COVID-19 and vaccine hesitancy: A longitudinal study

How do attitudes toward vaccination change over the course of a public health crisis? We report results from a longitudinal survey of United States residents during six months (March 16 –August 16, 2020) of the COVID-19 pandemic. Contrary to past research suggesting that the increased salience of a...

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Published inPloS one Vol. 16; no. 4; p. e0250123
Main Authors Fridman, Ariel, Gershon, Rachel, Gneezy, Ayelet
Format Journal Article
LanguageEnglish
Published United States Public Library of Science 16.04.2021
Public Library of Science (PLoS)
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Abstract How do attitudes toward vaccination change over the course of a public health crisis? We report results from a longitudinal survey of United States residents during six months (March 16 –August 16, 2020) of the COVID-19 pandemic. Contrary to past research suggesting that the increased salience of a disease threat should improve attitudes toward vaccines, we observed a decrease in intentions of getting a COVID-19 vaccine when one becomes available. We further found a decline in general vaccine attitudes and intentions of getting the influenza vaccine. Analyses of heterogeneity indicated that this decline is driven by participants who identify as Republicans, who showed a negative trend in vaccine attitudes and intentions, whereas Democrats remained largely stable. Consistent with research on risk perception and behavior, those with less favorable attitudes toward a COVID-19 vaccination also perceived the virus to be less threatening. We provide suggestive evidence that differential exposure to media channels and social networks could explain the observed asymmetric polarization between self-identified Democrats and Republicans.
AbstractList About the Authors: Ariel Fridman Roles Conceptualization, Data curation, Formal analysis, Investigation, Methodology, Project administration, Resources, Supervision, Validation, Visualization, Writing – original draft, Writing – review & editing * E-mail: afridman@ucsd.edu Affiliation: Rady School of Management, University of California San Diego, La Jolla, California, United States of America ORCID logo https://orcid.org/0000-0002-2778-2474 Rachel Gershon Roles Conceptualization, Data curation, Funding acquisition, Investigation, Methodology, Project administration, Supervision, Validation, Visualization, Writing – original draft, Writing – review & editing Affiliation: Rady School of Management, University of California San Diego, La Jolla, California, United States of America Ayelet Gneezy Roles Conceptualization, Funding acquisition, Investigation, Methodology, Project administration, Supervision, Visualization, Writing – original draft, Writing – review & editing Affiliation: Rady School of Management, University of California San Diego, La Jolla, California, United States of America Introduction Vaccinations are among the most important public health tools for reducing the spread and harm caused by dangerous diseases [1]. According to a recent Gallup Poll, Republicans are twice as likely to believe the widely debunked myth that vaccines cause autism [26]. [...]our data spans the early phase of the pandemic, when there were fewer than 2,000 total confirmed cases in the U.S., through the following six months, at which point cumulative cases reached over 5.3 million [30]. Despite our prediction—that a public health crisis would increase disease threat, consequently increasing pro-vaccine attitudes and interest in vaccination—our data show an overall decrease in favorable attitudes toward vaccines.
How do attitudes toward vaccination change over the course of a public health crisis? We report results from a longitudinal survey of United States residents during six months (March 16 -August 16, 2020) of the COVID-19 pandemic. Contrary to past research suggesting that the increased salience of a disease threat should improve attitudes toward vaccines, we observed a decrease in intentions of getting a COVID-19 vaccine when one becomes available. We further found a decline in general vaccine attitudes and intentions of getting the influenza vaccine. Analyses of heterogeneity indicated that this decline is driven by participants who identify as Republicans, who showed a negative trend in vaccine attitudes and intentions, whereas Democrats remained largely stable. Consistent with research on risk perception and behavior, those with less favorable attitudes toward a COVID-19 vaccination also perceived the virus to be less threatening. We provide suggestive evidence that differential exposure to media channels and social networks could explain the observed asymmetric polarization between self-identified Democrats and Republicans.
About the Authors: Ariel Fridman Roles Conceptualization, Data curation, Formal analysis, Investigation, Methodology, Project administration, Resources, Supervision, Validation, Visualization, Writing – original draft, Writing – review & editing * E-mail: afridman@ucsd.edu Affiliation: Rady School of Management, University of California San Diego, La Jolla, California, United States of America ORCID logo https://orcid.org/0000-0002-2778-2474 Rachel Gershon Roles Conceptualization, Data curation, Funding acquisition, Investigation, Methodology, Project administration, Supervision, Validation, Visualization, Writing – original draft, Writing – review & editing Affiliation: Rady School of Management, University of California San Diego, La Jolla, California, United States of America Ayelet Gneezy Roles Conceptualization, Funding acquisition, Investigation, Methodology, Project administration, Supervision, Visualization, Writing – original draft, Writing – review & editing Affiliation: Rady School of Management, University of California San Diego, La Jolla, California, United States of America Introduction Vaccinations are among the most important public health tools for reducing the spread and harm caused by dangerous diseases [1]. According to a recent Gallup Poll, Republicans are twice as likely to believe the widely debunked myth that vaccines cause autism [26]. [...]our data spans the early phase of the pandemic, when there were fewer than 2,000 total confirmed cases in the U.S., through the following six months, at which point cumulative cases reached over 5.3 million [30]. Despite our prediction—that a public health crisis would increase disease threat, consequently increasing pro-vaccine attitudes and interest in vaccination—our data show an overall decrease in favorable attitudes toward vaccines.
How do attitudes toward vaccination change over the course of a public health crisis? We report results from a longitudinal survey of United States residents during six months (March 16 -August 16, 2020) of the COVID-19 pandemic. Contrary to past research suggesting that the increased salience of a disease threat should improve attitudes toward vaccines, we observed a decrease in intentions of getting a COVID-19 vaccine when one becomes available. We further found a decline in general vaccine attitudes and intentions of getting the influenza vaccine. Analyses of heterogeneity indicated that this decline is driven by participants who identify as Republicans, who showed a negative trend in vaccine attitudes and intentions, whereas Democrats remained largely stable. Consistent with research on risk perception and behavior, those with less favorable attitudes toward a COVID-19 vaccination also perceived the virus to be less threatening. We provide suggestive evidence that differential exposure to media channels and social networks could explain the observed asymmetric polarization between self-identified Democrats and Republicans.How do attitudes toward vaccination change over the course of a public health crisis? We report results from a longitudinal survey of United States residents during six months (March 16 -August 16, 2020) of the COVID-19 pandemic. Contrary to past research suggesting that the increased salience of a disease threat should improve attitudes toward vaccines, we observed a decrease in intentions of getting a COVID-19 vaccine when one becomes available. We further found a decline in general vaccine attitudes and intentions of getting the influenza vaccine. Analyses of heterogeneity indicated that this decline is driven by participants who identify as Republicans, who showed a negative trend in vaccine attitudes and intentions, whereas Democrats remained largely stable. Consistent with research on risk perception and behavior, those with less favorable attitudes toward a COVID-19 vaccination also perceived the virus to be less threatening. We provide suggestive evidence that differential exposure to media channels and social networks could explain the observed asymmetric polarization between self-identified Democrats and Republicans.
Audience Academic
Author Gershon, Rachel
Fridman, Ariel
Gneezy, Ayelet
AuthorAffiliation Rady School of Management, University of California San Diego, La Jolla, California, United States of America
Middlesex University, UNITED KINGDOM
AuthorAffiliation_xml – name: Middlesex University, UNITED KINGDOM
– name: Rady School of Management, University of California San Diego, La Jolla, California, United States of America
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  orcidid: 0000-0002-2778-2474
  surname: Fridman
  fullname: Fridman, Ariel
– sequence: 2
  givenname: Rachel
  surname: Gershon
  fullname: Gershon, Rachel
– sequence: 3
  givenname: Ayelet
  surname: Gneezy
  fullname: Gneezy, Ayelet
BackLink https://www.ncbi.nlm.nih.gov/pubmed/33861765$$D View this record in MEDLINE/PubMed
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Snippet How do attitudes toward vaccination change over the course of a public health crisis? We report results from a longitudinal survey of United States residents...
About the Authors: Ariel Fridman Roles Conceptualization, Data curation, Formal analysis, Investigation, Methodology, Project administration, Resources,...
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StartPage e0250123
SubjectTerms Adolescent
Adult
Aged
Aged, 80 and over
Attitude to Health
Attitudes
Autism
Biology and Life Sciences
Colleges & universities
Concept formation
Coronaviruses
COVID-19
COVID-19 - prevention & control
COVID-19 - psychology
COVID-19 vaccines
COVID-19 Vaccines - administration & dosage
Data
Disease
Editing
Epidemics
Female
Funding
Health attitudes
Health risks
Humans
Immunization
Influenza
Intention
Longitudinal Studies
Male
Management
Medical research
Medicine and Health Sciences
Methodology
Middle Aged
Pandemics
Pandemics - prevention & control
Perceptions
Political parties
Politics
Psychological aspects
Public Health
Public opinion surveys
SARS-CoV-2 - immunology
SARS-CoV-2 - isolation & purification
Social Sciences
Sociodemographics
Supervision
Surveys
Surveys and Questionnaires
Trends
United States - epidemiology
Vaccination
Vaccination - psychology
Vaccination - statistics & numerical data
Vaccine hesitancy
Vaccines
Validity
Visualization
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Title COVID-19 and vaccine hesitancy: A longitudinal study
URI https://www.ncbi.nlm.nih.gov/pubmed/33861765
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https://doaj.org/article/1b64e05d0e1345748fda98199f4354dd
http://dx.doi.org/10.1371/journal.pone.0250123
Volume 16
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