Skip to main content
Top
Published in: BMC Public Health 1/2015

Open Access 01-12-2015 | Research article

Highlighting consensus among medical scientists increases public support for vaccines: evidence from a randomized experiment

Authors: Sander L. van der Linden, Chris E. Clarke, Edward W. Maibach

Published in: BMC Public Health | Issue 1/2015

Login to get access

Abstract

Background

A substantial minority of American adults continue to hold influential misperceptions about childhood vaccine safety. Growing public concern and refusal to vaccinate poses a serious public health risk. Evaluations of recent pro-vaccine health communication interventions have revealed mixed results (at best). This study investigated whether highlighting consensus among medical scientists about childhood vaccine safety can lower public concern, reduce key misperceptions about the discredited autism-vaccine link and promote overall support for vaccines.

Methods

American adults (N = 206) were invited participate in an online survey experiment. Participants were randomly assigned to either a control group or to one of three treatment interventions. The treatment messages were based on expert-consensus estimates and either normatively described or prescribed the extant medical consensus: “90 % of medical scientists agree that vaccines are safe and that all parents should be required to vaccinate their children”.

Results

Compared to the control group, the consensus-messages significantly reduced vaccine concern (M = 3.51 vs. M = 2.93, p < 0.01) and belief in the vaccine-autism-link (M = 3.07 vs M = 2.15, p < 0.01) while increasing perceived consensus about vaccine safety (M = 83.93 vs M = 89.80, p < 0.01) and public support for vaccines (M = 5.66 vs M = 6.22, p < 0.01). Mediation analysis further revealed that the public’s understanding of the level of scientific agreement acts as an important “gateway” belief by promoting public attitudes and policy support for vaccines directly as well as indirectly by reducing endorsement of the discredited autism-vaccine link.

Conclusion

These findings suggest that emphasizing the medical consensus about (childhood) vaccine safety is likely to be an effective pro-vaccine message that could help prevent current immunization rates from declining. We recommend that clinicians and public health officials highlight and communicate the high degree of medical consensus on (childhood) vaccine safety when possible.
Appendix
Available only for authorised users
Literature
2.
go back to reference Whitney CG, Zhou F, Singleton J, Schuchat A. Benefits from immunization during the vaccines for children program era — United States, 1994–2013. Morb Mortal Wkly Rep. 2014;63(16):352–55. Whitney CG, Zhou F, Singleton J, Schuchat A. Benefits from immunization during the vaccines for children program era — United States, 1994–2013. Morb Mortal Wkly Rep. 2014;63(16):352–55.
3.
go back to reference Gust D, Weber D, Weintraub E, Kennedy A, Soud F, Burns A. Physicians who do and do not recommend children get all vaccinations. J Health Commun. 2008;13(6):573–82.CrossRefPubMed Gust D, Weber D, Weintraub E, Kennedy A, Soud F, Burns A. Physicians who do and do not recommend children get all vaccinations. J Health Commun. 2008;13(6):573–82.CrossRefPubMed
5.
go back to reference Kennedy A, Basket M, Sheedy K. Vaccine attitudes, concerns, and information sources reported by parents of young children: results from the 2009 HealthStyles survey. Pediatrics. 2011;127:S92–9.CrossRefPubMed Kennedy A, Basket M, Sheedy K. Vaccine attitudes, concerns, and information sources reported by parents of young children: results from the 2009 HealthStyles survey. Pediatrics. 2011;127:S92–9.CrossRefPubMed
7.
go back to reference Kempe A, O’Leary ST, Kennedy A, Crane LA, Allison MA, Beaty BL, et al. Physician response to parental requests to spread out the recommended vaccine schedule. Pediatrics. 2015;135(4):666–77.CrossRefPubMed Kempe A, O’Leary ST, Kennedy A, Crane LA, Allison MA, Beaty BL, et al. Physician response to parental requests to spread out the recommended vaccine schedule. Pediatrics. 2015;135(4):666–77.CrossRefPubMed
8.
go back to reference Gellin BG, Maibach EW, Marcuse EK. Do parents understand immunizations? A national telephone survey. Pediatrics. 2000;106(5):1097–102.CrossRefPubMed Gellin BG, Maibach EW, Marcuse EK. Do parents understand immunizations? A national telephone survey. Pediatrics. 2000;106(5):1097–102.CrossRefPubMed
9.
go back to reference Sadaf A, Richards JL, Glanz J, Salmon DA, Omer SB. A systematic review of interventions for reducing parental vaccine refusal and vaccine hesitancy. Vaccine. 2013;31(40):4293–304.CrossRefPubMed Sadaf A, Richards JL, Glanz J, Salmon DA, Omer SB. A systematic review of interventions for reducing parental vaccine refusal and vaccine hesitancy. Vaccine. 2013;31(40):4293–304.CrossRefPubMed
10.
go back to reference Dubé E, Gagnon D, MacDonald NE. Strategies intended to address vaccine hesitancy: Review of published reviews. Vaccine. 2015;33(34):4191–203.CrossRefPubMed Dubé E, Gagnon D, MacDonald NE. Strategies intended to address vaccine hesitancy: Review of published reviews. Vaccine. 2015;33(34):4191–203.CrossRefPubMed
11.
go back to reference Nyhan B, Reifler J, Richey S, Freed GL. Effective messages in vaccine promotion: a randomized trial. Pediatrics. 2014;133(4):e835–42.CrossRefPubMed Nyhan B, Reifler J, Richey S, Freed GL. Effective messages in vaccine promotion: a randomized trial. Pediatrics. 2014;133(4):e835–42.CrossRefPubMed
12.
go back to reference Bedford H. Pro-vaccine messages may be counterproductive among vaccine-hesitant parents. Evid Based Med. 2014;19(6):219.CrossRefPubMed Bedford H. Pro-vaccine messages may be counterproductive among vaccine-hesitant parents. Evid Based Med. 2014;19(6):219.CrossRefPubMed
13.
14.
go back to reference Dixon G, Clarke C. The effect of falsely balanced reporting of the autism-vaccine controversy on vaccine safety perceptions and behavioral intentions. Health Educ Res. 2013;28(2):352–9.CrossRefPubMed Dixon G, Clarke C. The effect of falsely balanced reporting of the autism-vaccine controversy on vaccine safety perceptions and behavioral intentions. Health Educ Res. 2013;28(2):352–9.CrossRefPubMed
15.
go back to reference Clarke CE, Dixon GN, Holton A, McKeever BW. Including “Evidentiary Balance” in news media coverage of vaccine risk. Health Commun. 2015;30(5):461–72.CrossRefPubMed Clarke CE, Dixon GN, Holton A, McKeever BW. Including “Evidentiary Balance” in news media coverage of vaccine risk. Health Commun. 2015;30(5):461–72.CrossRefPubMed
16.
go back to reference Clarke CE, Holton A, McKeever B, Dixon G. The influence of weight-of-evidence messages on (vaccine) attitudes: a sequential mediation model. J Health Commun. 2015;20(11):1302–9.CrossRefPubMed Clarke CE, Holton A, McKeever B, Dixon G. The influence of weight-of-evidence messages on (vaccine) attitudes: a sequential mediation model. J Health Commun. 2015;20(11):1302–9.CrossRefPubMed
17.
go back to reference Lewandowsky S, Gignac GE, Vaughan S. The pivotal role of perceived scientific consensus in acceptance of science. Nat Clim Change. 2012;3:399–404.CrossRef Lewandowsky S, Gignac GE, Vaughan S. The pivotal role of perceived scientific consensus in acceptance of science. Nat Clim Change. 2012;3:399–404.CrossRef
18.
go back to reference van der Linden SL, Leiserowitz AA, Feinberg GD, Maibach EW. The scientific consensus on climate change as a gateway belief: Experimental evidence. PLoS One. 2015;10(2), e0118489.CrossRefPubMedPubMedCentral van der Linden SL, Leiserowitz AA, Feinberg GD, Maibach EW. The scientific consensus on climate change as a gateway belief: Experimental evidence. PLoS One. 2015;10(2), e0118489.CrossRefPubMedPubMedCentral
19.
go back to reference van der Linden SL, Leiserowitz AA, Feinberg GD, Maibach EW. How to communicate the scientific consensus on climate change: plain facts, pie charts or metaphors? Clim Change. 2014;126(1–2):255–62.CrossRef van der Linden SL, Leiserowitz AA, Feinberg GD, Maibach EW. How to communicate the scientific consensus on climate change: plain facts, pie charts or metaphors? Clim Change. 2014;126(1–2):255–62.CrossRef
20.
go back to reference Myers TA, Maibach E, Peters E, Leiserowitz A. Simple messages help set the record straight about scientific agreement on human-caused climate change: the results of two experiments. PLoS One. 2015;10(3):e0120985.CrossRefPubMedPubMedCentral Myers TA, Maibach E, Peters E, Leiserowitz A. Simple messages help set the record straight about scientific agreement on human-caused climate change: the results of two experiments. PLoS One. 2015;10(3):e0120985.CrossRefPubMedPubMedCentral
21.
go back to reference Buhrmester M, Kwang T, Gossling S. Amazon’s Mechanical Turk: a new source of inexpensive, yet high-quality data? Perspect Psychol Sci. 2011;6(1):3–5.CrossRefPubMed Buhrmester M, Kwang T, Gossling S. Amazon’s Mechanical Turk: a new source of inexpensive, yet high-quality data? Perspect Psychol Sci. 2011;6(1):3–5.CrossRefPubMed
22.
go back to reference Mason W, Suri M. Conducting behavioral research on Amazon’s Mechanical Turk. Behav Res Methods. 2012;44(1):1–23.CrossRefPubMed Mason W, Suri M. Conducting behavioral research on Amazon’s Mechanical Turk. Behav Res Methods. 2012;44(1):1–23.CrossRefPubMed
23.
go back to reference Lewandowsky S, Ecker UKH, Seifert CM, Schwartz N, Cook J. Misinformation and its correction: continued influence and successful debiasing. Psychol Sci Public Interest. 2012;13(3):106–31.CrossRefPubMed Lewandowsky S, Ecker UKH, Seifert CM, Schwartz N, Cook J. Misinformation and its correction: continued influence and successful debiasing. Psychol Sci Public Interest. 2012;13(3):106–31.CrossRefPubMed
24.
go back to reference Maibach E. Knowing our options for setting the record straight, when doing so is particularly important. Psychol Sci Public Interest. 2012;13(3):105.CrossRefPubMed Maibach E. Knowing our options for setting the record straight, when doing so is particularly important. Psychol Sci Public Interest. 2012;13(3):105.CrossRefPubMed
25.
go back to reference Cohen D. Statistical power analysis for the behavioral sciences. Hillsdale: Erlbaum; 1988. Cohen D. Statistical power analysis for the behavioral sciences. Hillsdale: Erlbaum; 1988.
Metadata
Title
Highlighting consensus among medical scientists increases public support for vaccines: evidence from a randomized experiment
Authors
Sander L. van der Linden
Chris E. Clarke
Edward W. Maibach
Publication date
01-12-2015
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2015
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/s12889-015-2541-4

Other articles of this Issue 1/2015

BMC Public Health 1/2015 Go to the issue