Skip to main content
Erschienen in: Journal of Behavioral Medicine 3/2019

01.11.2018

The willingness to vaccinate increases when vaccination protects others who have low responsibility for not being vaccinated

verfasst von: Robert Böhm, Nicolas W. Meier, Marina Groß, Lars Korn, Cornelia Betsch

Erschienen in: Journal of Behavioral Medicine | Ausgabe 3/2019

Einloggen, um Zugang zu erhalten

Abstract

Vaccination provides direct protection for the vaccinating individual and indirect protection for other, unvaccinated individuals via herd immunity. Still, some people do not get vaccinated—either because they cannot (e.g., due to health conditions) or they don’t want to (e.g., due to vaccine hesitancy). We investigate whether non-vaccinators’ level of responsibility for not being vaccinated affects individuals’ motivation to vaccinate and, thus, to indirectly protect non-vaccinators. In Study 1 (N = 101), the intention to vaccinate increased (Cohen’s d = 0.99) when non-vaccinators were described as willing but unable to get vaccinated (low responsibility) compared to when they were able but unwilling to get vaccinated (high responsibility). Study 2 (N = 297) replicated this finding with regard to vaccination behavior in an interactive vaccination (I-Vax) game (OR = 2.38). Additionally, knowing about non-vaccinators’ low responsibility also increased the willingness to vaccinate compared to when there was no information on non-vaccinators’ level of responsibility. Amplified levels of social welfare concerns in the case of non-vaccinators’ low responsibility mediated the latter effect. This finding informs effective communication strategies for improving the vaccination rates.
Fußnoten
1
In the preregistration form, ‘intentional non-vaccination’ refers to the high responsibility condition and ‘unintentional non-vaccination’ refers to the low responsibility condition.
 
Literatur
Zurück zum Zitat Ajzen, I. (2002). Perceived behavioral control, self-efficacy, locus of control, and the theory of planned behavior. Journal of Applied Social Psychology, 32, 665–683.CrossRef Ajzen, I. (2002). Perceived behavioral control, self-efficacy, locus of control, and the theory of planned behavior. Journal of Applied Social Psychology, 32, 665–683.CrossRef
Zurück zum Zitat Askelson, N. M., Campo, S., Lowe, J. B., Smith, S., Dennis, L. K., & Andsager, J. (2010). Using the theory of planned behavior to predict mothers’ intentions to vaccinate their daughters against HPV. Journal of School Nursing, 26, 194–202.CrossRefPubMed Askelson, N. M., Campo, S., Lowe, J. B., Smith, S., Dennis, L. K., & Andsager, J. (2010). Using the theory of planned behavior to predict mothers’ intentions to vaccinate their daughters against HPV. Journal of School Nursing, 26, 194–202.CrossRefPubMed
Zurück zum Zitat Balliet, D., Mulder, L. B., & Van Lange, P. A. M. (2011). Reward, punishment, and cooperation: A meta-analysis. Psychological Bulletin, 137, 594–615.CrossRefPubMed Balliet, D., Mulder, L. B., & Van Lange, P. A. M. (2011). Reward, punishment, and cooperation: A meta-analysis. Psychological Bulletin, 137, 594–615.CrossRefPubMed
Zurück zum Zitat Bauch, C. T., & Earn, D. J. D. (2004). Vaccination and the theory of games. Proceedings of the National Academy of Sciences of the United States of America, 101, 13391–13394.CrossRefPubMedPubMedCentral Bauch, C. T., & Earn, D. J. D. (2004). Vaccination and the theory of games. Proceedings of the National Academy of Sciences of the United States of America, 101, 13391–13394.CrossRefPubMedPubMedCentral
Zurück zum Zitat Betsch, C., & Böhm, R. (2016). Detrimental effects of introducing partial compulsory vaccination: Experimental evidence. European Journal of Public Health, 26, 378–381.CrossRefPubMed Betsch, C., & Böhm, R. (2016). Detrimental effects of introducing partial compulsory vaccination: Experimental evidence. European Journal of Public Health, 26, 378–381.CrossRefPubMed
Zurück zum Zitat Betsch, C., Böhm, R., & Chapman, G. B. (2015). Using behavioral insights to increase vaccination policy effectiveness. Policy Insights from the Behavioral and Brain Sciences, 2, 61–73.CrossRef Betsch, C., Böhm, R., & Chapman, G. B. (2015). Using behavioral insights to increase vaccination policy effectiveness. Policy Insights from the Behavioral and Brain Sciences, 2, 61–73.CrossRef
Zurück zum Zitat Betsch, C., Böhm, R., & Korn, L. (2013). Inviting free-riders or appealing to prosocial behavior? Game-theoretical reflections on communicating herd immunity in vaccine advocacy. Health Psychology, 32, 978–985.CrossRefPubMed Betsch, C., Böhm, R., & Korn, L. (2013). Inviting free-riders or appealing to prosocial behavior? Game-theoretical reflections on communicating herd immunity in vaccine advocacy. Health Psychology, 32, 978–985.CrossRefPubMed
Zurück zum Zitat Betsch, C., Böhm, R., Korn, L., & Holtmann, C. (2017). On the benefits of explaining herd immunity in vaccine advocacy. Nature Human Behaviour, 1, 0056.CrossRef Betsch, C., Böhm, R., Korn, L., & Holtmann, C. (2017). On the benefits of explaining herd immunity in vaccine advocacy. Nature Human Behaviour, 1, 0056.CrossRef
Zurück zum Zitat Böhm, R., Betsch, C., & Korn, L. (2016a). Selfish-rational non-vaccination: Experimental evidence from an interactive vaccination game. Journal of Economic Behavior & Organization, 131, 183–195.CrossRef Böhm, R., Betsch, C., & Korn, L. (2016a). Selfish-rational non-vaccination: Experimental evidence from an interactive vaccination game. Journal of Economic Behavior & Organization, 131, 183–195.CrossRef
Zurück zum Zitat Böhm, R., Betsch, C., Korn, L., & Holtmann, C. (2016b). Exploring and promoting prosocial vaccination: A cross-cultural experiment on vaccination of health care personnel. BioMed Research International, 2016, 6870984.CrossRefPubMedPubMedCentral Böhm, R., Betsch, C., Korn, L., & Holtmann, C. (2016b). Exploring and promoting prosocial vaccination: A cross-cultural experiment on vaccination of health care personnel. BioMed Research International, 2016, 6870984.CrossRefPubMedPubMedCentral
Zurück zum Zitat Böhm, R., Meier, N. W., Korn, L., & Betsch, C. (2017). Behavioural consequences of vaccination recommendations: An experimental analysis. Health Economics, 26, 66–75.CrossRefPubMed Böhm, R., Meier, N. W., Korn, L., & Betsch, C. (2017). Behavioural consequences of vaccination recommendations: An experimental analysis. Health Economics, 26, 66–75.CrossRefPubMed
Zurück zum Zitat Breman, J. G., & Arita, I. (1980). The confirmation and maintenance of smallpox eradication. New England Journal of Medicine, 303, 1263–1273.CrossRefPubMed Breman, J. G., & Arita, I. (1980). The confirmation and maintenance of smallpox eradication. New England Journal of Medicine, 303, 1263–1273.CrossRefPubMed
Zurück zum Zitat Cohen, J. (1988). Statistical power analysis for the behavioral sciences. Hillsdale, NJ: L. Erlbaum Associates. Cohen, J. (1988). Statistical power analysis for the behavioral sciences. Hillsdale, NJ: L. Erlbaum Associates.
Zurück zum Zitat Crandall, C., & Biernat, M. (1990). The ideology of anti-fat attitudes. Journal of Applied Social Psychology, 20, 227–243.CrossRef Crandall, C., & Biernat, M. (1990). The ideology of anti-fat attitudes. Journal of Applied Social Psychology, 20, 227–243.CrossRef
Zurück zum Zitat Fine, P., Eames, K., & Heymann, D. L. (2011). “Herd immunity”: A rough guide. Clinical Infectious Diseases, 52, 911–916.CrossRefPubMed Fine, P., Eames, K., & Heymann, D. L. (2011). “Herd immunity”: A rough guide. Clinical Infectious Diseases, 52, 911–916.CrossRefPubMed
Zurück zum Zitat Hayes, A. F. (2013). Introduction to mediation, moderation, and conditional process analysis: A regression-based approach. New York City, NY: Guilford Press. Hayes, A. F. (2013). Introduction to mediation, moderation, and conditional process analysis: A regression-based approach. New York City, NY: Guilford Press.
Zurück zum Zitat Li, M., Taylor, E. G., Atkins, K. E., Chapman, G. B., & Galvani, A. P. (2016). Stimulating influenza vaccination via prosocial motives. PLoS ONE, 11, e0159780.CrossRefPubMedPubMedCentral Li, M., Taylor, E. G., Atkins, K. E., Chapman, G. B., & Galvani, A. P. (2016). Stimulating influenza vaccination via prosocial motives. PLoS ONE, 11, e0159780.CrossRefPubMedPubMedCentral
Zurück zum Zitat MacDonald, N. E., & SAGE Working Group on Vaccine Hesitancy. (2015). Vaccine hesitancy: Definition, scope and determinants. Vaccine, 33, 4161–4164.CrossRefPubMed MacDonald, N. E., & SAGE Working Group on Vaccine Hesitancy. (2015). Vaccine hesitancy: Definition, scope and determinants. Vaccine, 33, 4161–4164.CrossRefPubMed
Zurück zum Zitat Murphy, R. O., Ackermann, K. A., & Handgraaf, M. J. J. (2011). Measuring social value orientation. Judgment and Decision Making, 6, 771–781. Murphy, R. O., Ackermann, K. A., & Handgraaf, M. J. J. (2011). Measuring social value orientation. Judgment and Decision Making, 6, 771–781.
Zurück zum Zitat Omer, S. B., Richards, J. L., Ward, M., & Bednarczyk, R. A. (2012). Vaccination policies and rates of exemption from immunization, 2005–2011. New England Journal of Medicine, 367, 1170–1171.CrossRefPubMed Omer, S. B., Richards, J. L., Ward, M., & Bednarczyk, R. A. (2012). Vaccination policies and rates of exemption from immunization, 2005–2011. New England Journal of Medicine, 367, 1170–1171.CrossRefPubMed
Zurück zum Zitat Oppenheimer, D. M., Meyvis, T., & Davidenko, N. (2009). Instructional manipulation checks: Detecting satisfying to increase statistical power. Journal of Experimental Social Psychology, 45, 867–872.CrossRef Oppenheimer, D. M., Meyvis, T., & Davidenko, N. (2009). Instructional manipulation checks: Detecting satisfying to increase statistical power. Journal of Experimental Social Psychology, 45, 867–872.CrossRef
Zurück zum Zitat Peer, E., Brandimarte, L., Samat, S., & Acquisti, A. (2017). Beyond the turk: Alternative platforms for crowdsourcing behavioral research. Journal of Experimental Social Psychology, 70, 153–163.CrossRef Peer, E., Brandimarte, L., Samat, S., & Acquisti, A. (2017). Beyond the turk: Alternative platforms for crowdsourcing behavioral research. Journal of Experimental Social Psychology, 70, 153–163.CrossRef
Zurück zum Zitat Rodin, M., Price, J., Sanchez, F., & McElligot, S. (1989). Derogation, exclusion, and unfair treatment of persons with social flaws. Personality and Social Psychology Bulletin, 15, 439–451.CrossRef Rodin, M., Price, J., Sanchez, F., & McElligot, S. (1989). Derogation, exclusion, and unfair treatment of persons with social flaws. Personality and Social Psychology Bulletin, 15, 439–451.CrossRef
Zurück zum Zitat Rubin, L. G., Levin, M. J., Ljungman, P., Davies, E. G., Avery, R., Tomblyn, M., et al. (2014). 2013 IDSA clinical practice guideline for vaccination of the immunocompromised host. Clinical Infectious Diseases, 58, e44–e100.CrossRefPubMed Rubin, L. G., Levin, M. J., Ljungman, P., Davies, E. G., Avery, R., Tomblyn, M., et al. (2014). 2013 IDSA clinical practice guideline for vaccination of the immunocompromised host. Clinical Infectious Diseases, 58, e44–e100.CrossRefPubMed
Zurück zum Zitat Sigmund, K., Hauert, C., & Nowak, M. A. (2001). Reward and punishment. Proceedings of the National Academy of Sciences of the United States of America, 98, 10757–10762.CrossRefPubMedPubMedCentral Sigmund, K., Hauert, C., & Nowak, M. A. (2001). Reward and punishment. Proceedings of the National Academy of Sciences of the United States of America, 98, 10757–10762.CrossRefPubMedPubMedCentral
Zurück zum Zitat Stadlin, S., Bednarczyk, R. A., & Omer, S. B. (2012). Medical exemptions to school immunization requirements in the United States—Association of state policies with medical exemption rates (2004–2011). The Journal of Infectious Diseases, 206, 989–992.CrossRefPubMed Stadlin, S., Bednarczyk, R. A., & Omer, S. B. (2012). Medical exemptions to school immunization requirements in the United States—Association of state policies with medical exemption rates (2004–2011). The Journal of Infectious Diseases, 206, 989–992.CrossRefPubMed
Zurück zum Zitat Vietri, J. T., Li, M., Galvani, A. P., & Chapman, G. B. (2012). Vaccinating to help ourselves and others. Medical Decision Making, 32, 447–458.CrossRefPubMed Vietri, J. T., Li, M., Galvani, A. P., & Chapman, G. B. (2012). Vaccinating to help ourselves and others. Medical Decision Making, 32, 447–458.CrossRefPubMed
Zurück zum Zitat Weiner, B. (1986). An attributional theory of motivation and emotion. New York, NY: Springer.CrossRef Weiner, B. (1986). An attributional theory of motivation and emotion. New York, NY: Springer.CrossRef
Zurück zum Zitat Weiner, B. (1993). On sin versus sickness: A theory of perceived responsibility and social motivation. American Psychologist, 48, 957–965.CrossRefPubMed Weiner, B. (1993). On sin versus sickness: A theory of perceived responsibility and social motivation. American Psychologist, 48, 957–965.CrossRefPubMed
Zurück zum Zitat Weiner, B., & Kukla, A. (1970). An attributional analysis of achievement motivation. Journal of Personality and Social Psychology, 15, 1–20.CrossRef Weiner, B., & Kukla, A. (1970). An attributional analysis of achievement motivation. Journal of Personality and Social Psychology, 15, 1–20.CrossRef
Zurück zum Zitat Weiner, B., Perry, R. P., & Magnusson, J. (1988). An attribution analysis of reactions to stigmas. Journal of Personality and Social Psychology, 55, 738–748.CrossRefPubMed Weiner, B., Perry, R. P., & Magnusson, J. (1988). An attribution analysis of reactions to stigmas. Journal of Personality and Social Psychology, 55, 738–748.CrossRefPubMed
Metadaten
Titel
The willingness to vaccinate increases when vaccination protects others who have low responsibility for not being vaccinated
verfasst von
Robert Böhm
Nicolas W. Meier
Marina Groß
Lars Korn
Cornelia Betsch
Publikationsdatum
01.11.2018
Verlag
Springer US
Erschienen in
Journal of Behavioral Medicine / Ausgabe 3/2019
Print ISSN: 0160-7715
Elektronische ISSN: 1573-3521
DOI
https://doi.org/10.1007/s10865-018-9985-9

Weitere Artikel der Ausgabe 3/2019

Journal of Behavioral Medicine 3/2019 Zur Ausgabe

Demenzkranke durch Antipsychotika vielfach gefährdet

23.04.2024 Demenz Nachrichten

Wenn Demenzkranke aufgrund von Symptomen wie Agitation oder Aggressivität mit Antipsychotika behandelt werden, sind damit offenbar noch mehr Risiken verbunden als bislang angenommen.

Weniger postpartale Depressionen nach Esketamin-Einmalgabe

Bislang gibt es kein Medikament zur Prävention von Wochenbettdepressionen. Das Injektionsanästhetikum Esketamin könnte womöglich diese Lücke füllen.

„Psychotherapie ist auch bei sehr alten Menschen hochwirksam!“

22.04.2024 DGIM 2024 Kongressbericht

Die Kombination aus Medikamenten und Psychotherapie gilt als effektivster Ansatz bei Depressionen. Das ist bei betagten Menschen nicht anders, trotz Besonderheiten.

Auf diese Krankheiten bei Geflüchteten sollten Sie vorbereitet sein

22.04.2024 DGIM 2024 Nachrichten

Um Menschen nach der Flucht aus einem Krisengebiet bestmöglich medizinisch betreuen zu können, ist es gut zu wissen, welche Erkrankungen im jeweiligen Herkunftsland häufig sind. Dabei hilft eine Internetseite der CDC (Centers for Disease Control and Prevention).

Update Psychiatrie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.