Vaccine Hesitancy: A Growing Concern

Vaccine Hesitancy: A Growing Concern
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DOI:
10.1007/s40272-020-00385-4
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发表时间:
2020-02-19
期刊:
影响因子:
3.7
通讯作者:
Kennedy, Jonathan
Kennedy, Jonathan
中科院分区:
医学2区
文献类型:
--
作者:
Kennedy, Jonathan

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疫苗是医学科学的伟大成就之一。它们已经根除或大大减少了曾经常见的疾病的发病率。据估计,疫苗每年可挽救200万至600万人的生命,但如果覆盖面扩大,还可挽救150万人的生命。世界卫生组织将疫苗犹豫定义为“尽管有疫苗,但不愿或拒绝接种”,这是增加覆盖面的一个障碍,近年来受到媒体和公共卫生学者的极大关注。有人认为,尽管医生和公共卫生当局再三保证,但出于对疫苗安全性的担忧,许多父母不愿给孩子接种疫苗。疫苗犹豫在高收入国家是一个特别大的问题。观察人士指出,互联网和社交媒体在传播对疫苗安全的担忧方面发挥了重要作用。然而,重要的是要了解更广泛的社会和政治背景如何影响了对疫苗安全的关注。疫苗犹豫似乎是部分人群与精英和专家之间更广泛的信任破裂的一个方面。
Vaccines are one of the great achievements of medical science. They have eradicated or drastically reduced the incidence of once common diseases. It is estimated that vaccines save between 2 and 6 million lives each year, but 1.5 million more lives could be saved if coverage was increased. Vaccine hesitancy, defined by the World Health Organization as "the reluctance or refusal to vaccinate despite the availability of vaccines", is a barrier to increasing coverage that has received a great deal of attention from the media and public health academics in recent years. It is argued that many parents are reluctant to vaccinate their children because of concerns about vaccine safety, despite reassurances from doctors and public health authorities. Vaccine hesitancy is a particularly big problem in high-income countries. Observers have noted that the internet and social media play an important role in spreading fears about vaccine safety. It is, however, important to understand how the wider social and political context has influenced concerns about vaccine safety. Vaccine hesitancy appears to be one aspect of a broader breakdown in trust between some sections of the population on the one hand, and elites and experts on the other.