• Preventive medicine · Jan 2022

    Who is likely to vacillate in their COVID-19 vaccination decision? Free-riding intention and post-positive reluctance.

    • Marta Caserotti, Teresa Gavaruzzi, Paolo Girardi, Alessandra Tasso, Chiara Buizza, Valentina Candini, Cristina Zarbo, Flavia Chiarotti, Sonia Brescianini, Gemma Calamandrei, Fabrizio Starace, Giovanni de Girolamo, and Lorella Lotto.
    • Department of Developmental Psychology and Socialization, University of Padova, Italy, via Venezia 8, 35131 Padova, Italy. Electronic address: marta.caserotti@unipd.it.
    • Prev Med. 2022 Jan 1; 154: 106885106885.

    AbstractDespite the actual availability of COVID-19 vaccines to combat the pandemic, many people are still vacillating in their decision to vaccinate. In this study, we considered the effect of two relevant contextual issues on vaccination intention: the number of people infected with COVID-19 is increasing, and the pace of vaccination is gaining speed. Specifically, we hypothesized that having already contracted SARS-CoV-2 (post-positive reluctance) could lead people to underestimate the importance of vaccination. Moreover, as the number of vaccinated people increases, more hesitant people could fall into the free-riding intention category, benefitting from the immunity provided by others' vaccinations. Vaccine hesitancy becomes more critical as the vaccination campaign proceeds: at one point, it will be inevitable to deal with hesitant people. This study is part of a WHO Regional Office for Europe project and involved a representative sample of 5006 Italians interviewed in January-February 2021. In case of post-positive reluctance, both young age and female gender increase vaccine hesitancy, while a high level of education reduces free-riding intention. Considering post-positive reluctance and free riding, a protective effect on hesitancy is associated with negative affective states, adherence to protective behaviors, trust in health information sources, and resilience. In contrast, increased vaccine hesitancy is associated with a high level of conspiracy-mindedness and trust in media information sources. Recognizing and studying the post-positive reluctance and the phenomenon of free-riding people can help us to become more efficient in combatting the virus.Copyright © 2021 Elsevier Inc. All rights reserved.

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