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HomeState of vaccine confidence in the EU 2018
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The World Health Organization’s Strategic Advisory Group of Experts on Immunization (SAGE) define vaccine hesitancy as: “[a] delay in acceptance or refusal of vaccines despite availability of vaccine services. Vaccine hesitancy is complex and context specific, varying across time, place and vaccines. It is influenced by factors such as complacency, convenience, and confidence” (WHO, Report of the SAGE Working Group on Vaccine Hesitancy, 2014). This definition – known as the “3Cs” model of hesitancy encapsulates the possible drivers of vaccine acceptance or refusal. While complacency and convenience relate to the perceived risk of disease and the ease with which vaccine services can be reached (respectively), vaccine confidence is defined as the trust in the effectiveness and safety of vaccines and trust in the healthcare system that delivers them. Throughout this report, confidence is measured through perceived vaccine safety and effectiveness and, in addition, through the perceived importance and religious compatibility of vaccines. High confidence in vaccination programmes is crucial for maintaining high coverage rates, especially at levels that exceed those required for herd immunity. Across the European Union (EU), however, vaccine delays and refusals are contributing to declining immunisation rates in a number of countries and are leading to increases in disease outbreaks. Recent measles outbreaks – the highest in the EU for seven years – illustrate the immediate impact of declining coverage on disease outbreaks. In this report we assess the overall state of confidence in vaccines among the public in all 28 EU member states and among general practitioners (GP) in ten EU member states. As vaccine confidence varies by vaccine, confidence is assessed for vaccines in general as well as for the measles and seasonal influenza vaccines, in order to reflect vaccines targeting different population groups. Confidence in (and demand for) vaccines is influenced by a number of factors, including the importance, safety, and effectiveness of vaccines. To examine the extent of public and GP confidence in vaccines, we have conducted the largest ever study on attitudes to vaccines and vaccination in the EU. We find a range of novel EU-wide and country-specific insights into vaccination behaviours that may immediately impact on public policy.
- Publié:
- Thèmes: Politique de la santé , Santé publique
- Sujet: Espace économique européen , inspection sanitaire , maladie infectieuse , politique de la santé , prévention des maladies , risque sanitaire , santé publique , sensibilisation du public , vaccination
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| ISSN | ISBN 978-92-79-96560-9 | DOI 10.2875/241099 | Numéro de catalogue EW-06-18-233-EN-N |
- Released on EU publications website:
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