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La aceptación de las vacunas COVID en EE. UU. Aumenta, ahora como otras democracias occidentales

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Las vacunas contra el COVID siguen siendo la forma más segura de reducir la posibilidad de que el SARS-CoV-2 lo lleve al hospital y son un componente fundamental de la campaña de salud pública contra la pandemia. Sin embargo, en los EE. UU., ha habido mucha controversia y un enojo absoluto por los intentos de expandir el uso de la vacuna, y una parte sustancial de la población parece estar evitando las inyecciones por razones políticas.

La polarización extrema de la política de EE. UU. no ha desaparecido, y la controversia parece fresca en la mente de algunos políticos, por lo que es fácil esperar que las dudas sobre las vacunas no desaparezcan. Pero una encuesta internacional sobre las actitudes hacia la vacuna contra el COVID sugiere que EE. UU. ha visto un gran impulso en la aceptación de la vacuna contra el COVID y ahora tiene actitudes similares a las de otras democracias occidentalizadas. En otras partes del mundo, la encuesta revela patrones regionales claros en la aceptación de vacunas, aunque hay rarezas en todas partes.

convirtiéndose en típico
La encuesta comenzó en 2020 como una serie de preguntas sobre si las personas tenían la intención de vacunarse una vez que estuvieran disponibles. En los años intermedios, las personas que realizaron la encuesta agregaron varias naciones (ahora hasta 23) y cambiaron las preguntas para tener en cuenta la disponibilidad de vacunas, la adición de refuerzos y el desarrollo de tratamientos para COVID-19. En los 23 países, la encuesta involucró a un grupo de 1000 participantes que, en general, reflejaban la población del país.

La encuesta se enfoca en lo que llama vacilación de vacunas, que define como no haber recibido una dosis si está disponible o no tener la intención de obtener una una vez que lo esté. Las preguntas sobre los refuerzos tomaron la misma forma pero fueron específicas para aquellos que ya habían recibido las vacunas.

En general, las noticias son buenas. A nivel mundial, la vacilación promedio de las vacunas ha disminuido en cada edición de la encuesta y ahora es un poco más del 20 por ciento. Así es como se encuentra EE. UU. ahora, con poco menos del 20 por ciento que indica que no ha recibido un primer intento. (Eso parece ser similar al porcentaje que recibió al menos una inyección, calculado a partir de los datos de los CDC).

Eso también hace que EE. UU. sea bastante típico de su grupo de pares de democracias occidentalizadas, que tienden a estar en el rango de 15 a 20 por ciento de reticencia a las vacunas. España está en el lado bajo, con un 10 por ciento de vacilación, pero las tasas aumentan a medida que avanza hacia el este de Europa, con Suecia y Alemania por encima del 20 por ciento. Polonia tiene la tasa más alta de vacilación entre las democracias europeas, con un 36 por ciento, tal vez influenciada por la vecina Rusia, donde la vacilación se acerca al 40 por ciento. EE. UU. ahora es típico entre este grupo principalmente debido a un aumento de alrededor del 20 por ciento en las personas que informaron haberse vacunado solo durante el último año.

No hay un patrón claro cuando se trata de refuerzos. Francia, donde la vacilación de la vacuna fue inferior al 20 por ciento, vio una vacilación de refuerzo de más del 25 por ciento, y Alemania vio una vacilación de refuerzo de solo el 11 por ciento. Entonces, si bien los factores locales parecen importar más aquí, está claro que no podemos esperar que cualquier mensaje que funcionó para las vacunas se transfiera automáticamente a los refuerzos.

Abarcando el mundo
El resto del mundo está escasamente representado en comparación, y los países incluidos en su mayoría destacan las excepciones. Por ejemplo, los países sudamericanos (Brasil, Ecuador y Perú) tendieron a tener dudas sobre las vacunas de alrededor del 10 por ciento, mientras que justo al norte de allí, en México, las dudas fueron más del doble, más del 26 por ciento. La aceptación en el este y el sur de Asia fue muy alta (del 11 % de indecisión en Corea del Sur a menos del 2 % en India), mientras que fue mucho más baja en los países africanos, donde los mejores resultados, en Nigeria, fueron casi un 30 % de indecisión.

En particular, Sudáfrica vio una caída del 20 por ciento en la aceptación de la vacuna, la mayor en la encuesta, y más de la mitad de su población ahora expresa dudas sobre la vacuna. Corea del Sur también es inusual, ya que, a pesar de su alto nivel de aceptación de la vacuna, el 27 por ciento de los participantes informan que dudan sobre los refuerzos, que solo es superado por Rusia.

Es importante tener en cuenta que, para muchos de los países con PIB más bajos, las personas aún responden la pregunta sin tener realmente la opción de vacunarse. Un acceso más equitativo a las vacunas puede permitir que más personas en estos países se vacunen a pesar de sus dudas. En otros lugares, otra investigación ha identificado la desinformación sobre las vacunas, los niveles educativos más bajos y la desconfianza en la ciencia y el gobierno como factores que impulsan la vacilación.

La educación médica parece ser especialmente efectiva para impulsar la aceptación de la vacuna, con solo el 4.6 por ciento de los trabajadores de la salud que expresan dudas, un número que sigue cayendo.

Otra cosa que está aumentando con la familiaridad es la voluntad de los padres de vacunar a sus hijos. A nivel mundial, aumentó ligeramente y ahora se encuentra en aproximadamente el 70 por ciento.

Mandatos y tratamientos
El apoyo a los mandatos de vacunas ha disminuido, aunque la mayoría de los encuestados todavía los apoya. El grado de apoyo tendió a correlacionarse con la aceptación de la vacuna: más alto en India y más bajo en Sudáfrica.

A nivel mundial, el apoyo a los mandatos de vacunas para empleados, estudiantes y actividades en interiores fue de alrededor del 60 por ciento; subió al 70 por ciento para los viajeros internacionales. Las caídas en el apoyo del año anterior estuvieron en el área del cinco por ciento. Pero abundaron las excepciones. El apoyo para cada clase de mandato aumentó entre un 5 y un 10 por ciento en los EE. UU., mientras que el apoyo para la mayoría de los mandatos se redujo en dos dígitos en Francia, incluso cuando el apoyo francés para un mandato de viaje internacional creció. Nuevamente, el contexto local parece ser crítico y realmente no se puede asumir nada basado en las tendencias globales.

Otro problema que abordó la encuesta fue la disponibilidad de terapias dirigidas, que se han ampliado en el transcurso de la pandemia. Aquí, la disponibilidad era extremadamente errática. En EE. UU., Canadá y Singapur, aproximadamente la mitad de los pacientes que recibieron tratamiento recibieron Paxlovid, que generalmente se considera la terapia más efectiva en este momento. Por el contrario, entre el 70 y el 80 por ciento de las personas en América del Sur que recibieron tratamiento recibieron ivermectina, que generalmente se considera completamente ineficaz.

En general, la encuesta indica que los ajustes locales en los mensajes de salud son críticos, ya que hubo excepciones en cada grupo de países, ya sea que estén divididos según la geografía, el PIB u otros factores. En general, sin embargo, la tendencia mundial es hacia una mayor aceptación de la vacunación.

Es una tendencia que parece incluir a los EE. UU., donde la vacunación ha estado ligada a la polarización política. También es notable que el apoyo a los mandatos de vacunas también creció en todos los ámbitos allí, de modo que casi todos los mandatos sobre los que se preguntó cuentan con el apoyo de la mayoría de los EE. UU. y, en la mayoría de los casos, el apoyo está creciendo hasta el punto en que ahora es considerablemente más alto que en Alemania. y Francia Dado que gran parte de los informes sobre el tema enfatizan los mandatos como una estrategia política, es fácil perder de vista el amplio apoyo público.

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