Vaccine Hesitancy and Betrayal Aversion

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dc.contributor.authorAlsharawy, Abdelazizen
dc.contributor.authorDwibedi, Eshaen
dc.contributor.authorAimone, Jasonen
dc.contributor.authorBall, Sheryl B.en
dc.date.accessioned2025-02-04T18:55:57Zen
dc.date.available2025-02-04T18:55:57Zen
dc.date.issued2022-05-17en
dc.description.abstractThe determinants of vaccine hesitancy remain complex and context specific. Betrayal aversion occurs when an individual is hesitant to risk being betrayed in an environment involving trust. In this pre-registered vignette experiment, we show that betrayal aversion is not captured by current vaccine hesitancy measures despite representing a significant source of unwillingness to be vaccinated. Our survey instrument was administered to 888 United States residents via Amazon Mechanical Turk in March 2021. We find that over a third of participants have betrayal averse preferences, resulting in an 8–26% decline in vaccine acceptance, depending on the betrayal source. Interestingly, attributing betrayal risk to scientists or government results in the greatest declines in vaccine acceptance. We explore an exogenous message intervention and show that an otherwise effective message acts narrowly and fails to reduce betrayal aversion. Our results demonstrate the importance of betrayal aversion as a preference construct in the decision to vaccinate.en
dc.description.versionSubmitted versionen
dc.format.extentPages 794-804en
dc.format.extent11 page(s)en
dc.format.mimetypeapplication/pdfen
dc.identifier.doihttps://doi.org/10.1007/s10439-022-02975-4en
dc.identifier.eissn1573-9686en
dc.identifier.issn0090-6964en
dc.identifier.issue7en
dc.identifier.orcidBall, Sheryl [0000-0003-1178-7454]en
dc.identifier.other10.1007/s10439-022-02975-4 (PII)en
dc.identifier.pmid35581511en
dc.identifier.urihttps://hdl.handle.net/10919/124486en
dc.identifier.volume50en
dc.language.isoenen
dc.publisherSpringeren
dc.relation.urihttps://www.ncbi.nlm.nih.gov/pubmed/35581511en
dc.rightsIn Copyrighten
dc.rights.urihttp://rightsstatements.org/vocab/InC/1.0/en
dc.subjectHealth behavioren
dc.subjectPersuasive messagesen
dc.subjectCOVID-19en
dc.subject.meshHumansen
dc.subject.meshVaccinesen
dc.subject.meshTrusten
dc.subject.meshUnited Statesen
dc.subject.meshSurveys and Questionnairesen
dc.subject.meshBetrayalen
dc.subject.meshVaccination Hesitancyen
dc.titleVaccine Hesitancy and Betrayal Aversionen
dc.title.serialAnnals of Biomedical Engineeringen
dc.typeArticleen
dc.type.dcmitypeTexten
dc.type.otherArticleen
dc.type.otherJournalen
dcterms.dateAccepted2022-05-06en
pubs.organisational-groupVirginia Techen
pubs.organisational-groupVirginia Tech/Scienceen
pubs.organisational-groupVirginia Tech/Science/Economicsen
pubs.organisational-groupVirginia Tech/Faculty of Health Sciencesen
pubs.organisational-groupVirginia Tech/All T&R Facultyen
pubs.organisational-groupVirginia Tech/Science/COS T&R Facultyen

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