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Political ideology and vaccination willingness: implications for policy design

Author

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  • Marc Debus

    (University of Mannheim)

  • Jale Tosun

    (Heidelberg University)

Abstract

The COVID-19 pandemic has forced governments to impose major restrictions on individual freedom in order to stop the spread of the virus. With the successful development of a vaccine, these restrictions are likely to become obsolete—on the condition that people get vaccinated. However, parts of the population have reservations against vaccination. While this is not a recent phenomenon, it might prove a critical one in the context of current attempts to manage the COVID-19 pandemic. Consequently, the task of designing policies suitable for attaining high levels of vaccination deserves enhanced attention. In this study, we use data from the Eurobarometer survey fielded in March 2019. They show that 39% of Europeans consider vaccines to cause the diseases which they should protect against, that 50% believe vaccines have serious side effects, that 32% think that vaccines weaken the immune system, and that 10% do not believe vaccines are tested rigorously before authorization. We find that—even when controlling for important individual-level factors—ideological extremism on both ends of the spectrum explains skepticism of vaccination. We conclude that policymakers must either politicize the issue or form broad alliances among parties and societal groups in order to increase trust in and public support for the vaccines in general and for vaccines against COVID-19 in particular, since the latter were developed in a very short time period and resulted—in particular in case of the AstraZeneca vaccine—in reservations because of the effectiveness and side effects of the new vaccines.

Suggested Citation

  • Marc Debus & Jale Tosun, 2021. "Political ideology and vaccination willingness: implications for policy design," Policy Sciences, Springer;Society of Policy Sciences, vol. 54(3), pages 477-491, September.
  • Handle: RePEc:kap:policy:v:54:y:2021:i:3:d:10.1007_s11077-021-09428-0
    DOI: 10.1007/s11077-021-09428-0
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    References listed on IDEAS

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    1. Peters,B. Guy & Capano,Giliberto & Howlett,Michael & Mukherjee,Ishani & Chou,Meng-Hsuan & Ravinet,Pauline, 2018. "Designing for Policy Effectiveness," Cambridge Books, Cambridge University Press, number 9781108453110.
    2. Christopher M. Weible & Daniel Nohrstedt & Paul Cairney & David P. Carter & Deserai A. Crow & Anna P. Durnová & Tanya Heikkila & Karin Ingold & Allan McConnell & Diane Stone, 2020. "COVID-19 and the policy sciences: initial reactions and perspectives," Policy Sciences, Springer;Society of Policy Sciences, vol. 53(2), pages 225-241, June.
    3. Ward, Jeremy K. & Alleaume, Caroline & Peretti-Watel, Patrick, 2020. "The French public's attitudes to a future COVID-19 vaccine: The politicization of a public health issue," Social Science & Medicine, Elsevier, vol. 265(C).
    4. Anthony Perl & Michael Howlett & M. Ramesh, 2018. "Policy-making and truthiness: Can existing policy models cope with politicized evidence and willful ignorance in a “post-fact” world?," Policy Sciences, Springer;Society of Policy Sciences, vol. 51(4), pages 581-600, December.
    5. J Ward & C. Alleaume & P Peretti-Watel & V. Seror & S Cortaredona & O. Launay & Jocelyn Raude & P. Verger & F. Beck & S. Legleye & Olivier L’haridon, 2020. "The French public's attitudes to a future COVID-19 vaccine: The politicization of a public health issue," Post-Print hal-03004549, HAL.
    6. Douglas Torgerson, 2017. "Policy sciences and democracy: a reexamination," Policy Sciences, Springer;Society of Policy Sciences, vol. 50(3), pages 339-350, September.
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    Cited by:

    1. Jaeyoung Lim & Kuk-Kyoung Moon, 2023. "Political Ideology and Trust in Government to Ensure Vaccine Safety: Using a U.S. Survey to Explore the Role of Political Trust," IJERPH, MDPI, vol. 20(5), pages 1-15, March.
    2. Davaalkham Dambadarjaa & Gan-Erdene Altankhuyag & Unurtesteg Chandaga & Ser-Od Khuyag & Bilegt Batkhorol & Nansalmaa Khaidav & Oyunbileg Dulamsuren & Nadmidtseren Gombodorj & Avirmed Dorjsuren & Prami, 2021. "Factors Associated with COVID-19 Vaccine Hesitancy in Mongolia: A Web-Based Cross-Sectional Survey," IJERPH, MDPI, vol. 18(24), pages 1-13, December.
    3. Mark K. McBeth & Megan Warnement Wrobel & Irene van Woerden, 2023. "Political ideology and nuclear energy: Perception, proximity, and trust," Review of Policy Research, Policy Studies Organization, vol. 40(1), pages 88-118, January.
    4. Stefania Profeti & Federico Toth, 2023. "Climbing the 'ladder of intrusiveness': the Italian government's strategy to push the Covid-19 vaccination coverage further," Policy Sciences, Springer;Society of Policy Sciences, vol. 56(4), pages 709-731, December.
    5. Backhaus, Insa & Hoven, Hanno & Kawachi, Ichiro, 2023. "Far-right political ideology and COVID-19 vaccine hesitancy: Multilevel analysis of 21 European countries," Social Science & Medicine, Elsevier, vol. 335(C).
    6. Martino Maggetti & Philipp Trein, 2022. "Policy integration, problem-solving, and the coronavirus disease crisis: lessons for policy design [Neglected challenges to evidence-based policy-making: The problem of policy accumulation]," Policy and Society, Darryl S. Jarvis and M. Ramesh, vol. 41(1), pages 53-67.
    7. Pieter Vanhuysse & Michael Jankowski & Markus Tepe, 2021. "Vaccine alliance building blocks: a conjoint experiment on popular support for international COVID-19 cooperation formats," Policy Sciences, Springer;Society of Policy Sciences, vol. 54(3), pages 493-506, September.
    8. Melissa-Ellen Dowling & Tim Legrand, 2023. "“I do not consent”: political legitimacy, misinformation, and the compliance challenge in Australia’s Covid-19 policy response," Policy and Society, Darryl S. Jarvis and M. Ramesh, vol. 42(3), pages 319-333.

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