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  11. Economic And Health Consequence Frames Affect Covid-19 Vaccine Incentive Attitudes In Germany- A Survey Based Framing Experiment

Economic and health consequence frames affect COVID-19 vaccine incentive attitudes in Germany- a survey based framing experiment

Sebastian Jäckle1, James K Timmis2,3

  • 1Department of Political Science, University of Freiburg, 79085, Freiburg, Germany. sebastian.jaeckle@politik.uni-freiburg.de.

BMC Public Health
|June 4, 2025

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View abstract on PubMed

Summary
This summary is machine-generated.

Framing public health messages about COVID-19 vaccination incentives, rather than specific content, significantly increased positive attitudes toward incentives among Germans. The existence of framing was key to boosting acceptance.

Area of Science:

  • Public Health
  • Behavioral Economics
  • Vaccinology

Background:

  • Vaccine hesitancy for SARS-CoV-2 remains a significant global challenge, impacting public health efforts.
  • Public health framing and incentives show potential to increase immunization rates, but evidence is fragmented.
  • Understanding the impact of different framing strategies and incentive types is crucial for effective vaccination campaigns.

Purpose of the Study:

  • To evaluate the effectiveness of different public health frames on attitudes toward SARS-CoV-2 immunization incentives in Germany.
  • To assess the impact of financial and non-financial incentives on vaccine acceptance.
  • To determine if framing messages influence the perceived appropriateness of monetary compensation for vaccination.

Main Methods:

  • A randomized controlled survey experiment involving 6,685 participants in Germany.
Keywords:
COVID-19FramingImmunization incentivesSARS-CoV-2

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  • Testing four distinct framing strategies (individual/collective, health/economic consequences) and four incentive types (voucher, tickets, lottery, cash).
  • Measuring attitudes toward incentives and acceptable monetary compensation amounts across different study arms.

    • Main Results:

    • Over 75% of participants found the tested incentives not meaningful.
    • All tested frames positively influenced views toward lottery and monetary incentives for SARS-CoV-2 immunization.
    • Frames similarly affected attitudes across various demographic subgroups, including age, gender, and vaccination status.

    Conclusions:

    • The presence of framing, irrespective of specific content, is more critical than the narrative itself in improving attitudes toward immunization incentives.
    • Framing strategies can enhance acceptance of monetary incentives for COVID-19 vaccination.
    • Public health communication can leverage framing to address vaccine hesitancy and promote immunization.
    Vaccine uptake