‘None of us will be safe until everyone is safe. Global access to coronavirus vaccines, tests and treatments for everyone who needs them, anywhere, is the only way out’. This statement by Dr Tedros Adhanom Ghebreyesus, Director-General of the WHO and Ursula von der Leyen, President of the European Commission1 has become the rallying call for COVID-19 vaccination. The success of a safe and efficacious COVID-19 vaccine depends just not only on production and availability but also crucially on uptake. In countries such as the UK where COVID-19 vaccine prioritisation and rollout are proceeding quickly, attitudes to vaccination have rapidly become a priority.2 Vaccine hesitancy (‘behavioural delay in acceptance or refusal of vaccines despite availability of vaccine services’)3 is not a single entity. Reasons vary and there is a continuum from complete acceptance to refusal of all vaccines, with vaccine hesitancy lying between the two poles. Factors involved include confidence (trusting or not the vaccine or provider), complacency (seeing the need or value of a vaccine) and convenience (easy, convenient access to the vaccine).3 4 Importantly, attitudes to vaccination can change and people who are initially hesitant can still come to see a vaccine’s safety, efficacy and necessity.5 Developing strategies to address hesitancy is key.6 The expedited development and relative novelty of the COVID-19 vaccines have led to public uncertainty.4 In addition, …

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COVID-19 疫苗、犹豫和心理健康

“除非每个人都安全，否则我们谁都不会安全。在全球范围内为每个有需要的人提供冠状病毒疫苗、检测和治疗是唯一的出路。世界卫生组织总干事谭德塞博士和欧盟委员会主席乌尔苏拉·冯德莱恩的这一声明1已成为人们对 COVID-19 疫苗接种的号召。安全有效的 COVID-19 疫苗的成功不仅取决于生产和供应，而且关键还取决于吸收。在英国等国家，COVID-19 疫苗的优先排序和推广工作进展迅速，对疫苗接种的态度已迅速成为优先事项。2 疫苗犹豫（“尽管有疫苗服务，但行为延迟接受或拒绝疫苗”）3 并不重要。一个单一的实体。原因各不相同，从完全接受到拒绝所有疫苗都有一个连续的过程，而对疫苗的犹豫介于两个极点之间。涉及的因素包括信心（是否信任疫苗或提供者）、自满（看到疫苗的需要或价值）和便利性（轻松、方便地获得疫苗）。3 4 重要的是，对疫苗接种的态度可能会发生变化，而接种疫苗的人最初犹豫不决的人仍然可以看到疫苗的安全性、有效性和必要性。5 制定解决犹豫的策略是关键。6 COVID-19 疫苗的快速开发和相对新颖性导致了公众的不确定性。4 此外，……