COVID-19 Spillover Effects onto General Vaccine Attitudes

Abstract Even amid the unprecedented public health challenges attributable to the COVID-19 pandemic, opposition to vaccinating against the novel coronavirus has been both prevalent and politically contentious in American public life. In this paper, we theorize that attitudes toward COVID-19 vaccination might “spill over” to shape attitudes toward “postpandemic” vaccination programs and policy mandates for years to come. We find this to be the case using evidence from a large, original panel study, as well as two observational surveys, conducted on American adults during the pandemic. Specifically, we observe evidence of COVID-19 vaccine spillover onto general vaccine skepticism, flu shot intention, and attitudes toward hypothetical vaccines (i.e., vaccines in development), which do not have preexisting attitudinal connotations. Further, these spillover effects vary by partisanship and COVID-19 vaccination status, with the political left and those who received two or more COVID-19 vaccine doses becoming more provaccine, while the political right and the unvaccinated became more anti-vaccine. Taken together, these results point to the salience and politicization of the COVID-19 vaccine impacting non-COVID vaccine attitudes. We end by discussing the implications of this study for effective health messaging.