Although much attention has been given to vaccine hesitancy, there is still considerable ambiguity regarding its epistemological antecedents. The current meta-analysis addresses this theoretical and practical gap by focusing on the interplay between trust, belief in conspiracy theories, and COVID-19 vaccine hesitancy ( = 32), as well as key moderators such as the availability of the vaccine and the state and progress of the pandemic. Overall, results indicate that while both trust and beliefs in conspiracy theories are important correlates of vaccine hesitancy, considerable difference emerges when adopting a more granular approach that distinguishes between types of trust (government, public health organizations, science, and healthcare professionals/providers) and conspiracies (specific versus general).
View Article and Find Full Text PDFDifferential media treatment of climate change, including conservative media's tendency to reject the anthropogenic climate change scientific consensus, has reinforced polarized perceptions of climate change. Studies have found differences in coverage patterns and in perceptions among those relying more heavily on conservative rather than liberal or moderate media. This scholarship has been limited by narrow measurements of media exposure, climate-related outcomes, and the mechanism of effects.
View Article and Find Full Text PDFCritical to managing a crisis such as COVID-19 is the propagation of information to all vulnerable populations. Despite guidelines regarding communicating with people with differing accessibility needs during crises, some often find their needs unmet. Following a lack of assisted communications for d/Deaf people during the COVID-19 pandemic, a Twitter hashtag campaign, #WhereIsTheInterpreter, was launched in the UK, protesting the lack of accessibility during official press briefings around the epidemic.
View Article and Find Full Text PDFBackground: During the pandemic, countries utilized various forms of statistical estimations of coronavirus disease-2019 (COVID-19) impact. Differences between databases make direct comparisons and interpretations of data in different countries a challenge. We evaluated country-specific approaches to COVID-19 data and recommended changes that would improve future international collaborations.
View Article and Find Full Text PDFAlzheimer's disease (AD) is a terminal, neurodegenerative disease, and consequently is difficult to communicate about as it is stigmatized, and discussions are rife with misconceptions. By situating AD conversations in the sociocultural space of the opportunity model of presence during the end-of-life process, a framework developed illustrating the potential trajectory from living with illness through death and into bereavement, we examined networked discussions surrounding Alzheimer's related hashtags on Twitter (N = 132,803) between January 1st, 2010, and September 29th, 2021. Using the mixed-method approach of the Analysis of Topic Model Network (ANTMN) framework, results revealed 30 topics clustered into five distinct themes: promotion, education, action, "You aren't alone", and dementia.
View Article and Find Full Text PDFA confirmatory factor analysis (CFA) of responses to 13 questions from a 2022 national probability sample of 1,154 US adults supported the existence of five factors that we argue assess perceptions of Factors Assessing Science's Self-Presentation (FASS). These factors also predict support for increasing federal funding of science and, separately, supporting federal funding of basic research. Each of the factors reflects perceptions of a key facet of scientists' self-presentation, science/scientists' adherence to professed norms, or science's benefits: specifically, that scientists are Credible, Prudent, and Unbiased and that science is Self-Correcting and Beneficial.
View Article and Find Full Text PDFChronic illness affects millions worldwide, rendering the life of those affected complex to manage. Extant research points to the need for effective and supportive care for the successful treatment, yet health care encounters for this population are often filled with negative experiences, ranging from discontinuity of care to disenfranchisement from providers. One such group dedicated to sharing struggles is the NEISVoid (No End In Sight) community on Twitter.
View Article and Find Full Text PDFRecent studies documented alarming growth in antiscientific discourse among extremist groups online and especially the relatively high anti-vaccine attitudes among White Nationalists (WN). In light of accelerated politization of COVID-19 containment measures and the expansion of containment to lockdowns, masking, and more, we examine current sentiment, themes and argumentation in white nationalist discourse, regarding the COVID-19 vaccines and other containment measures. We use unsupervised machine learning approaches to analyze all conversations posted in the "Coronavirus (Covid-19)" sub-forum on Stormfront between January 2020 and December 2021 (N = 9642 posts).
View Article and Find Full Text PDFBackground: Within the cultures and societies of the United States, topics related to death and dying continue to be taboo, and as a result, opportunities for presence and engagement during the end of life, which could lead to a good death, are avoided. Several efforts have been made to help people engage in advance care planning (ACP) conversations, including completing advance care directives so that they may express their goals of care if they become too sick to communicate their wishes. A major effort in the United States toward encouraging such challenging discussions is the annual celebration of the National Healthcare Decisions Day.
View Article and Find Full Text PDFResistance to vaccines has hindered attempts to contain and prevent outbreaks of infectious diseases for centuries. More recently, however, the term "vaccine hesitancy" has been used to describe not necessarily outright resistance but also a delay in acceptance or uncertainty regarding vaccines. Given concerns about hesitancy and its impact on vaccine uptake rates, researchers increasingly shifted the focus from resistance to vaccines toward vaccine hesitancy.
View Article and Find Full Text PDFIntroduction: Research has indicated a growing resistance to vaccines among U.S. conservatives and Republicans.
View Article and Find Full Text PDFInsufficient scientific evidence about electronic cigarettes (e-cigarettes) has led to conflicting recommendations (CRs) by credible scientific organizations, creating a public health debate that could prove especially difficult to reconcile as current and former smokers make decisions about whether to use e-cigarettes. To investigate how CRs about e-cigarettes may affect intentions to engage in healthy behaviors, 717 former and current smokers were randomly exposed to one of five conditions (varying in the level of conflict in recommendations) in this between-subject experiment. Our results indicated a significant interaction between the message level of conflict and individuals' information avoidance, employed to maintain hope and deniability.
View Article and Find Full Text PDFThis study examines the effects of exposure to media narratives about science on perceptions pertaining to the reliability of science, including trust, beliefs, and support for science. In an experiment ( = 4497), participants were randomly assigned to read stories representing ecologically valid media narratives: the honorable quest, counterfeit quest, crisis or broken, and problem explored. Exposure to stories highlighting problems reduced trust in scientists and induced negative beliefs about scientists, with more extensive effects among those exposed to the "crisis/broken" accounts and fewer for those exposed to "counterfeit" and "problem explored" stories.
View Article and Find Full Text PDFMedia framing of epidemics was found to influence public perceptions and behaviors in experiments, yet no research has been conducted on real-world behaviors during public health crises. We examined the relationship between Italian news media coverage of COVID-19 and compliance with stay-at-home orders, which could impact the spread of epidemics. We used a computational method for framing analysis (ANTMN) and combined it with Google's Community Mobility data.
View Article and Find Full Text PDFA fundamental challenge complicates news decisions about covering vaccine side effects: although serious vaccine side effects are rare, less severe ones do occur occasionally. The study was designed to test whether a side effect message could induce vaccine hesitancy and whether that could be countered by pro-vaccine messages about vaccine safety. A large (N = 2,345), nationally representative experiment was conducted by randomly exposing participants to one of six videos about the measles, mumps, and rubella (MMR) vaccine edited from news programs produced during the 2019 measles outbreak in the United States.
View Article and Find Full Text PDFTo understand how Twitter accounts operated by the Russian Internet Research Agency (IRA) discussed vaccines to increase the credibility of their manufactured personas. We analyzed 2.82 million tweets published by 2689 IRA accounts between 2015 and 2017.
View Article and Find Full Text PDFThe current study examined the effects of manipulating the level of vividness through the presence of various textual and visual components in the context of tobacco warning labels. An online experiment was conducted (N=2165) to examine whether increasing the vividness of warning labels, using narrative and non-narrative components, increased engagement with the messages, and the subsequent effects of vividness and engagement on intentions to quit smoking. Results showed that more vivid warning labels led to increased engagement, which in turn was linked to increased intentions to quit smoking.
View Article and Find Full Text PDFContent analysis identified three dominant themes used by the news media to cover epidemics: the scientific, the pandemic, and the social. This study uses a randomized experimental design to test the effects of common news coverage patterns of epidemics on perceptions of efficacy, certainty, and trust in the CDC, and subsequently on intentions to comply with and support for the CDC during public health crises. The experiment also compares the effects of real-world coverage to that of hypothetical coverage that more closely follows the CDC's recommendations for crisis communication.
View Article and Find Full Text PDFMisinformation can influence personal and societal decisions in detrimental ways. Not only is misinformation challenging to correct, but even when individuals accept corrective information, misinformation can continue to influence attitudes: a phenomenon known as belief echoes, affective perseverance, or the continued influence effect. Two controlled experiments tested the efficacy of narrative-based correctives to reduce this affective residual in the context of misinformation about organic tobacco.
View Article and Find Full Text PDFThis study assessed the effects of the February through September 2016 American news media's coverage of Zika Virus (ZIKV) risk on the U.S. public's familiarity, knowledge and behavior in the form of interpersonal discussions.
View Article and Find Full Text PDFWarning labels on tobacco products sometimes feature images and stories of real people whose health has been affected by smoking. We examined effects of some of the design elements that may contribute to the effectiveness of these testimonial pictorial warning labels (PWLs). Beginning with a testimonial PWL that contained an image of a person and a basic warning statement (e.
View Article and Find Full Text PDFThe Centers for Disease Control and Prevention (CDC) Crisis and Emergency Risk Communication (CERC) framework has been used by the organization during recent outbreaks of infectious diseases. However, the dissemination of the organization's crisis messages depends largely on mass media coverage. This study analyzed 5,006 articles from leading American newspapers covering 3 epidemics: H1N1, Ebola, and Zika.
View Article and Find Full Text PDFJ Public Health (Oxf)
December 2018
Background: People's intentions to use vaccines are influenced by their beliefs about both the specific vaccine and the disease it prevents. In the absence of firm beliefs about Zika virus (ZIKV), individuals may base their intentions to vaccinate against it on beliefs about other vaccines, and specifically the misbelief that MMR causes autism.
Methods: A survey of 3337 Americans, using a random-digit-dialing sample of landline telephone households and cell-phones.
Introduction: Pictorial warning labels (PWL) that use photographs and the personal details of real people whose health has been affected by smoking (testimonial PWL) provide factual information about the consequences of tobacco use.
Methods: Nine hundred and twenty-four adult current smokers participated in an online experiment that tested responses to four types of warning labels: (1) non-testimonial text warning labels (currently on packs in the United States); (2) non-testimonial PWL (previously proposed by the United States Food and Drug Administration); (3) image only testimonial PWL (created for study); (4) image + personal details testimonial PWL (created for study). Participants were randomly assigned to condition and then exposed to up to five warning labels addressing different health effects.