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Vaccine confidence

Public trust in (1) vaccine safety and efficacy, (2) the research and regulatory processes certifying vaccines, and (3) health authorities and healthcare providers recommending vaccines. Vaccine confidence predicts vaccination uptake and is eroded by misinformation, past institutional failures, and political polarization around health.

The WHO identified vaccine hesitancy—driven in part by loss of confidence—as a top 10 global health threat in 2019. COVID-19 pandemic dramatically shifted vaccine confidence landscapes, particularly in high-income countries where politicization of pandemic response drove partisan divides in vaccine acceptance.

Key papers