Evidence map›Paper›PMID 32716918›Full record

ArticlePloS one2020

Trait reactance and trust in doctors as predictors of vaccination behavior, vaccine attitudes, and use of complementary and alternative medicine in parents of young children.

Anna Soveri, Linda C Karlsson, Otto Mäki, Jan Antfolk, Otto Waris, Hasse Karlsson, Linnea Karlsson, Mikael Lindfelt, Stephan Lewandowsky

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
3.4field-weighted citation impact, top 5% of its field
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

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 44 citations in OpenAlex.

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  10. Public policy and conspiracies: The case of mandates.Current opinion in psychology · 2022
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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

9 authors at 3 institutions in 3 countries.

Anna SoveriFinnBrain Birth Cohort Study, Institute of Clinical Medicine, University of Turku, Turku, Finland.ORCID 0000-0002-1443-6097
Linda C KarlssonDepartment of Psychology, Åbo Akademi University, Turku, Finland.
Otto MäkiDepartment of Psychology, Åbo Akademi University, Turku, Finland.
Jan AntfolkDepartment of Psychology, Åbo Akademi University, Turku, Finland.
Otto WarisDepartment of Psychology, Åbo Akademi University, Turku, Finland.
Hasse KarlssonFinnBrain Birth Cohort Study, Institute of Clinical Medicine, University of Turku, Turku, Finland.
Linnea KarlssonFinnBrain Birth Cohort Study, Institute of Clinical Medicine, University of Turku, Turku, Finland.ORCID 0000-0002-4725-0176
Mikael LindfeltDepartment of Theological Ethics, Åbo Akademi University, Turku, Finland.
Stephan LewandowskySchool of Psychological Science, University of Bristol, Bristol, United Kingdom.
Åbo Akademi University · FIUniversity of Turku · FIThe University of Western Australia · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe aim of the present study was to investigate whether anti-vaccination attitudes and behavior, and positive attitudes to complementary and alternative medicine (CAM), are driven by trait reactance and a distrust in medical doctors.

methodsThe sample consisted of 770 Finnish parents who filled out an online survey. Structural equation modeling (SEM) was used to examine if trait reactance plays a role in vaccination decisions, vaccine attitudes, and in the use of CAM, and whether that relationship is mediated by trust in medical doctors.

resultsParents with higher trait reactance had lower trust in doctors, more negative attitudes to vaccines, a higher likelihood of not accepting vaccines for their children and themselves, and a higher likelihood to use CAM treatments that are not included in evidence-based medicine. Our analyses also revealed associations between vaccination behavior and CAM use and vaccine attitudes and CAM use, but there was no support for the previous notion that these associations would be explained by trait reactance and trust in doctors.

conclusionsTaken together, higher trait reactance seems to be relevant for attitudes and behaviors that go against conventional medicine, because trait reactance is connected to a distrust in medical doctors. Our findings also suggest that high trait reactance and low trust in doctors function differently for different people: For some individuals they might be associated with anti-vaccination attitudes and behavior, while for others they might be related to CAM use. We speculate that this is because people differ in what is important to them, leading them to react against different aspects of conventional medicine.

Indexed as

Complementary TherapiesHealth Knowledge, Attitudes, PracticeAdultChildChild, PreschoolFemaleFinlandHumansInfluenza, HumanInfluenza VaccinesInternetMaleParentsPhysician-Patient RelationsSurveys and QuestionnairesVaccinationInfluenza Vaccines

Identifiers

PMID32716918
PMCPMC7384640
OpenAlexW3045771009

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.