The DOI matches its Crossref record; 13 of the 13 references it cites were found in a registry or an index.
Appealing to Americans’ altruism is not enough to nudge them to accept novel vaccines
Abstract
Background: The role of altruism in the acceptance of novel preventive healthcare technologies like vaccines has not been thoroughly elucidated. Methods: We 1:1 randomized n = 2004 Amazon Mechanical Turk (MTurk) participants residing in the USA into a control or treatment arm with vaccination decisions framed altruistically, to elicit their preferences for COVID-19 vaccination using web-based discrete choice experiments. We used conditional and mixed logit models to estimate the impact of framing decisions in terms of altruism on vaccination acceptance. Results: Valid responses were provided by 1674 participants (control, n = 848; treatment, n = 826). Framing vaccination decisions altruistically had no significant effect on vaccination acceptance. Further, respondents’ degree of altruism had no association with vaccination acceptance. Limitations: The MTurk sample may not be representative of the American population. We were unable to ascertain concordance between stated and revealed preferences. Conclusions and Implications: Framing vaccination decisions in terms of altruism does not appear to significantly influence vaccination acceptance and may not be an effective nudging mechanism to increase the uptake of novel vaccines. Instead, a favorable vaccination profile appears to be the primary driver of uptake.
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“We followed recommended guidelines to design and implement the DCE. [7, 8, 11–16]”
From Assessing the American public's preferences for reforms to teen driving licensure systems: a discrete choice experiment (2026) · cites this paper as [16]
Citations
Cites
Vaccine hesitancy: Definition, scope and determinants
MacDonald, N. E. (2015) · Vaccine · doi:10.1016/j.vaccine.2015.04.036 · Cited by 5,573
Running experiments on Amazon Mechanical Turk
Paolacci, G., Chandler, J., & Ipeirotis, P. G. (2010) · Judgment and Decision Making · doi:10.1017/s1930297500002205 · Cited by 3,767
The altruistic personality and the self-report altruism scale
Philippe Rushton, J., Chrisjohn, R. D., & Cynthia Fekken, G. (1981) · Personality and Individual Differences · doi:10.1016/0191-8869(81)90084-2 · Cited by 1,049
Factors associated with uptake of vaccination against pandemic influenza: A systematic review
Bish, A., Yardley, L., Nicoll, A., & Michie, S. (2011) · Vaccine · doi:10.1016/j.vaccine.2011.06.107 · Cited by 685
Individual and social determinants of COVID-19 vaccine uptake
Viswanath, K., Bekalu, M., Dhawan, D., Pinnamaneni, R., Lang, J., & McLoud, R. (2021) · BMC Public Health · doi:10.1186/s12889-021-10862-1 · Cited by 424
Trent, M., Seale, H., Chughtai, A. A., Salmon, D., & MacIntyre, C. R. (2022) · Vaccine · doi:10.1016/j.vaccine.2021.06.048 · Cited by 257
Triggering Altruism Increases the Willingness to Get Vaccinated Against COVID-19
Rieger, M. O. (2020) · Asian Journal of Social Health and Behavior · doi:10.4103/shb.shb_39_20 · Cited by 85
Gong, Z., Tang, Z., & Li, J. (2021) · Annals of Behavioral Medicine · doi:10.1093/abm/kaab070 · Cited by 50
Kraaijeveld, S. R. (2020) · Public Health Ethics · doi:10.1093/phe/phaa005 · Cited by 42
The effect of altruism on COVID-19 vaccination rates
Recio, L. Á. H., Rodríguez, D. P., Atienza, P., Garzón, A. J., & Cantarero, D. (2023) · Health Economics Review · doi:10.1186/s13561-022-00415-6 · Cited by 17
Cited by
Drabo, E. F., Michael, J. P., & Ehsani, J. P. (2026) · Injury Prevention · doi:10.1136/ip-2023-045221 · Cited by 1
Self-citation
Metadata
- Authors
- Drabo, E. F., Kelley, M. A., & Gong, C. L.
- Affiliations
- Johns Hopkins University (US)
- University of Southern California (US)
- Corresponding author
- Gong, Cynthia L
- Venue
- Journal of Public Health
- Publisher
- Oxford University Press (OUP)
- Published
- 2024-04-03
- Volume
- 46
- Issue
- 3
- Pages
- e494-e499
- ISSN
- 0943-1853 (ISSN-L)
- 1741-3842
- 1741-3850
- OpenAlex
- W4393946671
- Cited by
- 3
- References
- 13
- Citations by year
- 2025: 1 · 2024: 2
- FWCI
- 1.36
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Public Health (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Teresa and Byron Pollitt Family Chair in Fetal & Neonatal Medicine at Children’s Hospital Los Angeles
- Fetal and Neonatal Institute
- Division of Neonatology
- Department of Pediatrics
- Children's Hospital Los Angeles
- Keck School of Medicine
- University of Southern California
- Topics
- Social Sciences › Health › Vaccine Coverage and Hesitancy
- Social Sciences › Decision Sciences › General Decision Sciences › Decision-Making and Behavioral Economics
- Social Sciences › Economics, Econometrics and Finance › Economics and Econometrics › Economic and Environmental Valuation
- Keywords
- altruism, vaccine acceptance, COVID-19 vaccination, framing effects, nudging, vaccine uptake, discrete choice experiment, stated versus revealed preferences
- MeSH terms
- COVID-19, SARS-CoV-2, COVID-19 Vaccines, Adult, Aged, Altruism, Choice Behavior, Female, Humans, Male, Middle Aged, Patient Acceptance of Health Care, United States, Vaccination, Young Adult
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- The paper
- Drabo, E. F., Kelley, M. A., & Gong, C. L. (2024). Appealing to Americans’ altruism is not enough to nudge them to accept novel vaccines. Journal of Public Health. https://doi.org/10.1093/pubmed/fdae048
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Bibliographic data: Semantic Scholar, OpenAlex, Crossref.
Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.