The State of Vaccine Confidence: 2016

This year’s study surveyed 65,819 individuals across 67 countries, investigating confidence in vaccine safety and effectiveness, as well as perceptions of vaccine importance and compatibility with religious beliefs. The analysis, published in EBioMedicine, was conducted in collaboration with Imperial College London and the National University of Singapore, and the data was collected by WIN/Gallup International Association.

Overall sentiment towards vaccine importance is positive across all 67 countries, however there is wide variability between countries and across world regions. Confidence in vaccine safety is less positive, particularly in the European region, which has seven of the ten least confident countries, with 41% of respondents in France and 36% of respondents in Bosnia & Herzegovina reporting that they disagree that vaccines are safe, followed by Russia (28%) and Mongolia (27%), with Greece, Japan and Ukraine not far behind (25%). This is compared to a global average of 12%.

Percent Disagreeing with the Statement, “Overall I think vaccines are safe”

*Highest recorded value was 41%, gradient has been scaled to maximise visibility within this range.
This map represents percentage disagreement with the statement, “Overall I think vaccines are safe,” by combining the two disagree responses (Tend to Disagree and Strongly Disagree) and dividing by the total number of responses, including Don’t Know/No Response as well as the two Agree options. Countries in grey were not included in this survey.

Although in certain countries particular religious groups were more vaccine-sceptical than other groups, no one religion was globally predictive of negative attitudes. This indicates that the effect of faith on vaccine attitudes is dependent on local context, and that these attitudes are not necessarily driven by religious doctrine in itself, but mediated by political, socio-cultural and other factors.

Individual country data can be viewed using our interactive tool below:

Interactive Country Data Viewer

Download the report

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Literature Literature archive

Roxanne Nelson 2019 Lancet Infectious Diseases Vol19 (3):248,
Owen Dyer 2019 BMJ 364:l739 doi: 10.1136/bmj.l739
Lee TH, McGlynn EA, Safran DG. 2019 JAMA 321(6):539–540. doi:10.1001/jama.2018.19186

Videos Video archive

Key figures share their perspectives on a controversy that led to the suspension of Ebola vaccine clinical trials in Ghana.

Drs. Heidi Larson and Pauline Paterson of the Vaccine Confidence Project join episode 50 of the Public Health United podcast with Nina Martin, November 2017.

Drs. Larson and Paterson join a discussion on vaccine confidence at Hong Kong University.  September, 2015.

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