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Kirbiš A, Lubej M. The Politicization of the COVID-19 Pandemic. ADVANCES IN EXPERIMENTAL MEDICINE AND BIOLOGY 2024; 1458:125-143. [PMID: 39102194 DOI: 10.1007/978-3-031-61943-4_9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 08/06/2024]
Abstract
Political actors and institutions are largely responsible for effectively implementing the latest scientific and medical information in the form of public health measures. However, when politicians' judgments and decision-making are not founded on scientific facts or when scientific findings are misrepresented to further political goals, global crises such as pandemics may be even more galvanized. Like other scientific topics that entered public debate before 2020 (e.g., the debate on climate change), the COVID-19 pandemic has been heavily politicized worldwide. Consequently, COVID-19-related outcomes were strongly affected by politicization-a process of making a non-political issue political, i.e., debating it in the public sphere as an issue of public contestation. The present chapter presents a condensed overview and synthesis of the literature on the politicization of the COVID-19 pandemic in high- and low-income countries. In addition, we discuss several mechanisms explaining why, to some extent universally, conservatives (the right-wing oriented public) were less likely to follow public health recommendations, were more COVID-19 vaccine-hesitant, and had increased infection rates, poor health outcomes, and increased mortality compared to left-wing oriented public. The mechanisms explaining the links include the media, trust, cognitions, and values. We conclude the chapter with lessons learned during the COVID-19 pandemic and future research directions on the pandemics' politicization.
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Affiliation(s)
- Andrej Kirbiš
- Faculty of Arts, University of Maribor, Koroška Cesta 160, 2000, Maribor, Slovenia.
| | - Maruša Lubej
- Faculty of Arts, University of Maribor, Koroška Cesta 160, 2000, Maribor, Slovenia
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2
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Ophir Y, Walter D, Jamieson PE, Jamieson KH. Factors Assessing Science's Self-Presentation model and their effect on conservatives' and liberals' support for funding science. Proc Natl Acad Sci U S A 2023; 120:e2213838120. [PMID: 37695894 PMCID: PMC10515153 DOI: 10.1073/pnas.2213838120] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/16/2022] [Accepted: 07/25/2023] [Indexed: 09/13/2023] Open
Abstract
A confirmatory factor analysis (CFA) of responses to 13 questions from a 2022 national probability sample of 1,154 US adults supported the existence of five factors that we argue assess perceptions of Factors Assessing Science's Self-Presentation (FASS). These factors also predict support for increasing federal funding of science and, separately, supporting federal funding of basic research. Each of the factors reflects perceptions of a key facet of scientists' self-presentation, science/scientists' adherence to professed norms, or science's benefits: specifically, that scientists are Credible, Prudent, and Unbiased and that science is Self-Correcting and Beneficial. The FASS model explained 40.6% of the variance in support for increasing federal funding for science and 33.7% in support for basic research. For both dependent variables, conservatives were less likely to be supportive when they perceived that science/scientists fail to overcome biases. The interactions between political ideology and both Prudence and Beneficial, however, were significant only when predicting Basic Research support. In that case, there were no differences between conservatives and liberals when perceptions of benefit were low, but when high, liberals' perception of benefit had a stronger association with support for funding than conservatives'. Among those perceiving that scientists lack prudence, liberals were more likely to support funding basic research than conservatives, but the difference disappeared when perceptions of prudence were very high. The factors could serve as across-time indicators of the public's assessment of the state of science.
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Affiliation(s)
- Yotam Ophir
- Department of Communication, University at Buffalo, State University of New York, Buffalo, NY14228
| | - Dror Walter
- Department of Communication, Georgia State University, Atlanta, GA30303
| | - Patrick E. Jamieson
- Annenberg Public Policy Center, University of Pennsylvania, Philadelphia, PA19104
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3
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Gill M, Lombrozo T. Seeking evidence and explanation signals religious and scientific commitments. Cognition 2023; 238:105496. [PMID: 37385152 DOI: 10.1016/j.cognition.2023.105496] [Citation(s) in RCA: 4] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/12/2022] [Revised: 05/02/2023] [Accepted: 05/08/2023] [Indexed: 07/01/2023]
Abstract
Who is more committed to science: the person who learns about a scientific consensus and doesn't ask questions, or the person who learns about a scientific consensus and decides to pursue further inquiry? Who exhibits greater commitment to religious teachings: the person who accepts doctrine without question, or the person who seeks further evidence and explanations? Across three experiments (N = 801) we investigate the inferences drawn about an individual on the basis of their epistemic behavior - in particular, their decision to pursue or forgo further inquiry (evidence or explanation) about scientific or religious claims. We find that the decision to pursue further inquiry (about science or religion) is taken to signal greater commitment to science and to truth, as well as trustworthiness and good moral character (Studies 1-3). This is true even in the case of claims regarding controversial science topics, such as anthropogenic climate change (Study 3). In contrast, the decision to forgo further inquiry is taken to signal greater commitment to religion, but only when the claim under consideration contains religious content (Study 1-3). These findings shed light on perceived scientific and religious norms in our predominantly American and Christian sample, as well as the rich social inferences drawn on the basis of epistemic behavior.
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Affiliation(s)
- Maureen Gill
- Department of Psychology, Yale University, Box 208205, New Haven, CT 06520-8205, United States.
| | - Tania Lombrozo
- Department of Psychology, Princeton University, United States
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4
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Fasce A, Schmid P, Holford DL, Bates L, Gurevych I, Lewandowsky S. A taxonomy of anti-vaccination arguments from a systematic literature review and text modelling. Nat Hum Behav 2023; 7:1462-1480. [PMID: 37460761 DOI: 10.1038/s41562-023-01644-3] [Citation(s) in RCA: 7] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/09/2021] [Accepted: 05/25/2023] [Indexed: 09/23/2023]
Abstract
The proliferation of anti-vaccination arguments is a threat to the success of many immunization programmes. Effective rebuttal of contrarian arguments requires an approach that goes beyond addressing flaws in the arguments, by also considering the attitude roots-that is, the underlying psychological attributes driving a person's belief-of opposition to vaccines. Here, through a pre-registered systematic literature review of 152 scientific articles and thematic analysis of anti-vaccination arguments, we developed a hierarchical taxonomy that relates common arguments and themes to 11 attitude roots that explain why an individual might express opposition to vaccination. We further validated our taxonomy on coronavirus disease 2019 anti-vaccination misinformation, through a combination of human coding and machine learning using natural language processing algorithms. Overall, the taxonomy serves as a theoretical framework to link expressed opposition of vaccines to their underlying psychological processes. This enables future work to develop targeted rebuttals and other interventions that address the underlying motives of anti-vaccination arguments.
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Affiliation(s)
- Angelo Fasce
- Faculty of Medicine, University of Coimbra, Coimbra, Portugal.
| | - Philipp Schmid
- Institute for Planetary Health Behaviour, University of Erfurt, Erfurt, Germany
- Department of Implementation Research, Bernhard-Nocht-Institute for Tropical Medicine, Hamburg, Germany
| | - Dawn L Holford
- School of Psychological Science, University of Bristol, Bristol, UK
- Department of Psychology, University of Essex, Colchester, UK
| | - Luke Bates
- Ubiquitous Knowledge Processing Lab/Department of Computer Science and Hessian Center for AI (hessian.AI), Technical University of Darmstadt, Darmstadt, Germany
| | - Iryna Gurevych
- Ubiquitous Knowledge Processing Lab/Department of Computer Science and Hessian Center for AI (hessian.AI), Technical University of Darmstadt, Darmstadt, Germany
| | - Stephan Lewandowsky
- School of Psychological Science, University of Bristol, Bristol, UK
- School of Psychological Science, University of Western Australia, Perth, Western Australia, Australia
- Department of Psychology, University of Potsdam, Potsdam, Germany
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5
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Holford DL, Fasce A, Costello TH, Lewandowsky S. Psychological profiles of anti-vaccination argument endorsement. Sci Rep 2023; 13:11219. [PMID: 37460585 DOI: 10.1038/s41598-023-30883-7] [Citation(s) in RCA: 5] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/11/2022] [Accepted: 03/02/2023] [Indexed: 07/20/2023] Open
Abstract
The proliferation of anti-vaccination arguments online can threaten immunisation programmes, including those targeting COVID-19. To effectively refute misinformed views about vaccination, communicators need to go beyond providing correct information and debunking of misconceptions, and must consider the underlying motivations of people who hold contrarian views. Drawing on a taxonomy of anti-vaccination arguments that identified 11 "attitude roots"-i.e., psychological attributes-that motivate an individual's vaccine-hesitant attitude, we assessed whether these attitude roots were identifiable in argument endorsements and responses to psychological construct measures corresponding to the presumed attitude roots. In two UK samples (total n = 1250), we found that participants exhibited monological belief patterns in their highly correlated endorsements of anti-vaccination arguments drawn from different attitude roots, and that psychological constructs representing the attitude roots significantly predicted argument endorsement strength and vaccine hesitancy. We identified four different latent anti-vaccination profiles amongst our participants' responses. We conclude that endorsement of anti-vaccination arguments meaningfully dovetails with attitude roots clustering around anti-scientific beliefs and partisan ideologies, but that the balance between those attitudes differs considerably between people. Communicators must be aware of those individual differences.
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Affiliation(s)
- Dawn L Holford
- School of Psychological Science, University of Bristol, Bristol, BS8 1TU, UK.
| | - Angelo Fasce
- University of Coimbra, 3004-531, Coimbra, Portugal
| | | | - Stephan Lewandowsky
- School of Psychological Science, University of Bristol, Bristol, BS8 1TU, UK
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6
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Grimalda G, Murtin F, Pipke D, Putterman L, Sutter M. The politicized pandemic: Ideological polarization and the behavioral response to COVID-19. EUROPEAN ECONOMIC REVIEW 2023; 156:104472. [PMID: 37234383 PMCID: PMC10174729 DOI: 10.1016/j.euroecorev.2023.104472] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 09/30/2022] [Revised: 04/12/2023] [Accepted: 04/28/2023] [Indexed: 05/28/2023]
Abstract
In a representative sample of the U.S. population during the first summer of the COVID-19 pandemic, we investigate how prosociality and ideology interact in their relationship with health-protecting behavior and trust in the government to handle the crisis. We find that an experimental measure of prosociality based on standard economic games positively relates to protective behavior. Conservatives are less compliant with COVID-19-related behavioral restrictions than liberals and evaluate the government's handling of the crisis significantly more positively. We show that prosociality does not mediate the impact of political ideology. This finding means that conservatives are less compliant with protective health guidelines - independent of differences in prosociality between both ideological camps. Behavioral differences between liberals and conservatives are roughly only one-fourth of the size of their differences in judging the government's crisis management. This result suggests that Americans were more polarized in their political views than in their acceptance of public health advice.
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Affiliation(s)
| | | | - David Pipke
- Kiel Institute for the World Economy, Germany
| | | | - Matthias Sutter
- Max Planck Institute for Research on Collective Goods, University of Cologne, University of Innsbruck, and IZA, Austria
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7
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Keselman A, Arnott Smith C, Wilson AJ, Leroy G, Kaufman DR. Cognitive and Cultural Factors That Affect General Vaccination and COVID-19 Vaccination Attitudes. Vaccines (Basel) 2022; 11:vaccines11010094. [PMID: 36679939 PMCID: PMC9865922 DOI: 10.3390/vaccines11010094] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/31/2022] [Revised: 12/15/2022] [Accepted: 12/20/2022] [Indexed: 01/03/2023] Open
Abstract
The development of COVID-19 vaccines is a major scientific accomplishment that has armed communities worldwide with powerful epidemic control tools. Yet, COVID-19 vaccination efforts in the US have been marred by persistent vaccine hesitancy. We used survey methodology to explore the impact of different cognitive and cultural factors on the public's general vaccination attitudes, attitudes towards COVID-19 vaccines, and COVID-19 vaccination status. The factors include information literacy, science literacy, attitudes towards science, interpersonal trust, public health trust, political ideology, and religiosity. The analysis suggests that attitudes towards vaccination are influenced by a multitude of factors that operate in a complex manner. General vaccination attitude was most affected by attitudes towards science and public health trust and to a lesser degree by information literacy, science literacy, and religiosity. Attitudes towards COVID-19 vaccines were most affected by public health trust and to a lesser extent by general trust, ideology and attitudes towards science. Vaccination status was most influenced by public health trust. Possible mediating effects of correlated variables in the model need to be further explored. The study underscores the importance of understanding the relationship between public health trust, literacies, and sociocultural factors.
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Affiliation(s)
- Alla Keselman
- National Library of Medicine, National Institutes of Health, Bethesda, MD 20894, USA
- Correspondence: ; Tel.: +1-301-827-5671
| | | | - Amanda J. Wilson
- National Library of Medicine, National Institutes of Health, Bethesda, MD 20894, USA
| | - Gondy Leroy
- Management Information Systems, University of Arizona, Tucson, AZ 85721, USA
| | - David R. Kaufman
- Medical Informatics Program, SUNY Downstate Health Sciences University, Brooklyn, NY 11203, USA
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8
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Fasce A. The explanation-polarisation model: Pseudoscience spreads through explanatory satisfaction and group polarisation. JOURNAL OF SOCIAL AND POLITICAL PSYCHOLOGY 2022. [DOI: 10.5964/jspp.8051] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/15/2022] Open
Abstract
This article presents an integrative model for the endorsement of pseudoscience: the explanation-polarisation model. It is based on a combination of perceived explanatory satisfaction and group polarisation, offering a perspective different from the classical confusion-based conception, in which pseudoscientific beliefs would be accepted through a lack of distinction between science and science mimicry. First, I discuss the confusion-based account in the light of current evidence, pointing out some of its explanatory shortcomings. Second, I develop the explanation-polarisation model, showing its explanatory power in connection with recent research outcomes in cognitive and social psychology.
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9
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Jylhä KM, Stanley SK, Ojala M, Clarke EJR. Science Denial. EUROPEAN PSYCHOLOGIST 2022. [DOI: 10.1027/1016-9040/a000487] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/15/2022]
Abstract
Abstract. Science denial has adverse consequences at individual and societal levels and even for the future of our planet. The present article aimed to answer the question: What leads people to deny even the strongest evidence and distrust the scientific method? The article provides a narrative review of research on the underpinnings of science denial, with the main focus on climate change denial. Perspectives that are commonly studied separately are integrated. We review key findings on the roles of disinformation and basic cognitive processes, motivated reasoning (focusing on ideology and populism), and emotion regulation in potentially shaping (or not shaping) views on science and scientific topics. We also include research on youth, a group in an important transition phase in life that is the future decision-makers but less commonly focused on in the research field. In sum, we describe how the manifestations of denial can stem from cognitive biases, motivating efforts to find seemingly rational support for desirable conclusions, or attempts to regulate emotions when feeling threatened or powerless. To foster future research agendas and mindful applications of the results, we identify some research gaps (most importantly related to cross-cultural considerations) and examine the unique features or science denial as an object of psychological research. Based on the review, we make recommendations on measurement, science communication, and education.
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Affiliation(s)
| | | | - Maria Ojala
- School of Law, Psychology and Social Work, Örebro University, Sweden
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10
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van Stekelenburg A, Schaap G, Veling H, van 't Riet J, Buijzen M. Scientific-Consensus Communication About Contested Science: A Preregistered Meta-Analysis. Psychol Sci 2022; 33:1989-2008. [PMID: 36242521 DOI: 10.1177/09567976221083219] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/14/2022] Open
Abstract
Scientific-consensus communication is among the most promising interventions to minimize the gap between experts' and the public's belief in scientific facts. There is, however, discussion about its effectiveness in changing consensus perceptions and beliefs about contested science topics. This preregistered meta-analysis assessed the effects of communicating the existence of scientific consensus on perceived scientific consensus and belief in scientific facts. Combining 43 experiments about climate change, genetically modified food, and vaccination, we found that a single exposure to consensus messaging had a positive effect on perceived scientific consensus (g = 0.55) and on belief in scientific facts (g = 0.12). Consensus communication yielded very similar effects for climate change and genetically modified food, whereas the low number of experiments about vaccination prevented conclusions regarding this topic. Although these effects are small, communicating scientific consensus appears to be an effective way to change factual beliefs about contested science topics.
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Affiliation(s)
| | - Gabi Schaap
- Behavioural Science Institute, Radboud University
| | - Harm Veling
- Behavioural Science Institute, Radboud University
| | | | - Moniek Buijzen
- Behavioural Science Institute, Radboud University.,Erasmus School of Social and Behavioural Sciences, Erasmus University Rotterdam
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11
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Hornsey MJ, Lewandowsky S. A toolkit for understanding and addressing climate scepticism. Nat Hum Behav 2022; 6:1454-1464. [PMID: 36385174 PMCID: PMC7615336 DOI: 10.1038/s41562-022-01463-y] [Citation(s) in RCA: 9] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/27/2022] [Accepted: 09/20/2022] [Indexed: 11/17/2022]
Abstract
Despite over 50 years of messaging about the reality of human-caused climate change, substantial portions of the population remain sceptical. Furthermore, many sceptics remain unmoved by standard science communication strategies, such as myth busting and evidence building. To understand this, we examine psychological and structural reasons why climate change misinformation is prevalent. First, we review research on motivated reasoning: how interpretations of climate science are shaped by vested interests and ideologies. Second, we examine climate scepticism as a form of political followership. Third, we examine infrastructures of disinformation: the funding, lobbying and political operatives that lend climate scepticism its power. Guiding this Review are two principles: (1) to understand scepticism, one must account for the interplay between individual psychologies and structural forces; and (2) global data are required to understand this global problem. In the spirit of optimism, we finish by describing six strategies for reducing the destructive influence of climate scepticism.
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Affiliation(s)
- Matthew J Hornsey
- UQ Business School, University of Queensland, Brisbane, Queensland, Australia.
| | - Stephan Lewandowsky
- School of Psychological Science, University of Bristol, Bristol, UK
- School of Psychological Sciences, University of Western Australia, Perth, Western Australia, Australia
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12
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Kaurov AA, Cologna V, Tyson C, Oreskes N. Trends in American scientists' political donations and implications for trust in science. HUMANITIES & SOCIAL SCIENCES COMMUNICATIONS 2022; 9:368. [PMID: 36254166 PMCID: PMC9558000 DOI: 10.1057/s41599-022-01382-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 04/18/2022] [Accepted: 09/27/2022] [Indexed: 06/16/2023]
Abstract
Scientists in the United States are more politically liberal than the general population. This fact has fed charges of political bias. To learn more about scientists' political behavior, we analyze publicly available Federal Election Commission data. We find that scientists who donate to federal candidates and parties are far more likely to support Democrats than Republicans, with less than 10 percent of donations going to Republicans in recent years. The same pattern holds true for employees of the academic sector generally, and for scientists employed in the energy sector. This was not always the case: Before 2000, political contributions were more evenly divided between Democrats and Republicans. We argue that these observed changes are more readily explained by changes in Republican Party attitudes toward science than by changes in American scientists. We reason that greater public involvement by centrist and conservative scientists could help increase trust in science among Republicans.
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Affiliation(s)
- Alexander A. Kaurov
- Department of the History of Science, Harvard University, Cambridge, MA USA
- Program in Interdisciplinary Studies, Institute for Advanced Study, Princeton, NJ USA
- Blue Marble Space Institute of Science, Seattle, WA USA
| | - Viktoria Cologna
- Department of the History of Science, Harvard University, Cambridge, MA USA
| | - Charlie Tyson
- Department of English, Harvard University, Cambridge, MA USA
| | - Naomi Oreskes
- Department of the History of Science, Harvard University, Cambridge, MA USA
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13
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Rothmund T, Farkhari F, Ziemer CT, Azevedo F. Psychological underpinnings of pandemic denial - patterns of disagreement with scientific experts in the German public during the COVID-19 pandemic. PUBLIC UNDERSTANDING OF SCIENCE (BRISTOL, ENGLAND) 2022; 31:437-457. [PMID: 35135408 PMCID: PMC9096582 DOI: 10.1177/09636625211068131] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 06/14/2023]
Abstract
We investigated pandemic denial in the general public in Germany after the first wave of COVID-19 in May 2020. Using latent class analysis, we compared patterns of disagreement with claims about (a) the origin, spread, or infectiousness of the SARS-CoV-2 virus and (b) the personal risk from COVID-19 between scientific laypersons (N = 1,575) and scientific experts (N = 128). Two groups in the general public differed distinctively from expert evaluations. The Dismissive (8%) are characterized by low-risk assessment, low compliance with containment measures, and mistrust in politicians. The Doubtful (19%) are characterized by low cognitive reflection, high uncertainty in the distinction between true and false claims, and high social media intake. Our research indicates that pandemic denial cannot be linked to a single and distinct pattern of psychological dispositions but involves different subgroups within the general population that share high COVID-19 conspiracy beliefs and low beliefs in epistemic complexity.
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Affiliation(s)
| | - Fahima Farkhari
- Friedrich-Schiller University Jena, Germany
- University of Münster, Germany
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14
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Lewandowsky S, Armaos K, Bruns H, Schmid P, Holford DL, Hahn U, Al-Rawi A, Sah S, Cook J. When Science Becomes Embroiled in Conflict: Recognizing the Public's Need for Debate while Combating Conspiracies and Misinformation. THE ANNALS OF THE AMERICAN ACADEMY OF POLITICAL AND SOCIAL SCIENCE 2022; 700:26-40. [PMID: 36338265 PMCID: PMC7613792 DOI: 10.1177/00027162221084663] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/16/2023]
Abstract
Most democracies seek input from scientists to inform policies. This can put scientists in a position of intense scrutiny. Here we focus on situations in which scientific evidence conflicts with people's worldviews, preferences, or vested interests. These conflicts frequently play out through systematic dissemination of disinformation or the spreading of conspiracy theories, which may undermine the public's trust in the work of scientists, muddy the waters of what constitutes truth, and may prevent policy from being informed by the best available evidence. However, there are also instances in which public opposition arises from legitimate value judgments and lived experiences. In this article, we analyze the differences between politically-motivated science denial on the one hand, and justifiable public opposition on the other. We conclude with a set of recommendations on tackling misinformation and understanding the public's lived experiences to preserve legitimate democratic debate of policy.
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15
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Tipping the Fencesitters—The Impact of a Minimal Intervention Enhanced with Biological Facts on Swiss Student Teachers’ Perception of HPV Vaccination Safety. Vaccines (Basel) 2022; 10:vaccines10020175. [PMID: 35214634 PMCID: PMC8876317 DOI: 10.3390/vaccines10020175] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/19/2021] [Revised: 01/14/2022] [Accepted: 01/19/2022] [Indexed: 02/04/2023] Open
Abstract
Not much is known about the role of scientific knowledge in vaccination decision making. This study is based on previous findings that the concern about the human papillomavirus (HPV) agent mutating back to a virulent HPV was common among Swiss student teachers and turned out to be one factor of vaccine hesitancy. The study investigate the impact of a standard public health brochure describing the effectiveness, safety, and importance of HPV vaccination on young student teachers, and the additional effect of supplementing the standard brochure with biological arguments against the mutation concerns. It uses a pre-posttest design and assigns participants randomly to two groups, one reviewing a standard public health brochure, the other the same brochure enhanced with additional biological information. Participants in both groups showed a significant positive change in their beliefs about vaccination safety, effectiveness, and importance in preventing cervical cancer. Post hoc analysis showed significant safety beliefs gain for the subgroup of participants who received the biology-enhanced text and held moderate, rather than high or low, pretest safety beliefs—the so-called fencesitters. We conclude that these fencesitters may particularly profit from even minimal (biologically supplemented) interventions, an effect that should receive more attention in future research.
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