What is vaccine hesitancy primarily associated with?

Vaccine hesitancy is primarily linked to a lack of confidence in the reliability of health systems. Individuals who hesitate to vaccinate often express concerns about the safety, efficacy, and fairness of vaccines, which can stem from distrust in healthcare providers or the systems that deliver these vaccines. This distrust can be influenced by various factors, including past negative experiences with healthcare, exposure to misinformation, and a lack of transparent communication from health authorities.

When people do not believe in the integrity of the health system, their willingness to accept medical interventions like vaccinations is significantly diminished. This can lead to skepticism about vaccine recommendations and fears about potential side effects, driving hesitancy in individuals who would otherwise be more likely to accept vaccines if they felt confident in the healthcare system's credibility and the science behind the vaccines.