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How perceived coercion polarizes unvaccinated people: The mediating role of conspiracy beliefs

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Abstract

During the COVID-19 pandemic, different policies were implemented to increase vaccination uptake. Meanwhile, conspiracy theories spread widely, and vaccinated versus unvaccinated people increasingly polarized against each other. This study examined the associations between perceived vaccination coercion, conspiracy beliefs and polarization. We tested the relationship of vaccination status with perceived vaccination coercion, conspiracy beliefs, and polarization, with a total sample size of N = 1202 (n = 400 in China, n = 401 in the US, and n = 401 in the UK), among them n = 603 were vaccinated and n = 599 were unvaccinated. As pre-registered, unvaccinated people perceived more vaccination coercion and endorsed more conspiracy theories. Conspiracy mentality was positively related to perceived coercion. Contrary to our hypotheses, vaccinated people were more polarized toward unvaccinated people than vice versa. Finally, conspiracy beliefs mediated the link between perceived coercion and polarization among unvaccinated people.
Original languageEnglish
Pages (from-to)2354-2367
Number of pages14
JournalJournal of Health Psychology
Volume30
Issue number9
Early online date17 Mar 2024
DOIs
Publication statusPublished - Aug 2025

Keywords

  • conspiracy beliefs
  • polarization
  • vaccination coercion
  • vaccination status
  • COVID-19

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