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Uncertainty in vaccination behavior: Social norms, network effects, and policy challenges

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  • Marco Tolotti

    (Ca’ Foscari University of Venice, Venice School of Management)

  • Jorge Yepez

    (Ca’ Foscari University of Venice, Venice School of Management)

Abstract

This study examines the role of social norms in vaccination decisions and their impact on optimal government policies, in contexts where uncertainty about the prevailing equilibrium may hinder the government’s ability to tailor incentives effectively. We explore the interplay between individual benefits, social conformity, herd immunity, and government intervention. Our model incorporates heterogeneous agents facing a binary choice: to vaccinate or not. Individual preferences vary based on their perceived disutility (inconvenience) of vaccination, the strength of social norms (network effects), and the presence of incentives. When network effects are weak (WNE), social norms increase vaccination uptake and provide indirect protection to unvaccinated individuals, indirectly improving their chances to free-ride. However, when network effects are strong (SNE), multiple extreme equilibria appear, leading to uncertainty about the emerging behavior (strongly in favor or against vaccination). While incentives can enhance vaccination levels under WNE, they may not fully eliminate the risk of undesirable low-vaccination traps under SNE. These findings highlight the limits of conventional policy tools in socially driven settings.

Suggested Citation

  • Marco Tolotti & Jorge Yepez, 2026. "Uncertainty in vaccination behavior: Social norms, network effects, and policy challenges," Journal of Evolutionary Economics, Springer, vol. 36(2), pages 1-39, August.
  • Handle: RePEc:spr:joevec:v:36:y:2026:i:2:d:10.1007_s00191-026-00952-x
    DOI: 10.1007/s00191-026-00952-x
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    References listed on IDEAS

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    1. Belleflamme, Paul & Peitz, Martin, 2021. "The Economics of Platforms : Concepts and Strategy," LIDAM Reprints CORE 3185, Université catholique de Louvain, Center for Operations Research and Econometrics (CORE).
    2. Simone Marsiglio & Marco Tolotti, 2018. "Endogenous growth and technological progress with innovation driven by social interactions," Economic Theory, Springer;Society for the Advancement of Economic Theory (SAET), vol. 65(2), pages 293-328, March.
    3. repec:plo:pcbi00:1002469 is not listed on IDEAS
    4. Tomas Philipson, 1996. "Private Vaccination and Public Health: An Empirical Examination for U.S. Measles," Journal of Human Resources, University of Wisconsin Press, vol. 31(3), pages 611-630.
    5. Francis, Peter J., 1997. "Dynamic epidemiology and the market for vaccinations," Journal of Public Economics, Elsevier, vol. 63(3), pages 383-406, February.
    6. Katrin Schmelz & Samuel Bowles, 2021. "Overcoming COVID-19 vaccination resistance when alternative policies affect the dynamics of conformism, social norms, and crowding out," Proceedings of the National Academy of Sciences, Proceedings of the National Academy of Sciences, vol. 118(25), pages 2104912118-, June.
    7. Zachary S. Brown & Randall A. Kramer, 2018. "Preference Heterogeneity in the Structural Estimation of Efficient Pigovian Incentives for Insecticide Spraying to Reduce Malaria," Environmental & Resource Economics, Springer;European Association of Environmental and Resource Economists, vol. 70(1), pages 169-190, May.
    8. Chris T Bauch & Samit Bhattacharyya & Robert F Ball, 2010. "Rapid Emergence of Free-Riding Behavior in New Pediatric Immunization Programs," PLOS ONE, Public Library of Science, vol. 5(9), pages 1-9, September.
    9. Mark Gersovitz, 2011. "The Economics of Infection Control," Annual Review of Resource Economics, Annual Reviews, vol. 3(1), pages 277-296, October.
    10. Toxvaerd, Flavio & Rowthorn, Robert, 2022. "On the management of population immunity," Journal of Economic Theory, Elsevier, vol. 204(C).
    11. Boulier Bryan L. & Datta Tejwant S. & Goldfarb Robert S, 2007. "Vaccination Externalities," The B.E. Journal of Economic Analysis & Policy, De Gruyter, vol. 7(1), pages 1-27, May.
    12. Simone Marsiglio & Marco Tolotti, 2025. "Vaccine‐Preventable Diseases and Individual Behavior: Deterministic vs Stochastic Outcomes," Journal of Public Economic Theory, Association for Public Economic Theory, vol. 27(3), June.
    13. Simone Marsiglio & Marco Tolotti, 2020. "Motivation crowding‐out and green‐paradox‐like outcomes," Journal of Public Economic Theory, Association for Public Economic Theory, vol. 22(5), pages 1559-1583, September.
    14. Lawrence Blume & Steven Durlauf, 2003. "Equilibrium Concepts for Social Interaction Models," International Game Theory Review (IGTR), World Scientific Publishing Co. Pte. Ltd., vol. 5(03), pages 193-209.
    15. Brito, Dagobert L. & Sheshinski, Eytan & Intriligator, Michael D., 1991. "Externalities and compulsary vaccinations," Journal of Public Economics, Elsevier, vol. 45(1), pages 69-90, June.
    16. Lorena Charrier & Jacopo Garlasco & Robin Thomas & Paolo Gardois & Marco Bo & Carla Maria Zotti, 2022. "An Overview of Strategies to Improve Vaccination Compliance before and during the COVID-19 Pandemic," IJERPH, MDPI, vol. 19(17), pages 1-13, September.
    17. Tolotti, Marco & Yepez, Jorge, 2020. "Hotelling-Bertrand duopoly competition under firm-specific network effects," Journal of Economic Behavior & Organization, Elsevier, vol. 176(C), pages 105-128.
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    JEL classification:

    • C60 - Mathematical and Quantitative Methods - - Mathematical Methods; Programming Models; Mathematical and Simulation Modeling - - - General
    • D70 - Microeconomics - - Analysis of Collective Decision-Making - - - General
    • I10 - Health, Education, and Welfare - - Health - - - General

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