Evidence map›Paper›PMID 31606869›Full record

ArticleHEC forum : an interdisciplinary journal on hospitals' ethical and legal issues2019

Nudging Immunity: The Case for Vaccinating Children in School and Day Care by Default.

Alberto Giubilini, Lucius Caviola, Hannah Maslen, Thomas Douglas, Anne-Marie Nussberger, Nadira Faber, Samantha Vanderslott, Sarah Loving, Mark Harrison, Julian Savulescu

Abstract read
In one paragraph

Article in HEC forum : an interdisciplinary journal on hospitals' ethical and legal issues, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. A national nudge study of differently framed messages to increase COVID-19 vaccine uptake in Saudi Arabia: A randomized controlled trial.Saudi pharmaceutical journal : SPJ : the official publication of the Saudi Pharmaceutical Society · 2023
    Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. After the Pandemic: New Responsibilities.Public health ethics · 2021
    Article
  10. Article
  11. Vaccination ethics.British medical bulletin · 2021
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Alberto GiubiliniWellcome Centre for Ethics and Humanities, University of Oxford, Oxford, UK. alberto.giubilini@philosophy.ox.ac.uk.ORCID http://orcid.org/0000-0001-5163-3017
Lucius CaviolaDepartment of Experimental Psychology, University of Oxford, Oxford, UK.
Hannah MaslenUehiro Centre for Practical Ethics, University of Oxford, Littlegate House, 16-17 St Ebbes St, OX1 1PT, Oxford, UK.
Thomas DouglasUehiro Centre for Practical Ethics, University of Oxford, Littlegate House, 16-17 St Ebbes St, OX1 1PT, Oxford, UK.
Anne-Marie NussbergerDepartment of Experimental Psychology, University of Oxford, Oxford, UK.
Nadira FaberDepartment of Experimental Psychology, University of Oxford, Oxford, UK.
Samantha VanderslottOxford Martin School, University of Oxford, Oxford, UK.
Sarah LovingOxford Martin School, University of Oxford, Oxford, UK.
Mark HarrisonOxford Martin School, University of Oxford, Oxford, UK.
Julian SavulescuWellcome Centre for Ethics and Humanities, University of Oxford, Oxford, UK.

Funding

Wellcome Trust 104848Wellcome Trust 104848/Z/14/ZWellcome Trust 203132/Z/16/Z
6 · The paper itself

Abstract

Many parents are hesitant about, or face motivational barriers to, vaccinating their children. In this paper, we propose a type of vaccination policy that could be implemented either in addition to coercive vaccination or as an alternative to it in order to increase paediatric vaccination uptake in a non-coercive way. We propose the use of vaccination nudges that exploit the very same decision biases that often undermine vaccination uptake. In particular, we propose a policy under which children would be vaccinated at school or day-care by default, without requiring parental authorization, but with parents retaining the right to opt their children out of vaccination. We show that such a policy is (1) likely to be effective, at least in cases in which non-vaccination is due to practical obstacles, rather than to strong beliefs about vaccines, (2) ethically acceptable and less controversial than some alternatives because it is not coercive and affects individual autonomy only in a morally unproblematic way, and (3) likely to receive support from the UK public, on the basis of original empirical research we have conducted on the lay public.

Indexed as

Health PolicyAnti-Vaccination MovementDay Care, MedicalHumansSchoolsVaccinationAnti-vaxxersNudgingSchool vaccinationVaccinationVaccination policies

Identifiers

PMID31606869
PMCPMC6841646

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.