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Partisan differences in healthcare decision-making: Evidence from a vaccine experiment
Brandyn F Churchill1, Xiaoxue Sherry Gao2, Rong Rong2
1Department of Public Administration & Policy, American University, District of Columbia, United States of America.
Plos One
|July 20, 2026
Summary
Political identity did not affect COVID-19 overestimations. Learning about the opposing party's vaccination rate increased vaccine intent, highlighting the role of social comparison in health behavior.
Area of Science:
- Health Communication
- Political Psychology
- Vaccine Behavior
Background:
- Information campaigns aim to modify health behaviors, but effectiveness hinges on message alignment with existing beliefs and perceived value.
- Understanding how political identity influences responses to health information is crucial for targeted public health strategies.
Purpose of the Study:
- To experimentally investigate the influence of political identity on individual responses to information regarding the COVID-19 vaccine.
- To assess whether partisan affiliation impacts perceptions of COVID-19 severity, infection frequency, and vaccination rates.
Main Methods:
- An experiment was conducted in August 2024 with 579 participants (288 Democrats, 291 Republicans).
- Participants' estimations of COVID-19 infection frequency/severity and vaccination rates were compared to actual data.
- Intent to receive the COVID-19 vaccine was measured based on exposure to information about vaccination rates across political affiliations.
Main Results:
- Both Democrats and Republicans similarly overestimated COVID-19 infection frequency, severity, and vaccination rates.
- Participants demonstrated no superior accuracy in predicting the COVID-19 experiences of their own political party.
- Individuals who discovered they underestimated the vaccination rate of the opposing political party showed a greater likelihood of reporting intent to get vaccinated.
Conclusions:
- Political identity does not inherently alter perceptions of COVID-19 risks or vaccination uptake.
- Correcting misperceptions about the other party's vaccination behavior can be a potential strategy to increase vaccine acceptance.
- Public health messaging may benefit from considering social comparison dynamics and intergroup perceptions to enhance behavioral interventions.
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