Manifestation of Health Denialism in Attitudes toward COVID-19 Vaccination: A Qualitative Study
Abstract
:1. Introduction
2. Materials and Methods
2.1. Participants and Procedure
2.1.1. Sampling
2.1.2. Setting
2.1.3. Quality Criteria
2.2. Data Analysis
2.2.1. Codes and Themes
2.2.2. Analysis
- Familiarization with the data;
- Generating initial codes (at this stage, two research team members coded their parts of the transcripts separately with codes created during the first stage. Then, they swapped transcripts to check compliance with the codes);
- Searching for themes;
- Reviewing potential themes;
- Defining and naming themes;
- Producing the report.
- Theme 1—addressing attitudes towards COVID-19 vaccines intermingled with their views on pandemic restrictions;
- Theme 2—encompassing feedback on which sources of information on COVID-19 interviewees trust and why they found some more trustworthy than the others, as well as what the explicit or implicit rules of trustworthiness are;
- Theme 3—reflecting interviewees’ views on the origins of COVID-19.
2.2.3. Ethics
3. Results
3.1. Theme 1. Attitudes toward COVID-19 Vaccination
3.1.1. The Unvaccinated Group
The Conspiratorial Subgroup
I think that I don’t trust the messages of either political agents or vaccine companies. There were too many inaccuracies and contradictions around this topic. However, I don’t think I need such protection either.
As for COVID, I think that these vaccines should be banned altogether. I am guided by what I read on the Internet and from research that was not conducted in Poland. But as soon as the first vaccines appeared, professors immediately said what it really is. Well, it actually turned out to be true, because whoever got vaccinated now has some complications. That is not discussed in our country because everything [the media as well as governmental messages] is false.
The Libertarian Subgroup
I believe that everyone should have the right to their own opinion, and this also repelled me a bit from the vaccine.
The Scared Subgroup
Such vaccinations should be studied for at least 5 years, if not 10. And there can be big complications later, even already now, because some side effects are already confirmed. So I think so, but not yet, and especially not for young children.
3.1.2. The Hesitating Group
The Companionable Subgroup
So I procrastinated, and only later, maybe under such pressure from work, or here from my family, because they were also vaccinated here. That’s why I decided to take the vaccine too.
The Pragmatic Subgroup
I suspect the company, the job, might force me because later some countries introduced that unvaccinated people had to take the test, so I would probably be forced by the job or the company to take the vaccine.
3.1.3. The Vaccinated Group
The Subgroup Showing Civic Attitude
At first I was a little worried, because I have vein problems and the first thing I thought was that probably it [the vaccine] can cause some kind of blockage there (…) Although my attitude towards vaccination was that it is rather a civic duty than doing it for myself.
The Calculating Subgroup
I think that everyone was a little afraid, because you know, this is a new preparation, but it is unusually… it was circulated very quickly, compared to what you usually hear about how vaccines are introduced. Although I know that it was just done in parallel different modes of testing, and not as in the normal mode. It just stretches it over time and on this basis it could be implemented faster. Well, it also turned out that side effects are very rare, but also very serious, because in some cases they could end in death. Also, you know, no matter how low the probability is, it is in your head. However, I accepted it. I decided that the benefits outweighed the risks.
3.2. Theme 2. Perception of Sources of Information
3.2.1. The Role of Experts
So this is information that they have been testing for a long time and doctors confirm that it’s right. Only medics who are not paid by… To be honest, these are more like television or other independent sources that have nothing to do with state television [public TV]. When the pandemic broke out, there were a lot of professors from Italy, or some other countries, and so on…
Interviewee: If I thought it was justified [to vaccinate my children], then yes, and if I thought no, then no. I would just rather form my own opinion on what will be better for us as a family.
Researcher: Would you discuss this with someone? For example, if your doctor encouraged you to get your child vaccinated, would you consider it?
Interviewee: If I felt that I got along with the doctor and that he had some knowledge about this topic, so to speak, on new discoveries. Well, I would consult him, and if I saw that he was just in such an information bubble that he only thought that we had to get vaccinated to protect ourselves against the viruses. Well, I guess I wouldn’t trust him.
Researcher: I see, so again it depends on this relationship and understanding that would be created or not?
Interviewee: And, as a result, do I think he is competent or does he just follow the current trends of science.
We have a doctor in our family, so I often ask and if he says “you can take it, nothing will happen to you,” or if he tells me “no,” then no. I don’t even wonder why it is so and not otherwise.
3.2.2. Common Sense
Such credibility, the fewer colorful ads or flashing banners, the better.
If I took information from the Internet, then only from government or WHO websites. I avoided all other types of websites so as not to accidentally read the nonsense that someone had invented. Although before the first vaccine, I made sure about vaccinations, for example, for pregnant women.
Yes, I remember the absurdity in the beginning, that we couldn’t meet more than 2 or 3 people, that we couldn’t gather, and there was no access to the forests at all. I remember a situation when we just went with friends to the forest when the ban had been lifted. Because there was a time when they first implemented it, then abolished it. And someone called the police and kindly reported that there were six of us in the woods. For me, it was really absurd to call the police, and the police had to go to great lengths to come to us, to instruct us, and they actually checked that we could be in the forest, but not the six of us, and we had to split up.
3.2.3. The Importance of Experience
Their approach to the patient, professionalism, and the fact that I can come to them with any problem, so to speak. That I feel that doctor is taking care of me.
I kind of trust doctors with whom I have been working (I don’t know if I can say so) for some time, so I trust their opinion.
I had symptoms and, of course, earlier I’d been stressed, which later manifests itself in this type of disease after resolution. So I didn’t use any medication. But I needed to take sick leave, so I had to contact a doctor. My doctor recommended that I stay at home, drink a lot water, rest, and I agreed. Somehow, I didn’t expect him to treat me like that. I thought it would be more standard here like I would have to go to the pharmacy and buy some meds. And it turned out that the doctor, I don’t know, somehow got into my... In my vision of this disease, the healing processes, and in fact it was like that and I actually recovered as I should.
Researcher: where do you get information on health-related topics?
Interviewee: In most cases, in conversations with friends, when I meet them, because most often these are things that have already been used and proven [by my friends]. They can tell me how they feel after using [some meds or diet], how they use it, what the recipes are. And then I read about it on the Internet.
3.3. Theme 3. The Origin of the New Coronavirus
3.3.1. The Coronavirus Is a Natural Phenomenon
The more of us there are in one place, the more of these viruses there will be and they will mutate and hatch into new ones. And that’s just the way it is. Well, it happened that somewhere out there this virus, so to speak, was transmitted to humans. This was certainly the case, as everyone claims, that this is the zoonotic origin of this virus. People travel around the world, they move around and that’s why it spreads easily.
3.3.2. The Coronavirus Is Artificially Created
It wasn’t something like someone ate a bat, but rather it was... from a laboratory. Was it something that got out on purpose or by accident, but I don’t think this COVID was born naturally, so my approach is that it probably came from the laboratory. Whether on purpose or by accident, because it also happens… But I don’t believe that it naturally somehow mutated or was naturally created by nature. (…) How fast it spread… How it works. To me, it looks like a modified flu, which, I don’t know, was intended to be used as a biological weapon, or perhaps there was simply research on this virus. Or rather, in this respect, I thought it was more like tests on this virus and that’s why it’s so contagious…
3.3.3. Spreading of the Pandemic
I think that laboratories are also working on various types of biological weapons, various types of vaccines, they are conducting research and, as is the case with microbes, something can always escape somewhere and if it has the conditions to spread. It will spread. And if not, no one knows anything.
My theory on the origin of COVID was as follows. It was a bit of a political stunt to some extent. Where, because now, it’s like China... because let’s just say it all came from China. And China likes this. They’ve subordinated their society 100 percent and have subordinated it even more. (…) And I think it was to check how people would react if they were forbidden something, because the world had been too pleasant for a long time and they wanted to see how people would react if they were forbidden something, for example, freedom. And in my opinion, this virus could have been created, for example, to attack, and for these victims to be in a community that is less necessary for productivity, so here these older people were the victims of this policy. And probably also some data on how people behave nowadays when they are forbidden to do something, who will obey, but there will be a big problem with this, and later this war happened here. And somehow it’s all a bit too strange for me.
4. Discussion
4.1. Theme 1: Attitudes toward COVID-19 Vaccination
4.2. Theme 2: Perception of the Sources of Information
4.3. Theme 3: The Origins of the New Coronavirus
4.4. Limitations of the Study
5. Conclusions
Supplementary Materials
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
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Variable | Categories of Variable | % | n |
---|---|---|---|
Age | 18–40 | 58.0 | 29 |
41–65 | 38.0 | 19 | |
>65 | 4.0 | 2 | |
Sex | Male | 52.0 | 26 |
Female | 48.0 | 24 | |
Place of residence | Rural | 32.0 | 16 |
Urban below 50,000 | 16.0 | 8 | |
Urban from 50,000 to below 100,000 | 8.0 | 4 | |
Urban from 100,000 | 44.0 | 22 | |
Education | Secondary or post-secondary non-tertiary | 44.0 | 22 |
University degree | 56.0 | 28 | |
Vocational status | Employee or self-employed | 82.0 | 41 |
Retired or on disability pension | 12.0 | 6 | |
University or school student | 4.0 | 2 | |
Unemployed | 2.0 | 1 | |
Marital status | Single | 24.0 | 12 |
Widowed/divorced/in separation | 4.0 | 2 | |
Married | 50.0 | 25 | |
In partnership | 22.0 | 11 | |
Average time spent on the Internet per day | <30 min. | 4.0 | 2 |
30–60 min. | 24.0 | 12 | |
>60–120 min. | 39.0 | 15 | |
>120 min. | 42.0 | 21 | |
COVID-19 vaccination | Yes | 84.0 | 42 |
No | 16.0 | 8 |
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Share and Cite
Młoźniak, I.; Zwierczyk, U.; Rzepecka, E.; Kobryn, M.; Wilk, M.; Duplaga, M. Manifestation of Health Denialism in Attitudes toward COVID-19 Vaccination: A Qualitative Study. Vaccines 2023, 11, 1822. https://doi.org/10.3390/vaccines11121822
Młoźniak I, Zwierczyk U, Rzepecka E, Kobryn M, Wilk M, Duplaga M. Manifestation of Health Denialism in Attitudes toward COVID-19 Vaccination: A Qualitative Study. Vaccines. 2023; 11(12):1822. https://doi.org/10.3390/vaccines11121822
Chicago/Turabian StyleMłoźniak, Iwona, Urszula Zwierczyk, Elżbieta Rzepecka, Mateusz Kobryn, Marta Wilk, and Mariusz Duplaga. 2023. "Manifestation of Health Denialism in Attitudes toward COVID-19 Vaccination: A Qualitative Study" Vaccines 11, no. 12: 1822. https://doi.org/10.3390/vaccines11121822
APA StyleMłoźniak, I., Zwierczyk, U., Rzepecka, E., Kobryn, M., Wilk, M., & Duplaga, M. (2023). Manifestation of Health Denialism in Attitudes toward COVID-19 Vaccination: A Qualitative Study. Vaccines, 11(12), 1822. https://doi.org/10.3390/vaccines11121822