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Ann Ig. 2024 Mar 28. doi: 10.7416/ai.2024.2625. Online ahead of print

Vaccine hesitancy in South Tyrol: a narrative review of insights and strategies for public health improvement

Christian J. Wiedermann1,2, Verena Barbieri1, Barbara Plagg1, Giuliano Piccoliori1, Adolf Engl1

1 Institute of General Practice and Public Health, Claudiana – College of Health Professions, Bolzano, South Tyrol-Alto Adige, Italy
2 Department of Public Health, Medical Decision Making and Health Technology Assessment, University of Health Sciences, Medical Informatics and Technology – Hall, Tyrol, Austria

Abstract

Introduction.
This review examines vaccine hesitancy in South Tyrol, Italy, a region characterized by cultural and linguistic diversity. The  critical need for vaccination to control infectious diseases contrasts with the region’s low vaccination rates, which pose a  significant public health challenge.

Methods.
Based on literature, reports, and studies, we used PubMed, Embase, and Google Scholar to explore vaccine hesitancy in  South Tyrol. It emphasizes the analysis of historical, cultural, and socioeconomic factors, and focuses on quantitative surveys and qualitative interviews to understand the roots of vaccine hesitancy.

Results.
In two studies with four reports, mistrust in health policies and institutions, misinformation, and cultural and linguistic barriers  were identified as key factors contributing to vaccine hesitancy in South Tyrol. These factors are accentuated by the region’s unique sociopolitical landscape, which influences public health policies and vaccination initiatives.

Conclusions.

These findings highlight the need for public health strategies specifically tailored to South Tyrol. Recommended actions  include developing culturally sensitive and multilingual communication campaigns, increasing community involvement, and  rebuilding trust in healthcare systems. These approaches are essential for addressing the specific challenges in South Tyrol, thereby improving vaccine uptake and overall public health outcomes.

KEYWORDS: Vaccine Hesitancy; Public Health; Cultural Diversity; Health Communication; Trust in Healthcare
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