Understanding Vaccine Hesitancy as Extended Attitudes

Abstract

Vaccine hesitancy is not a singular view but encompasses a set of positions located between complete acceptance of vaccination and complete rejection of vaccination. In this paper, I argue that vaccine-hesitant attitudes emerge at the intersection of individual and structural processes, and thus can be better conceptualized as "extended attitudes". Drawing on the theoretical understanding of risk and science scepticism in post-modern societies, I consider hesitant attitudes towards vaccination as addressing risks that are induced in our everyday lives by science developments. I conducted K-Means Cluster Analysis on Eurobarometer data from 2019 regarding Europeans’ attitudes towards vaccination. Four clusters of vaccine-hesitant attitudes were identified. "Price hesitation" and "Effort hesitation" result from restricted access to vaccination because of structural constraints, such as low economic capital and health care system’ deficits. "Unexercised pro-vaccination" is an attitude manifested by people who grant authority to science to manage health-related risks, even though they did not vaccinate in the last five years. "Consistent anti-vaccination" pertains to highly reflexive individuals who dismiss experts’ authority because of scientifically derived risks. My analysis enhances the theoretical understanding and the empirical assessment of vaccine-hesitant attitudes in the European Union and can inform public health policies in this area.