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The role of place-based consciousness in COVID-19 vaccine hesitancy: A survey analysis across rural and urban subgroups in the U.S

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  • Ash, Ramsey W.
  • Carpenter-Song, Elizabeth
  • Sosin, Anne N.
  • Moen, Erika L.
  • Gunn, Christine

Abstract

Nuanced understandings of the origins of vaccine hesitancy are imperative to increasing vaccine uptake in hesitant populations. This paper examines the viability of the framework of place-based consciousness and its components (out-group resentment and in-group identity) to predict vaccine hesitancy across rural and urban subgroups.

Suggested Citation

  • Ash, Ramsey W. & Carpenter-Song, Elizabeth & Sosin, Anne N. & Moen, Erika L. & Gunn, Christine, 2025. "The role of place-based consciousness in COVID-19 vaccine hesitancy: A survey analysis across rural and urban subgroups in the U.S," Social Science & Medicine, Elsevier, vol. 373(C).
    • Handle: RePEc:eee:socmed:v:373:y:2025:i:c:s0277953625003491
    DOI: 10.1016/j.socscimed.2025.118019
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    References listed on IDEAS

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    1. Renee Robinson & Elaine Nguyen & Melanie Wright & John Holmes & Catherine Oliphant & Kevin Cleveland & Mary A. Nies, 2022. "Factors contributing to vaccine hesitancy and reduced vaccine confidence in rural underserved populations," Palgrave Communications, Palgrave Macmillan, vol. 9(1), pages 1-8, December.
    2. Jones, Malia & Bhattar, Mahima & Henning, Emma & Monnat, Shannon M., 2023. "Explaining the U.S. rural disadvantage in COVID-19 case and death rates during the Delta-Omicron surge: The role of politics, vaccinations, population health, and social determinants," Social Science & Medicine, Elsevier, vol. 335(C).
    3. Stoler, Justin & Klofstad, Casey A. & Enders, Adam M. & Uscinski, Joseph E., 2022. "Sociopolitical and psychological correlates of COVID-19 vaccine hesitancy in the United States during summer 2021," Social Science & Medicine, Elsevier, vol. 306(C).
    4. Liyousew Borga & Andrew E. Clark & Conchita D’ambrosio & Anthony Lepinteur, 2022. "Characteristics associated with COVID-19 vaccine hesitancy," PSE-Ecole d'économie de Paris (Postprint) halshs-04156060, HAL.
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    6. Sangaramoorthy, Thurka & Jamison, Amelia M. & Boyle, Meleah D. & Payne-Sturges, Devon C. & Sapkota, Amir & Milton, Donald K. & Wilson, Sacoby M., 2016. "Place-based perceptions of the impacts of fracking along the Marcellus Shale," Social Science & Medicine, Elsevier, vol. 151(C), pages 27-37.
    7. Choi, Yongjin & Fox, Ashley M., 2022. "Mistrust in public health institutions is a stronger predictor of vaccine hesitancy and uptake than Trust in Trump," Social Science & Medicine, Elsevier, vol. 314(C).
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