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Public support for unequal treatment of unvaccinated citizens: Evidence from Denmark

While billions have been vaccinated against COVID-19, unvaccinated citizens remain a challenge to public health given their higher likelihood of passing on the virus. One way for governments to reduce this concern is to enact more restrictive rules and regulations for the unvaccinated citizens in or...

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Autores principales: Schuessler, Julian, Dinesen, Peter Thisted, Østergaard, Søren Dinesen, Sønderskov, Kim Mannemar
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Authors. Published by Elsevier Ltd. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9158390/
https://www.ncbi.nlm.nih.gov/pubmed/35691214
http://dx.doi.org/10.1016/j.socscimed.2022.115101
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author Schuessler, Julian
Dinesen, Peter Thisted
Østergaard, Søren Dinesen
Sønderskov, Kim Mannemar
author_facet Schuessler, Julian
Dinesen, Peter Thisted
Østergaard, Søren Dinesen
Sønderskov, Kim Mannemar
author_sort Schuessler, Julian
collection PubMed
description While billions have been vaccinated against COVID-19, unvaccinated citizens remain a challenge to public health given their higher likelihood of passing on the virus. One way for governments to reduce this concern is to enact more restrictive rules and regulations for the unvaccinated citizens in order to incentivize them to become vaccinated and/or reduce their spread of the virus. However, such rule differentiation conflicts with liberal principles of equal treatment, thereby raising a trade-off between material (public health) and principled concerns. To gain legitimacy in trading off these difficult concerns, governments are likely to look to preferences in the general population. We therefore analyze to what extent unequal treatment of the unvaccinated in terms of differentiation of various rules and regulations finds support among the general public. In a pre-registered survey experiment, we investigate public support for various COVID-19 regulations (e.g., test fees, isolation pay, and hospital prioritization). In the experiment, we randomly assign respondents to evaluate regulations that either (i) apply to adults in general or (ii) only to those adults who deliberately have chosen not to be vaccinated. This design provides a valid means to assess support for unequal treatment of the unvaccinated by minimizing various concerns relating to survey responding. Furthermore, we examine how these preferences vary by individual vaccination status, trust in institutions, as well as over-time changes in severity of the pandemic. We find significantly (both statistically and substantively) higher support for restrictive policies when targeted exclusively toward the unvaccinated, which we interpret as support for unequal treatment of this group. We also uncover strong polarization in these preferences between the vaccinated and the unvaccinated, but a much more limited role for trust and severity of the pandemic.
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spelling pubmed-91583902022-06-02 Public support for unequal treatment of unvaccinated citizens: Evidence from Denmark Schuessler, Julian Dinesen, Peter Thisted Østergaard, Søren Dinesen Sønderskov, Kim Mannemar Soc Sci Med Article While billions have been vaccinated against COVID-19, unvaccinated citizens remain a challenge to public health given their higher likelihood of passing on the virus. One way for governments to reduce this concern is to enact more restrictive rules and regulations for the unvaccinated citizens in order to incentivize them to become vaccinated and/or reduce their spread of the virus. However, such rule differentiation conflicts with liberal principles of equal treatment, thereby raising a trade-off between material (public health) and principled concerns. To gain legitimacy in trading off these difficult concerns, governments are likely to look to preferences in the general population. We therefore analyze to what extent unequal treatment of the unvaccinated in terms of differentiation of various rules and regulations finds support among the general public. In a pre-registered survey experiment, we investigate public support for various COVID-19 regulations (e.g., test fees, isolation pay, and hospital prioritization). In the experiment, we randomly assign respondents to evaluate regulations that either (i) apply to adults in general or (ii) only to those adults who deliberately have chosen not to be vaccinated. This design provides a valid means to assess support for unequal treatment of the unvaccinated by minimizing various concerns relating to survey responding. Furthermore, we examine how these preferences vary by individual vaccination status, trust in institutions, as well as over-time changes in severity of the pandemic. We find significantly (both statistically and substantively) higher support for restrictive policies when targeted exclusively toward the unvaccinated, which we interpret as support for unequal treatment of this group. We also uncover strong polarization in these preferences between the vaccinated and the unvaccinated, but a much more limited role for trust and severity of the pandemic. The Authors. Published by Elsevier Ltd. 2022-07 2022-06-01 /pmc/articles/PMC9158390/ /pubmed/35691214 http://dx.doi.org/10.1016/j.socscimed.2022.115101 Text en © 2022 The Authors Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.
spellingShingle Article
Schuessler, Julian
Dinesen, Peter Thisted
Østergaard, Søren Dinesen
Sønderskov, Kim Mannemar
Public support for unequal treatment of unvaccinated citizens: Evidence from Denmark
title Public support for unequal treatment of unvaccinated citizens: Evidence from Denmark
title_full Public support for unequal treatment of unvaccinated citizens: Evidence from Denmark
title_fullStr Public support for unequal treatment of unvaccinated citizens: Evidence from Denmark
title_full_unstemmed Public support for unequal treatment of unvaccinated citizens: Evidence from Denmark
title_short Public support for unequal treatment of unvaccinated citizens: Evidence from Denmark
title_sort public support for unequal treatment of unvaccinated citizens: evidence from denmark
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9158390/
https://www.ncbi.nlm.nih.gov/pubmed/35691214
http://dx.doi.org/10.1016/j.socscimed.2022.115101
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