ArticleThe Lancet regional health. Europe2022
Coronavirus vaccine hesitancy among unvaccinated Austrians: Assessing underlying motivations and the effectiveness of interventions based on a cross-sectional survey with two embedded conjoint experiments.
Article in The Lancet regional health. Europe, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.
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Who cites it
20 citing papers in PubMed, 43 citations in OpenAlex.
- Effects of a Theory- and Evidence-Based, Motivational Interviewing-Oriented Artificial Intelligence Digital Assistant on Vaccine Attitudes: A Randomized Controlled Trial.Journal of medical Internet research · 2025Trial
- Factors influencing COVID-19 vaccine decision: What attitudes can we expect from young Poles in the future? A cross-sectional, representative survey.International journal of occupational medicine and environmental health · 2025Article
- The Influence of Financial Incentives on Vaccination Hesitancy: A Narrative Review of Recent Research.Vaccines · 2025Review
- XBB1.5-Adapted COVID-19 Vaccine Acceptance Among Dialysis and Kidney Transplant Patients: A Bi-National Survey Study.Vaccines · 2025Article
- Conspiracy narratives and vaccine hesitancy: a scoping review of prevalence, impact, and interventions.BMC public health · 2024Article
- How to help countries improve resilience during a pandemic: an example of a Rapid Exchange Forum.European journal of public health · 2024Article
- Vaccine hesitancy among physicians: a qualitative study with general practitioners and paediatricians in Austria and Germany.BMJ open · 2024Article
- Translation and cultural adaptation of the COVID-19 Yorkshire Rehabilitation Scale into German.Frontiers in medicine · 2024Article
- Quantitative Synthesis of Factors Associated with COVID-19 Vaccine Acceptance and Vaccine Hesitancy in 185 Countries.Vaccines · 2023Article
- Calculation, knowledge, and identity: Dimensions of trust when making COVID-19 vaccination choices in China.SSM. Qualitative research in health · 2023Article
- The backfiring effects of monetary and gift incentives on Covid-19 vaccination intentions.China economic review · 2023Article
- COVID-19 Vaccination Rate under Different Political Incentive: A Counterfactual Trend Approach Using Nationwide Data.Vaccines · 2023Article
- Article
- Factors Associated With COVID-19 Non-Vaccination in Switzerland: A Nationwide Study.International journal of public health · 2023Article
- The relationship between fear of COVID-19 infection, fear of COVID-19 vaccination and Big Five personality traits: a mediation model.Current issues in personality psychology · 2023Article
- Tackling Vaccine Hesitancy and Increasing Vaccine Willingness Among Parents of Unvaccinated Children in Austria.International journal of public health · 2023Article
- Willingness to vaccinate among adults, and factors associated with vaccine acceptance of COVID-19 vaccines in a nationwide study in Poland between March 2021 and April 2022.Frontiers in public health · 2023Article
- Effect of religious fatalism and concern about new variants on the acceptance of COVID-19 vaccines.Frontiers in psychiatry · 2023Article
- Article
- Evolution of the Clinical Profile and Outcomes of Unvaccinated Patients Affected by Critical COVID-19 Pneumonia from the Pre-Vaccination to the Post-Vaccination Waves in Italy.Pathogens (Basel, Switzerland) · 2022Article
Corrections and comments
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Authors and funding
6 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: To date, Austria is among the countries with the lowest coronavirus vaccination rates in Western Europe. It has announced the introduction of a general vaccine mandate but is experiencing an increasing societal polarization over this issue. We, therefore, aimed to provide evidence on the underlying motivations of vaccine hesitancy and evaluate what kinds of interventions - information, incentives, and rules - might increase vaccination readiness. Method: We conducted a cross-sectional survey with a sample of 1,543 unvaccinated Austrian residents in October 2021, including two embedded conjoint experiments. Findings: We screened 8,190 individuals to recruit the sample matching the Austrian micro-census. In experiment 1, easing rather than tightening of societal restrictions, a fixed monetary reward compared to a lottery and physicians' recommendations were associated with significantly higher intentions to get vaccinated. In experiment 2, standard approval by European or national authorities and simple information had a significant positive effect on vaccination propensity. Among the unvaccinated, fear of side effects, beliefs that comorbidities or the desire to have children would not allow vaccination, the assumption that the own immune system would provide sufficient protection, conspirational thinking (e.g., the refusal to participate in a 'large genetic experiment'), low trust in societal institutions, and spiritual beliefs were very common. Interpretation: While many unvaccinated showed a low propensity to become vaccinated, we identified a cluster of 195 (23% of the participants without missing values) that could potentially be reached by information and incentives, including people with heightened comorbidity rates or a desire for children. Funding: Vienna Science and Technology Fund.
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