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大流行悖论:新冠疫情危机如何将疫苗犹豫变成一把双刃剑。

Pandemic paradox: How the COVID-19 crisis transformed vaccine hesitancy into a two-edged sword.

作者信息

Ortiz-Prado Esteban, Suárez-Sangucho Isaac A, Vasconez-Gonzalez Jorge, Santillan-Roldán Pablo A, Villavicencio-Gomezjurado Melisa, Salazar-Santoliva Camila, Tello-De-la-Torre Andrea, Izquierdo-Condoy Juan S

机构信息

One Health Research Group, Faculty of Health Science, Universidad de Las Americas, Quito, Ecuador.

Department of Hospital Care and Anesthesia, Atlas Clinic, Quito, Ecuador.

出版信息

Hum Vaccin Immunother. 2025 Dec;21(1):2543167. doi: 10.1080/21645515.2025.2543167. Epub 2025 Aug 12.

Abstract

The rapid development of COVID-19 vaccines was a landmark achievement that saved millions of lives. However, this success also intensified vaccine hesitancy, as misinformation, evolving public health guidelines, and growing distrust in institutions fueled anti-vaccine sentiment. In this opinion piece, we explore the paradoxical legacy of the COVID-19 vaccination campaign - how a global scientific triumph simultaneously gave rise to an emboldened anti-vaccine movement. Drawing on international data, we highlight the association between baseline vaccine acceptance and subsequent booster uptake and interpret these trends through the lens of the Health Belief Model. We further examine the psychological, cultural, political, and structural drivers of hesitancy and outline key strategies to rebuild public trust. Addressing this crisis requires proactive, evidence-informed, and culturally sensitive approaches to safeguard the future of global immunization efforts.

摘要

新冠疫苗的迅速研发是一项具有里程碑意义的成就,拯救了数百万人的生命。然而,这一成功也加剧了疫苗犹豫情绪,因为错误信息、不断演变的公共卫生指南以及对机构信任度的下降助长了反疫苗情绪。在这篇观点文章中,我们探讨了新冠疫苗接种运动自相矛盾的遗产——一场全球科学胜利如何同时催生了一场有恃无恐的反疫苗运动。利用国际数据,我们强调了基线疫苗接受度与后续加强针接种之间的关联,并通过健康信念模型的视角解读这些趋势。我们进一步研究了犹豫情绪的心理、文化、政治和结构驱动因素,并概述了重建公众信任的关键策略。应对这一危机需要采取积极主动、基于证据且具有文化敏感性的方法,以保障全球免疫工作的未来。

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