Johns Hopkins Bloomberg School of Public Health, International Health; Baltimore, MD USA.
Hum Vaccin Immunother. 2013 Aug;9(8):1774-8. doi: 10.4161/hv.24961. Epub 2013 Jun 3.
Vaccines save millions of lives every year. They are one of the safest and most effective public health interventions in keeping populations healthy while bringing numerous social and economic benefits. Vaccines play an important role in ensuring that children, regardless of where they live, can have a healthy start to life. New financing mechanisms that allow poorer countries to gain access to vaccines faster than ever mean additional deaths and disabilities are projected to be saved during the Decade of Vaccines (2011-2020). Trust in vaccines and in the health system is an important element of public health programs that aim to deliver life-saving vaccines. Indeed, understanding the contributors and threats to trust is essential to explaining vaccine acceptance, particularly as they vary across epidemiologic conditions, specific vaccines and cultural and sociopolitical settings. Greater efforts to communicate the benefits and risks of vaccines and address issues with evidence-based information will help improve and sustain public trust in vaccines and health systems worldwide. Measuring and monitoring trust levels and focusing on deliberate efforts to build trust in vaccines are important steps to reducing vaccine confidence gaps when they occur.
疫苗每年拯救数百万人的生命。它们是保护人群健康的最安全、最有效的公共卫生干预措施之一，同时带来了众多社会效益和经济效益。疫苗在确保儿童无论生活在哪里都能健康起步方面发挥着重要作用。新的融资机制使较贫穷国家能够比以往任何时候都更快地获得疫苗，这意味着在疫苗十年（2011-2020 年）期间预计将拯救更多的死亡和残疾。对疫苗和卫生系统的信任是旨在提供救命疫苗的公共卫生规划的一个重要组成部分。事实上，了解信任的促成因素和威胁对于解释疫苗接种的接受程度至关重要，特别是因为它们在流行病学条件、特定疫苗以及文化和社会政治背景方面存在差异。加大力度宣传疫苗的益处和风险，并解决循证信息方面的问题，将有助于提高和维持全球对疫苗和卫生系统的信任。衡量和监测信任水平，并专注于有针对性地努力建立对疫苗的信任，是减少疫苗信心差距的重要步骤，而这些差距在出现时是不可避免的。
