Lack of Trust, Conspiracy Beliefs, and Social Media Use Predict COVID-19 Vaccine Hesitancy

Vaccines - Tập 9 Số 6 - Trang 593
Will Jennings1, Gerry Stoker1, Hannah Bunting1, Viktor Orri Valgarðsson1, Jennifer Gaskell1, Daniel Devine2, Lawrence McKay1, Melinda Mills3
1School of Economic, Social and Political Sciences, University of Southampton, Southampton SO17 1BJ, UK.
2St. Hilda's College, University of Oxford, Oxford OX4 1DY, UK.
3Leverhulme Centre for Demographic Science & Nuffield College, University of Oxford, Oxford OX1 1NF, UK.

Tóm tắt

As COVID-19 vaccines are rolled out across the world, there are growing concerns about the roles that trust, belief in conspiracy theories, and spread of misinformation through social media play in impacting vaccine hesitancy. We use a nationally representative survey of 1476 adults in the UK between 12 and 18 December 2020, along with 5 focus groups conducted during the same period. Trust is a core predictor, with distrust in vaccines in general and mistrust in government raising vaccine hesitancy. Trust in health institutions and experts and perceived personal threat are vital, with focus groups revealing that COVID-19 vaccine hesitancy is driven by a misunderstanding of herd immunity as providing protection, fear of rapid vaccine development and side effects, and beliefs that the virus is man-made and used for population control. In particular, those who obtain information from relatively unregulated social media sources—such as YouTube—that have recommendations tailored by watch history, and who hold general conspiratorial beliefs, are less willing to be vaccinated. Since an increasing number of individuals use social media for gathering health information, interventions require action from governments, health officials, and social media companies. More attention needs to be devoted to helping people understand their own risks, unpacking complex concepts, and filling knowledge voids.

Từ khóa


Tài liệu tham khảo

Mills, M.C., and Salisbury, D. (2020). The challenges of distributing COVID-19 vaccinations. EClinicalMedicine, 100674.

Simas, 2020, Mapping global trends in vaccine confidence and investigating barriers to vaccine uptake: A large-scale retrospective temporal modelling study, Lancet, 396, 898, 10.1016/S0140-6736(20)31558-0

Mills, M., Rahal, C., Brazel, D., Yan, J., and Gieysztor, S. (2021, April 14). COVID-19 Vaccine Deployment: Behaviour, Ethics, Misinformation and Policy Strategies. Lond. R. Soc. Br. Acad., Available online: https://royalsociety.org/-/media/policy/projects/set-c/set-c-vaccine-deployment.pdf?la=en-GB&hash=43073E5429C87FD2674201CA19280A8E.

Devine, D., Gaskell, J., Jennings, W., and Stoker, G. (2020). Trust and the Coronavirus Pandemic: What are the Consequences of and for Trust? An Early Review of the Literature. Political Stud. Rev.

Jennings, W., Stoker, G., Valgarðsson, V., Devine, D., and Gaskell, J. (2021). How Trust, Mistrust and Distrust Shape the Governance of the COVID-19 Crisis. J. Eur. Publ. Pol., forthcoming.

Laberge, 2013, Vaccine hesitancy, Hum. Vaccines Immunother., 9, 1763, 10.4161/hv.24657

Kreps, 2020, Model uncertainty, political contestation, and public trust in science: Evidence from the COVID-19 pandemic, Sci. Adv., 6, eabd4563, 10.1126/sciadv.abd4563

Loomba, 2021, Measuring the impact of COVID-19 vaccine misinformation on vaccination intent in the UK and USA, Nat. Hum. Behav., 5, 337, 10.1038/s41562-021-01056-1

Massey, 2016, Where Do U.S. Adults Who Do Not Use the Internet Get Health Information? Examining Digital Health Information Disparities From 2008 to 2013, J. Health Commun., 21, 118, 10.1080/10810730.2015.1058444

Oladejo, 2016, Comparative analysis of the Parent Attitudes about Childhood Vaccines (PACV) short scale and the five categories of vaccine acceptance identified by Gust et al, Vaccine, 34, 4964, 10.1016/j.vaccine.2016.08.046

Featherstone, 2019, Relationship of people’s sources of health information and political ideology with acceptance of conspiratorial beliefs about vaccines, Vaccine, 37, 2993, 10.1016/j.vaccine.2019.04.063

Freeman, D., Waite, F., Rosebrock, L., Petit, A., Causier, C., East, A., Jenner, L., Teale, A.L., Carr, L., and Mulhall, S. (2020). Coronavirus conspiracy beliefs, mistrust, and compliance with government guidelines in England. Psychol. Med., 1–13.

Allington, D., McAndrew, S., Moxham-Hall, V., and Duffy, B. (2021). Coronavirus conspiracy suspicions, general vaccine attitudes, trust and coronavirus information source as predictors of vaccine hesitancy among UK residents during the COVID-19 pandemic. Psych. Med., 1–12.

Elgar, 2020, The trouble with trust: Time-series analysis of social capital, income inequality, and COVID-19 deaths in 84 countries, Soc. Sci. Med., 263, 113365, 10.1016/j.socscimed.2020.113365

Battiston, 2021, Reliance on scientists and experts during an epidemic: Evidence from the COVID-19 outbreak in Italy, SSM Pop. Health, 13, 100721, 10.1016/j.ssmph.2020.100721

Sturgis, P., Brunton-Smith, I., and Jackson, J. (2021). Trust in science, social consensus and vaccine confidence. Nat. Hum. Behav.

Ehsan, 2019, Social capital and health: A systematic review of systematic reviews, SSM Popul. Health, 8, 100425, 10.1016/j.ssmph.2019.100425

Dowd, 2020, Demographic science aids in understanding the spread and fatality rates of COVID-19, Proc. Natl. Acad. Sci. USA, 117, 9696, 10.1073/pnas.2004911117

Dowd, J.B., Block, P., Jones, M., and Mills, M.C. (2021, April 14). The Human Cost of Natural Herd Immunity. LCDS Blog, Available online: https://www.demographicscience.ox.ac.uk/post/the-human-cost-of-natural-herd-immunity.

Seale, H., Heywood, A.E., McLaws, M.L., Ward, K.F., Lowbridge, C.P., Van, D., and MacIntyre, C.R. (2010). Why do I need it? I am not at risk! Public perceptions towards the pandemic (H1N1) 2009 vaccine. BMC Infect. Dis., 10.

Bish, 2011, Factors associated with uptake of vaccination against pandemic influenza: A systematic review, Vaccine, 29, 6472, 10.1016/j.vaccine.2011.06.107

Roozenbeek, J., Schneider, C.R., Dryhurst, S., Kerr, J., Freeman, A.L., Recchia, G., Van Der Bles, A.M., and Van Der Linden, S. (2020). Susceptibility to misinformation about COVID-19 around the world. R. Soc. Open Sci.

Johnson, 2020, The online competition between pro- and anti-vaccination views, Nature, 582, 230, 10.1038/s41586-020-2281-1

Hussein, 2020, Measuring Misinformation in Video Search Platforms: An Audit Study on YouTube, Proc. ACM Hum. Comput. Interact., 4, 1, 10.1145/3392854

Jacobs, 2017, Health information seeking in the digital age: An analysis of health in-formation seeking behavior among US adults, Cogent Soc. Sci., 3, 1302785

Smith, 2019, Mapping the anti-vaccination movement on Facebook. Information, Commun. Soc., 22, 1310

Sturgis, P.J., and Kuha, J. (2021, April 14). Lockdown scepticism is part of the Brexit divide. LSE Covid 19 Blog, Available online: https://blogs.lse.ac.uk/brexit/2020/06/08/20111/.

Anderson, 2020, Challenges in creating herd immunity to SARS-CoV-2 infection by mass vaccination, Lancet, 396, 1614, 10.1016/S0140-6736(20)32318-7

Basch, 2017, What do popular YouTube videos say about vaccines?, Child. Care. Health Dev., 43, 499, 10.1111/cch.12442

Donzelli, 2018, Misinformation on vaccination: A quantitative analysis of YouTube videos, Hum. Vaccin. Immunother., 14, 1654, 10.1080/21645515.2018.1454572

Kahneman, D. (2011). Thinking Fast and Slow, Farrar, Straus and Giroux.

Mills, M.C. (2021, April 14). People struggle to assess risk, especially in a pandemic. Financ. Times, Available online: https://www.ft.com/content/07bf5293-3a06-4fa9-96b8-74406e6abf72.

Barker, A., and Murphy, H. (2021, April 14). Advertisers strike deal with Facebook and YouTube on harmful content. Financ. Times, Available online: https://www.ft.com/content/d7957f86-760b-468b-88ec-aead6a558902.

Bode, L., and Vraga, E.K. (2021). Correction Experiences on Social Media during COVID-19. Soc. Med. Soc.

Ohlheiser, A. (2021, April 14). Facebook and YouTube are rushing to delete “Plandemic”, a conspiracy-laden video. MIT Technol. Rev., Available online: https://www.technologyreview.com/2020/05/07/1001469/facebook-youtube-plandemic-covid-misinformation/.

Dickson, E.J. (2021, April 14). Anti-vax doctor promotes conspiracy theory that death certificates falsely cite COVID-19. Roll. Stone, Available online: https://www.rollingstone.com/culture/culture-features/anti-vax-doctor-covid-19-death-certificates-984407/.

Hornsey, 2020, Donald Trump and vaccination: The effect of political identity, conspiracist ideation and presidential tweets on vaccine hesitancy, J. Exp. Soc. Psych., 88, 103947, 10.1016/j.jesp.2019.103947