COVID-19 and vaccine hesitancy: A longitudinal study

PLoS One. 2021 Apr 16;16(4):e0250123. doi: 10.1371/journal.pone.0250123. eCollection 2021.

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.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Attitude to Health*
  • COVID-19 / prevention & control
  • COVID-19 / psychology*
  • COVID-19 Vaccines / administration & dosage*
  • Female
  • Humans
  • Intention
  • Longitudinal Studies
  • Male
  • Middle Aged
  • Pandemics / prevention & control
  • Politics
  • Public Health
  • SARS-CoV-2 / immunology
  • SARS-CoV-2 / isolation & purification
  • Surveys and Questionnaires
  • United States / epidemiology
  • Vaccination / psychology*
  • Vaccination / statistics & numerical data

Substances

  • COVID-19 Vaccines

Grants and funding

UC San Diego Global Health Initiative (GHI): awarded to all authors; Project number: 1001288. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript. https://medschool.ucsd.edu/som/medicine/divisions/idgph/research/Global-Health/grant-recipients/2019-2020/Pages/Faculty-Postdoc-Travel-and-Research.aspx.