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February 12, 2026Discover Public HealthOpen Access

Associations between urban health indicators and COVID-19 vaccine uptake in Türkiye

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Authors

NENilay EtilerMYMelike YavuzZAZeynep Altinay

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Overview

This ecological study analyzes vaccine uptake patterns in Türkiye, revealing key factors affecting immunization success.

Key Points

  • The study aims to examine how various urban health indicators are associated with COVID-19 vaccine uptake across provinces in Türkiye.
  • Analyzed monthly full vaccination coverage across 81 provinces.
  • Explored associations with 26 health indicators in six domains.
  • Created composite indices using standardized scores.
  • Conducted bivariate correlations and multiple linear regression analyses.
  • The proportion of elderly population was a consistent predictor of vaccination uptake.
  • Health system capacity positively correlated with higher vaccination rates in early months.
  • Healthcare utilization became a stable determinant of uptake from March onward.
  • Socio-cultural factors strongly correlated with vaccination rates, including education and civic engagement.

Cite This Study

Etiler et al. (2026) studied this question.

synapsesocial.com/papers/698d6eca5be6419ac0d54988https://doi.org/10.1186/s12982-026-01517-w
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