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Caserotti, Marta; Gavaruzzi, Teresa; Girardi, Paolo; Tasso, Alessandra; Buizza, Chiara; Candini, Valentina; Zarbo, Cristina; Chiarotti, Flavia; Brescianini, Sonia; Calamandrei, Gemma; Starace, Fabrizio; de Girolamo, Giovanni; Lotto, Lorella
Preventive medicine, 01/2022, Volume: 154Journal Article
Despite the actual availability of COVID-19 vaccines to combat the pandemic, many people are still vacillating in their decision to vaccinate. In this study, we considered the effect of two relevant contextual issues on vaccination intention: the number of people infected with COVID-19 is increasing, and the pace of vaccination is gaining speed. Specifically, we hypothesized that having already contracted SARS-CoV-2 (post-positive reluctance) could lead people to underestimate the importance of vaccination. Moreover, as the number of vaccinated people increases, more hesitant people could fall into the free-riding intention category, benefitting from the immunity provided by others' vaccinations. Vaccine hesitancy becomes more critical as the vaccination campaign proceeds: at one point, it will be inevitable to deal with hesitant people. This study is part of a WHO Regional Office for Europe project and involved a representative sample of 5006 Italians interviewed in January–February 2021. In case of post-positive reluctance, both young age and female gender increase vaccine hesitancy, while a high level of education reduces free-riding intention. Considering post-positive reluctance and free riding, a protective effect on hesitancy is associated with negative affective states, adherence to protective behaviors, trust in health information sources, and resilience. In contrast, increased vaccine hesitancy is associated with a high level of conspiracy-mindedness and trust in media information sources. Recognizing and studying the post-positive reluctance and the phenomenon of free-riding people can help us to become more efficient in combatting the virus. •An Italian representative sample (N = 5006) answered a survey promoted by the WHO.•We investigated factors predicting vaccine hesitancy and vacillation.•We focused on post-positive reluctance (after people had tested positive for COVID-19).•We also focused on free-riding intention (counting on others getting vaccinated).•Trust in media information sources and conspiracy-mindedness drove vaccine hesitancy.
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