Vaccine hesitancy: clarifying a theoretical framework for an ambiguous notion.


Peretti-Watel, P; Larson, HJ; Ward, JK; Schulz, WS; Verger, P; (2015) Vaccine hesitancy: clarifying a theoretical framework for an ambiguous notion. PLoS Curr, 7. ISSN 2157-3999 DOI: 10.1371/currents.outbreaks.6844c80ff9f5b273f34c91f71b7fc289

[img] Text - Published Version
License:

Download (397Kb)

Abstract

Today, according to many public health experts, public confidence in vaccines is waning. The term "vaccine hesitancy" (VH) is increasingly used to describe the spread of such vaccine reluctance. But VH is an ambiguous notion and its theoretical background appears uncertain. To clarify this concept, we first review the current definitions of VH in the public health literature and examine its most prominent characteristics. VH has been defined as a set of beliefs, attitudes, or behaviours, or some combination of them, shared by a large and heterogeneous portion of the population and including people who exhibit reluctant conformism (they may either decline a vaccine, delay it or accept it despite their doubts) and vaccine-specific behaviours. Secondly, we underline some of the ambiguities of this notion and argue that it is more a catchall category than a real concept. We also call into question the usefulness of understanding VH as an intermediate position along a continuum ranging from anti-vaccine to pro-vaccine attitudes, and we discuss its qualification as a belief, attitude or behaviour. Thirdly, we propose a theoretical framework, based on previous literature and taking into account some major structural features of contemporary societies, that considers VH as a kind of decision-making process that depends on people's level of commitment to healthism/risk culture and on their level of confidence in the health authorities and mainstream medicine.

Item Type: Article
Faculty and Department: Faculty of Epidemiology and Population Health > Dept of Infectious Disease Epidemiology
Research Centre: Vaccine Centre
PubMed ID: 25789201
URI: http://researchonline.lshtm.ac.uk/id/eprint/2131846

Statistics


Download activity - last 12 months
Downloads since deposit
317Downloads
269Hits
Accesses by country - last 12 months
Accesses by referrer - last 12 months
Impact and interest
Additional statistics for this record are available via IRStats2

Actions (login required)

Edit Item Edit Item