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Trustworthiness and Ethics in Vaccine Hesitancy: Mind the Gap
1Amsterdam University Medical Center, Amsterdam, The Netherlands.
Public Health Ethics
|July 13, 2026
Summary
Bridging the gap in vaccine hesitancy requires understanding distrust in health organizations and governments. Tailored approaches are needed to build trust and address concerns, moving beyond simple information provision.
Area of Science:
- Public Health
- Sociology of Health
Background:
- Vaccine hesitancy is linked to distrust in health organizations, pharmaceutical companies, and governments.
- Understanding the roots of distrust is crucial for developing effective public health strategies.
Purpose of the Study:
- To explore the necessary steps for bridging the gap of distrust related to vaccine hesitancy.
- To analyze the relationship between distrust and coercive measures in public health.
- To critically evaluate existing perspectives on trust and trustworthiness in the context of vaccine hesitancy.
Main Methods:
- Analysis of different types of distrust identified in non-compliant parent groups.
- Examination of perspectives on trust and trustworthiness presented by Pierik and Verweij.
- Critique of the information deficit perspective on trust.
Main Results:
- Distrust in health organizations and governments is a significant factor in vaccine hesitancy.
- Tailored approaches are necessary to build trust, considering diverse sources of distrust.
- Ambivalence exists in current discussions regarding the information deficit perspective on trust.
Conclusions:
- Addressing vaccine hesitancy necessitates a deeper understanding of the multifaceted nature of distrust.
- Future strategies should focus on building trust through tailored, evidence-based interventions.
- Further research is needed to resolve theoretical ambivalence on trust and information deficits.
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