Vaccine anxieties, vaccine preparedness: Perspectives from Africa in a Covid-19 era.
Vaccine anxieties, vaccine preparedness: Perspectives from Africa in a Covid-19 era.
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DOI：
10.1016/j.socscimed.2022.114826
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发表时间：
2022-04
期刊：
影响因子：
--
通讯作者：
Sow K
中科院分区：
文献类型：
--
作者：
Leach M;MacGregor H;Akello G;Babawo L;Baluku M;Desclaux A;Grant C;Kamara F;Nyakoi M;Parker M;Richards P;Mokuwa E;Okello B;Sams K;Sow K
关于疫苗作为新冠肺炎时代大流行应对和未来准备的关键要素的全球辩论目前集中在供应问题上，关注疫苗分配的全球不公正以及非洲国家作为国际放松管制和COVAX等融资举措的合法受益者。与此同时，疫苗的需求和吸收被认为受到犹豫不决的威胁，这通常归因于日益全球化的反疫苗运动及其传播的错误信息和阴谋，现在通过社交媒体“infodemic”到达非洲人口。在这些辩论中，疫苗技术进入非洲并在非洲环境中得到解释的社会政治背景以及供需之间的关键交叉点被低估了。我们通过一个“疫苗焦虑”的框架来探索这些问题，这个框架既关注对疫苗的渴望，也关注对疫苗的担忧，这是由身体、社会和更广泛的政治理解和经验所塑造的。这提供了一个分析的透镜，组织和解释在乌干达和塞拉利昂的地方和国家设置的民族志和叙事帐户，以及它们与全球辩论和地缘政治的（不）连接。考虑到人们想要或不想要Covid-19疫苗的社会原因，以及这与快速发展的疫情中疫苗供应，获取和分配的动态如何交叉，我们为有关疫苗信心和疫苗准备的辩论带来了新的，扩展的见解。关于疫苗犹豫的言论错误地将非洲公众描述为无知或困惑。考虑到疾病、社会和政治经历，Covid-19疫苗焦虑是有道理的。疫苗供应的不公平与不同规模的动态吸收相互作用。人们对新型冠状病毒疫苗的日益熟悉减轻了人们的担忧，但不是线性的。疫苗准备工作必须解决卫生系统结构和政治问题。
Global debates about vaccines as a key element of pandemic response and future preparedness in the era of Covid-19 currently focus on questions of supply, with attention to global injustice in vaccine distribution and African countries as rightful beneficiaries of international de-regulation and financing initiatives such as COVAX. At the same time, vaccine demand and uptake are seen to be threatened by hesitancy, often attributed to an increasingly globalised anti-vaxx movement and its propagation of misinformation and conspiracy, now reaching African populations through a social media ‘infodemic’. Underplayed in these debates are the socio-political contexts through which vaccine technologies enter and are interpreted within African settings, and the crucial intersections between supply and demand. We explore these through a ‘vaccine anxieties’ framework attending to both desires for and worries about vaccines, as shaped by bodily, societal and wider political understandings and experiences. This provides an analytical lens to organise and interpret ethnographic and narrative accounts in local and national settings in Uganda and Sierra Leone, and their (dis)connections with global debates and geopolitics. In considering the socially-embedded reasons why people want or do not want Covid-19 vaccines, and how this intersects with the dynamics of vaccine supply, access and distribution in rapidly-unfolding epidemic situations, we bring new, expanded insights into debates about vaccine confidence and vaccine preparedness. Discourses of vaccine hesitancy misrepresent African publics as ignorant or confused. Covid-19 vaccine anxieties make sense given disease, social and political experiences. Vaccine supply inequities interplay with uptake in dynamics across scales. Growing familiarity with Covid-19 vaccines has eroded worries, but not linearly. Vaccine preparedness must address health system structures and politics.
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影响因子：
1.2
作者：
Charters, Erica;McKay, Richard A.
通讯作者：
McKay, Richard A.
影响因子：
2.2
作者：
Feldman-Savelsberg, P;Ndonko, FT;Schmidt-Ehry, B
通讯作者：
Schmidt-Ehry, B
影响因子：
3
作者：
Beisel U;Umlauf R;Hutchinson E;Chandler CI
通讯作者：
Chandler CI
影响因子：
2.3
作者：
MacGregor H;Leach M;Akello G;Sao Babawo L;Baluku M;Desclaux A;Grant C;Kamara F;Martineau F;Yei Mokuwa E;Parker M;Richards P;Sams K;Sow K;Wilkinson A
通讯作者：
Wilkinson A
影响因子：
7.2
作者：
Ghosh D;Bernstein JA;Mersha TB
通讯作者：
Mersha TB