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When taking action means accepting responsibility: Omission bias predicts parents' reluctance to vaccinate due to greater anticipated culpability for negative side effects

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  • Gary D. Sherman
  • Beth Vallen
  • Stacey R. Finkelstein
  • Paul M. Connell
  • Wendy Attaya Boland
  • Kristen Feemster

Abstract

Omission bias is the tendency to consider harm from inaction preferable to equivalent harm from action. In this work, we explored how individual differences in omission bias shape parental vaccine‐related decisions. Parents with a stronger omission bias showed greater negative emotional response to physician vaccine policy, placed lower trust in medical providers, and assigned a lower priority on vaccination. We observed this pattern of results even among parents who prioritize vaccination. Heightened anticipation of moral culpability for action (e.g., a child experiences vaccine side effects) and a diminished anticipation of moral culpability for possible harms of not acting (e.g., a child contracts a vaccine‐preventable disease) accounted for the effects we observed. These results suggest that parents' reluctance to vaccinate their children stems—in part—from the heightened perceived moral culpability that comes with taking action (versus not taking action).

Suggested Citation

  • Gary D. Sherman & Beth Vallen & Stacey R. Finkelstein & Paul M. Connell & Wendy Attaya Boland & Kristen Feemster, 2021. "When taking action means accepting responsibility: Omission bias predicts parents' reluctance to vaccinate due to greater anticipated culpability for negative side effects," Journal of Consumer Affairs, Wiley Blackwell, vol. 55(4), pages 1660-1681, December.
    • Handle: RePEc:bla:jconsa:v:55:y:2021:i:4:p:1660-1681
    DOI: 10.1111/joca.12401
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    1. Simona Botti & Kristina Orfali & Sheena S. Iyengar, 2009. "Tragic Choices: Autonomy and Emotional Responses to Medical Decisions," Journal of Consumer Research, Journal of Consumer Research Inc., vol. 36(3), pages 337-352.
    2. Ritov, Ilana & Baron, Jonathan, 1995. "Outcome Knowledge, Regret, and Omission Bias," Organizational Behavior and Human Decision Processes, Elsevier, vol. 64(2), pages 119-127, November.
    3. Suzanne C. Makarem & Michael F. Smith & Susan M. Mudambi & James M. Hunt, 2014. "Why People Do Not Always Follow the Doctor's Orders: The Role of Hope and Perceived Control," Journal of Consumer Affairs, Wiley Blackwell, vol. 48(3), pages 457-485, October.
    4. David A. Asch & Jonathan Baron & John C. Hershey & Howard Kunreuther & Jacqueline Meszaros & Ilana Ritov & Mark Spranca, 1994. "Omission Bias and Pertussis Vaccination," Medical Decision Making, , vol. 14(2), pages 118-123, April.
    5. Jamie Murphy & Frédérique Vallières & Richard P. Bentall & Mark Shevlin & Orla McBride & Todd K. Hartman & Ryan McKay & Kate Bennett & Liam Mason & Jilly Gibson-Miller & Liat Levita & Anton P. Martine, 2021. "Psychological characteristics associated with COVID-19 vaccine hesitancy and resistance in Ireland and the United Kingdom," Nature Communications, Nature, vol. 12(1), pages 1-15, December.
    6. Hornsey, Matthew J. & Lobera, Josep & Díaz-Catalán, Celia, 2020. "Vaccine hesitancy is strongly associated with distrust of conventional medicine, and only weakly associated with trust in alternative medicine," Social Science & Medicine, Elsevier, vol. 255(C).
    7. Baron, Jonathan & Ritov, Ilana, 2004. "Omission bias, individual differences, and normality," Organizational Behavior and Human Decision Processes, Elsevier, vol. 94(2), pages 74-85, July.
    8. Myers, C. Daniel & Tingley, Dustin, 2016. "The Influence of Emotion on Trust," Political Analysis, Cambridge University Press, vol. 24(4), pages 492-500.
    9. Marco daCosta DiBonaventura & Gretchen B. Chapman, 2008. "Do Decision Biases Predict Bad Decisions? Omission Bias, Naturalness Bias, and Influenza Vaccination," Medical Decision Making, , vol. 28(4), pages 532-539, July.
    10. Richard G. Netemeyer & David G. Dobolyi & Ahmed Abbasi & Gari Clifford & Herman Taylor, 2020. "Health Literacy, Health Numeracy, and Trust in Doctor: Effects on Key Patient Health Outcomes," Journal of Consumer Affairs, Wiley Blackwell, vol. 54(1), pages 3-42, March.
    11. Squier, Roger W., 1990. "A model of empathic understanding and adherence to treatment regimens in practitioner-patient relationships," Social Science & Medicine, Elsevier, vol. 30(3), pages 325-339, January.
    12. Connolly, Terry & Reb, Jochen, 2003. "Omission bias in vaccination decisions: Where's the "omission"? Where's the "bias"?," Organizational Behavior and Human Decision Processes, Elsevier, vol. 91(2), pages 186-202, July.
    13. Baron, Jonathan & Ritov, Ilana, 1994. "Reference Points and Omission Bias," Organizational Behavior and Human Decision Processes, Elsevier, vol. 59(3), pages 475-498, September.
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