Exploring the Association between Misinformation Endorsement, Opinions on the Government Response, Risk Perception, and COVID-19 Vaccine Hesitancy in the US, Canada, and Italy

Savoia, Elena; Harriman, Nigel Walsh; Piltch-Loeb, Rachael; Bonetti, Marco; Toffolutti, Veronica; Testa, Marcia A.

doi:10.3390/vaccines10050671

Cited by 25 publications

(18 citation statements)

References 49 publications

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“…This means that in the context of an epidemic, the quality and effectiveness of government crisis management emerge as important resources in shaping rational health behaviours, including during a vaccination programme. A relationship between the assessment of government actions and the attitude to COVID-19 vaccination has also been found in other studies [ 69 , 70 ].…”

Section: Discussionsupporting

confidence: 75%

An Analysis of Factors Shaping Vaccine Attitudes and Behaviours in a Low-Trust Society Based on Structural Equation Modelling—The Case of Poland’s Vaccination Programme against COVID-19

Wróblewski

Meler

Stankowska

et al. 2022

IJERPH

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This study focuses on factors that shape vaccine attitudes and behaviours in the context of a low-trust society. Our analysis focuses on the Polish vaccination programme against COVID-19, primarily on (1) the evaluation of the information campaign, (2) trust in the institutions, (3) trust in other people, (4) attitudes toward vaccine safety and efficacy, (5) attitudes toward restrictions related to vaccination (e.g., restricted access to certain services for unvaccinated persons) and the introduction of mandatory vaccination, (6) the evaluation of the government’s actions during the pandemic, and (7) political preferences. The study was conducted with a sample of 1143 adult residents in Poland (CATI). The explanation of the factors determining the COVID-19 vaccine was based on structural equation modelling (SEM). The model showed that the declared fact of vaccination was largely determined by a positive attitude toward restrictions related to vaccination and trust in vaccines. The formation of the provaccine attitude was to an extent determined by the assessment of the government’s campaign and actions during pandemic. While institutional trust had a positive effect on support for the ruling coalition (0.56), the latter on its own had the opposite effect (−0.61) on the formation of provaccine attitude. In the group who both trust institutions and support the parties currently in power, there are more of those who simultaneously reject the restrictions and mandatory vaccination and remain sceptical about the safety and efficacy of COVID-19 vaccines than those who both trust in the vaccine safety and efficacy and accept the restrictions and mandatory vaccination. This indicates that in the context of strong political polarisation, ideological affiliations may play a greater role in shaping vaccine attitudes and behaviours than institutional trust.

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Section: Discussionsupporting

confidence: 75%

An Analysis of Factors Shaping Vaccine Attitudes and Behaviours in a Low-Trust Society Based on Structural Equation Modelling—The Case of Poland’s Vaccination Programme against COVID-19

Wróblewski

Meler

Stankowska

et al. 2022

IJERPH

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show abstract

“…When decisions are made based on limited information, it is sometimes difficult to communicate to the public in a transparent manner, which may influence public opinions about the government’s response. Interestingly, our study found that respondents with negative opinions about the government’s response to the pandemic were less likely to accept the vaccine, consistently with other studies [ 39 ].…”

Section: Discussionsupporting

confidence: 91%

Exploring the Association between Negative Emotions and COVID-19 Vaccine Acceptance: A Cross-Sectional Analysis of Unvaccinated Adults in Sweden

Wei¹,

Harriman²,

Piltch-Loeb

et al. 2022

Vaccines

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The coronavirus disease 2019 (COVID-19) pandemic has had a significant impact on individuals’ mental health. This study aimed to investigate how negative emotions toward the COVID-19 pandemic, including feeling anxious, depressed, upset, and stressed, were associated with COVID-19 vaccine acceptance in Sweden. The study is a cross-sectional online survey conducted between 21–28 May 2021, using three nested hierarchical logistic regression models to assess the association. The study included 965 unvaccinated individuals, 51.2% (n = 494) of whom reported their intention to get vaccinated. We observed graded positive associations between reported negative emotions and vaccine acceptance. Individuals who experienced economic stress had lower odds of vaccine acceptance while having a positive opinion of the government’s response to COVID-19 was associated with higher odds of being vaccine-acceptant. In conclusion, unvaccinated individuals experiencing negative emotions about the pandemic were more willing to get the vaccine. On the contrary, those with a negative opinion about the government’s response, and those that had experienced economic stress were less likely to accept the immunization.

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“…Other factors contribute to the decision-making process, including political climate, public health measures, and lived experiences. In the United States, Canada, and Italy, negative opinions towards government response, transparency, and communication efforts have been associated with increased VH (Savoia et al, 2022 ). Young adults were also likely to be more vaccine hesitant (Savoia et al, 2022 ).…”

Section: Introductionmentioning

confidence: 99%

“…In the United States, Canada, and Italy, negative opinions towards government response, transparency, and communication efforts have been associated with increased VH (Savoia et al, 2022 ). Young adults were also likely to be more vaccine hesitant (Savoia et al, 2022 ). Little is known about COVID-19 VH after vaccines were made widely available and limited research has been done to understand VH in younger adults, where despite the vaccines being available to the public, those aged 18 to 40 had consistently lower COVID-19 vaccination rates in Canada (PHAC, 2021 ).…”

Section: Introductionmentioning

confidence: 99%

COVID-19 vaccine hesitancy among young adults in Canada

Santavicca¹,

Ngov²,

Frounfelker

et al. 2022

Can J Public Health

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Objectives Vaccine hesitancy is a multifaceted decision process that encompasses various factors for which an individual may choose to get vaccinated or not. We aimed to identify the relationship between COVID-19 conspiracy theories, general attitudes towards vaccines, current COVID-19 vaccine factors, and COVID-19 vaccine hesitancy. Methods The present research is a multi-province cross-sectional study design. Survey data were collected in May and June 2021 ( n =4905) in the Canadian provinces of Alberta, Ontario, and Quebec. Multivariate ordinal regression models were used to assess the association between vaccine hesitant profiles and COVID-19 conspiracy theories, general attitudes towards vaccines, and specific factors pertaining to COVID-19 vaccines. Results Participants were aged 18 to 40 years and 59% were women. Individuals with low income, with low educational attainment, and/or who are unemployed were more likely to be vaccine hesitant. COVID-19 conspiracy theory beliefs and general attitudes towards vaccines are significantly associated with greater hesitancy for the COVID-19 vaccine. Vaccine factors including pro-vaccine actions and opinions of friends and family and trust in scientists and government as well as the country in which a vaccine is manufactured are associated with less vaccine hesitancy. Conclusion Conspiracy theories are distinct from criticism and concerns regarding the vaccine. Nevertheless, poverty, low level of education, and distrust towards the government are associated with higher odds of being vaccine hesitant. Results suggest it is imperative to deliver transparent and nuanced health communications to address legitimate distrust towards political and scientific actors and address the societal gap regarding general attitudes towards vaccines as opposed to focusing solely on COVID-19. Supplementary Information The online version contains supplementary material available at 10.17269/s41997-022-00693-x.

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Exploring the Association between Misinformation Endorsement, Opinions on the Government Response, Risk Perception, and COVID-19 Vaccine Hesitancy in the US, Canada, and Italy

Cited by 25 publications

References 49 publications

An Analysis of Factors Shaping Vaccine Attitudes and Behaviours in a Low-Trust Society Based on Structural Equation Modelling—The Case of Poland’s Vaccination Programme against COVID-19

An Analysis of Factors Shaping Vaccine Attitudes and Behaviours in a Low-Trust Society Based on Structural Equation Modelling—The Case of Poland’s Vaccination Programme against COVID-19

Exploring the Association between Negative Emotions and COVID-19 Vaccine Acceptance: A Cross-Sectional Analysis of Unvaccinated Adults in Sweden

COVID-19 vaccine hesitancy among young adults in Canada

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