Mapping the Cognitive Biases Related to Vaccination: A Scoping Review of the Literature

Introduction: Human behavior and understanding of the vaccine ecosystem play a critical role in the vaccination decision-making process. The objective of this study was to understand different cognitive biases that may lead to vaccine acceptance or hesitancy. Methods: The eligibility criteria for th...

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Main Authors: Amar Raj, Awnish Kumar Singh, Abram L. Wagner, Matthew L. Boulton
Format: Article
Language:English
Published: MDPI AG 2023-12-01
Series:Vaccines
Subjects:
Online Access:https://www.mdpi.com/2076-393X/11/12/1837
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author Amar Raj
Awnish Kumar Singh
Abram L. Wagner
Matthew L. Boulton
author_facet Amar Raj
Awnish Kumar Singh
Abram L. Wagner
Matthew L. Boulton
author_sort Amar Raj
collection DOAJ
description Introduction: Human behavior and understanding of the vaccine ecosystem play a critical role in the vaccination decision-making process. The objective of this study was to understand different cognitive biases that may lead to vaccine acceptance or hesitancy. Methods: The eligibility criteria for this scoping review was vaccination-related cognitive bias studies published in the English language from inception to April 2022 and available on PubMed, Embase, and Google Scholar. It included all geographical locations and individuals of all age groups and excluded studies focusing on (i) clinical trials of vaccines, (ii) vaccine research conduct bias, (iii) cognitive delay, or (iv) statistical biases. The search method also included reviewing references in the retrieved articles. Results: Overall, 58 articles were identified, and after screening, 19 were included in this study. Twenty-one cognitive biases with the potential to affect vaccination decision-making were observed. These biases were further grouped into three broad categories: cognitive biases seen while processing vaccine-related information, during vaccination-related decision-making, and due to prior beliefs regarding vaccination. Conclusions: This review identified critical cognitive biases affecting the entire process of vaccination that can influence research and public health efforts both positively and negatively. Recognizing and mitigating these cognitive biases is crucial for maintaining the population’s level of trust in vaccination programs around the world.
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spelling doaj.art-d24a6742eeff46b3820055bf934001d72023-12-22T14:47:26ZengMDPI AGVaccines2076-393X2023-12-011112183710.3390/vaccines11121837Mapping the Cognitive Biases Related to Vaccination: A Scoping Review of the LiteratureAmar Raj0Awnish Kumar Singh1Abram L. Wagner2Matthew L. Boulton3Tata Memorial Hospital, Mumbai 400012, IndiaFormer, National Technical Advisory Group on Immunization (NTAGI) Secretariat, Ministry of Health and Family Welfare, New Delhi 110011, IndiaSchool of Public Health, University of Michigan, Ann Arbor, MI 48109, USASchool of Public Health, University of Michigan, Ann Arbor, MI 48109, USAIntroduction: Human behavior and understanding of the vaccine ecosystem play a critical role in the vaccination decision-making process. The objective of this study was to understand different cognitive biases that may lead to vaccine acceptance or hesitancy. Methods: The eligibility criteria for this scoping review was vaccination-related cognitive bias studies published in the English language from inception to April 2022 and available on PubMed, Embase, and Google Scholar. It included all geographical locations and individuals of all age groups and excluded studies focusing on (i) clinical trials of vaccines, (ii) vaccine research conduct bias, (iii) cognitive delay, or (iv) statistical biases. The search method also included reviewing references in the retrieved articles. Results: Overall, 58 articles were identified, and after screening, 19 were included in this study. Twenty-one cognitive biases with the potential to affect vaccination decision-making were observed. These biases were further grouped into three broad categories: cognitive biases seen while processing vaccine-related information, during vaccination-related decision-making, and due to prior beliefs regarding vaccination. Conclusions: This review identified critical cognitive biases affecting the entire process of vaccination that can influence research and public health efforts both positively and negatively. Recognizing and mitigating these cognitive biases is crucial for maintaining the population’s level of trust in vaccination programs around the world.https://www.mdpi.com/2076-393X/11/12/1837cognitive biasvaccinationimmunizationadverse eventscommunication
spellingShingle Amar Raj
Awnish Kumar Singh
Abram L. Wagner
Matthew L. Boulton
Mapping the Cognitive Biases Related to Vaccination: A Scoping Review of the Literature
Vaccines
cognitive bias
vaccination
immunization
adverse events
communication
title Mapping the Cognitive Biases Related to Vaccination: A Scoping Review of the Literature
title_full Mapping the Cognitive Biases Related to Vaccination: A Scoping Review of the Literature
title_fullStr Mapping the Cognitive Biases Related to Vaccination: A Scoping Review of the Literature
title_full_unstemmed Mapping the Cognitive Biases Related to Vaccination: A Scoping Review of the Literature
title_short Mapping the Cognitive Biases Related to Vaccination: A Scoping Review of the Literature
title_sort mapping the cognitive biases related to vaccination a scoping review of the literature
topic cognitive bias
vaccination
immunization
adverse events
communication
url https://www.mdpi.com/2076-393X/11/12/1837
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