge were more than 70% correct. At least one of every three participants approved that influenza vaccination might lead to influenza. This was the most prominent misinformation regarding influenza vaccination.Conclusion: Influenza vaccination is also low among intern doctors at the beginning of their professional life. It is recommended that education about influenza infection and influenza vaccine, influenza vaccination of surrounding people, especially leaders like faculty members, and the provision of free and timely influenza vaccine are recommended to increase influenza vaccination among intern doctors.
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    Publication
    All-cause excess mortality in 2020: The example of Bursa city in Turkey
    (Tasarım Bilişim, 2021-12-01) Pala, KayIhan; Yürekli, Neşe; Çağaç, Nil Kader; Türkkan, Alpaslan; PALA, KAYIHAN; YÜREKLİ, NEŞE; ÇAĞAÇ, NİL KADER; TÜRKKAN, ALPASLAN; Tıp Fakültesi; Halk Sağlığı Ana Bilim Dalı; 0000-0002-0983-4904; 0000-0002-9707-0675; 0000-0001-5267-5008; 0000-0002-6723-1829; GEW-1272-2022; JNJ-8483-2023; JNF-1087-2023; JNM-0660-2023
    Background: This study aimed to estimate excess all-cause mortality rates in Bursa Province in 2020. Methods: In this study, a retrospective descriptive analysis of the mortality rates in Bursa, Turkey's fourth biggest city, between 2015-2020 was conducted. The data were taken from Bursa Metropolitan Municipality death records. Daily mortality data were classified as age, gender, the date and cause of death (communicable or non-communicable disease). An Excel mortality calculator was used to analyze the data and calculate the excess mortality. Excess mortality was calculated with a 5-year death average. The excess mortality-expected death ratio (P-score) was calculated as a percentage difference between the average number of deaths in 2015-2019 and the number of deaths in the same period (week or month) of 2020. The Chi-square test was used for statistical analysis. Results: In 2020 in Bursa, crude excess mortality was calculated as 5390 (95% CI: 4525-6256) compared to the previous five years' average, and the P-score was 35%. Excess mortality decreased in the 0-14 age group in both genders and increased mainly in the 65+ age group. In 2020, 85.3% of the excess mortality was due to communicable diseases, and 4596 (95% CI: 4562-4631) people reported to die due to communicable diseases. Thus, deaths because of communicable diseases increased approximately 76 times in 2020 compared to the previous five years' average. Conclusion: Compared to the previous five years' average, the annual number of deaths in Bursa increased by approximately one-third in 2020, and most of the excess deaths were due to communicable diseases. For the use of revealing the actual burden of the COVID-19 pandemic on all-cause mortality, it is crucial to assess the extreme all-cause mortality.