Evidence map›Paper›PMID 41998581›Full record

ArticleBMC public health2026

"You Could Have Prevented It!": attributions of responsibility toward COVID-19 unvaccinated vs. vaccinated individuals.

Omer Pines, Jacob N Ablin, Odelia Elkana

Abstract read
In one paragraph

Article in BMC public health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0cells of the map it votes in
0citing papers in PubMed
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1 · What the graph read from it

What it found

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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

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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

3 authors.

Omer PinesSchool of Behavioral Sciences, The Academic College of Tel Aviv-Yaffo (MTA), Tel-Aviv, Israel.
Jacob N AblinInternal Medicine H, Tel Aviv Sourasky Medical Center, Israel; Gray Faculty of Medical and Health Sciences, Tel Aviv University, Tel Aviv, Israel.
Odelia ElkanaSchool of Behavioral Sciences, The Academic College of Tel Aviv-Yaffo (MTA), Tel-Aviv, Israel. odelia.elkana@gmail.com.ORCID 0000-0003-1862-4930

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWhile most of the population was vaccinated against COVID-19, ongoing vaccine hesitancy led to a substantial proportion of the population remaining unvaccinated. Unvaccinated people were accused of spreading COVID-19 and morally condemned. Recently, it has been shown that vaccinated people attribute increased responsibility for illness and infecting others toward unvaccinated individuals, which elicits negative attitudes toward them. Based on Weiner’s attribution theory we predicted that the belief in COVID-19 vaccine efficacy of vaccinated “observers” moderates their attribution of responsibility toward vaccinated vs. unvaccinated “actors”. Accordingly, vaccinated observers who believe in the vaccine’s efficacy will assign increased responsibility to unvaccinated actors and associated negative attitudes.

methodsAn online survey was administered in January 2022. The sample included 368 vaccinated Israelis ranging in age from 19 to 75 (M = 33.95, SD = 12.13). We conducted 2 × 2 mixed ANOVA models for general attribution of responsibility (i.e., responsibility for the actor’s illness and for spreading SARS-CoV-2), with observer belief in COVID-19 vaccine efficacy (yes/no) as the between-subjects factor and actor vaccination status (vaccinated/unvaccinated) as the within-subjects factor. Also, we conducted a mediation model for character evaluation.

resultsObservers attributed more responsibility to unvaccinated actors. Also, observers who believed in COVID-19 vaccine efficacy attributed greater responsibility to unvaccinated actors compared to observers who were vaccinated for other reasons. Conversely, observers who believed in COVID-19 vaccine efficacy attributed less responsibility to vaccinated actors compared to observers who were vaccinated for other reasons. Also, general attribution of responsibility partially mediates the relationship between belief in COVID-19 vaccine efficacy and character evaluation.

conclusionIn accordance with previous findings, our results suggest that unvaccinated individuals are perceived as more responsible for their illness and for spreading COVID-19. Additionally, a higher attribution of responsibility elicits a more negative character evaluation. Nevertheless, belief in COVID-19 vaccine efficacy moderates the attribution of responsibility. Our results broaden our understanding of the mechanisms that promote negative attitudes toward unvaccinated people.

Indexed as

COVID-19COVID-19 VaccinesVaccinationVaccination HesitancyAdultAgedFemaleHumansIsraelMaleMiddle AgedSurveys and QuestionnairesUnvaccinated PersonsVaccine EfficacyYoung AdultCOVID-19 VaccinesCharacter evaluationCOVID-19 vaccinationMoral judgmentResponsibility attributionSocial stigmaVaccine hesitancy

Identifiers

PMID41998581
PMCPMC13220523

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.