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Factors underlying COVID-19 vaccine and booster hesitancy and refusal, and incentivizing vaccine adoption

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  • Neil G Bennett
  • David E Bloom
  • Maddalena Ferranna

Abstract

The paper investigates the factors underlying COVID-19 vaccine and booster hesitancy in the United States, and the efficacy of various incentives or disincentives to expand uptake. We use cross-sectional, national survey data on 3,497 U.S. adults collected online from September 10, 2021 to October 20, 2021 through the Qualtrics platform. Results from a multinomial logistic regression reveal that hesitancy and refusal were greatest among those who expressed a lack of trust either in government or in the vaccine’s efficacy (hesitancy relative risk ratio, or RRR: 2.86, 95% CI: 2.13–3.83, p

Suggested Citation

  • Neil G Bennett & David E Bloom & Maddalena Ferranna, 2022. "Factors underlying COVID-19 vaccine and booster hesitancy and refusal, and incentivizing vaccine adoption," PLOS ONE, Public Library of Science, vol. 17(9), pages 1-11, September.
  • Handle: RePEc:plo:pone00:0274529
    DOI: 10.1371/journal.pone.0274529
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    References listed on IDEAS

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    1. Daniel Kahneman & Amos Tversky, 2013. "Prospect Theory: An Analysis of Decision Under Risk," World Scientific Book Chapters, in: Leonard C MacLean & William T Ziemba (ed.), HANDBOOK OF THE FUNDAMENTALS OF FINANCIAL DECISION MAKING Part I, chapter 6, pages 99-127, World Scientific Publishing Co. Pte. Ltd..
    2. Gary Charness & Uri Gneezy, 2009. "Incentives to Exercise," Econometrica, Econometric Society, vol. 77(3), pages 909-931, May.
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