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Confirmatory bias in health decisions: Evidence from the MMR-autism controversy

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  • Qian, Mengcen
  • Chou, Shin-Yi
  • Lai, Ernest K.

Abstract

Since Wakefield et al. (1998), the public was exposed to mixed information surrounding the claim that measles–mumps–rubella vaccine causes autism. A persistent trend to delay the vaccination during 1998–2011 in the US was driven by children of college-educated mothers, suggesting that these mothers held biases against the vaccine influenced by the early unfounded claim. Consistent with confirmatory bias, exposures to negative information about the vaccine strengthened their biases more than exposures to positive information attenuated them. Positive online information, however, had strong impacts on vaccination decisions, suggesting that online dissemination of vaccine-safety information may help tackle the sticky misinformation.

Suggested Citation

  • Qian, Mengcen & Chou, Shin-Yi & Lai, Ernest K., 2020. "Confirmatory bias in health decisions: Evidence from the MMR-autism controversy," Journal of Health Economics, Elsevier, vol. 70(C).
    • Handle: RePEc:eee:jhecon:v:70:y:2020:i:c:s0167629619302450
    DOI: 10.1016/j.jhealeco.2019.102284
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    References listed on IDEAS

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    Cited by:

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    2. Blondel, Serge & Langot, François & Mueller, Judith E. & Sicsic, Jonathan, 2021. "Preferences and COVID-19 Vaccination Intentions," IZA Discussion Papers 14823, Institute of Labor Economics (IZA).
    3. De Rosis, Sabina & Lopreite, Milena & Puliga, Michelangelo & Vainieri, Milena, 2021. "The early weeks of the Italian Covid-19 outbreak: sentiment insights from a Twitter analysis," Health Policy, Elsevier, vol. 125(8), pages 987-994.
    4. Anikó Bíró & Ágnes Szabó-Morvai, 2021. "Mass media coverage and vaccination uptake: evidence from the demand for meningococcal vaccinations in Hungary," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 22(6), pages 887-903, August.
    5. Raúl Tárraga-Mínguez & Irene Gómez-Marí & Pilar Sanz-Cervera, 2020. "What Motivates Internet Users to Search for Asperger Syndrome and Autism on Google?," IJERPH, MDPI, vol. 17(24), pages 1-13, December.
    6. Hirani, Jonas Lau-Jensen, 2021. "Inattention or reluctance? Parental responses to vaccination reminder letters," Journal of Health Economics, Elsevier, vol. 76(C).
    7. Claudio Deiana & Andrea Geraci & Gianluca Mazzarella & Fabio Sabatini, 2022. "Perceived risk and vaccine hesitancy: Quasi‐experimental evidence from Italy," Health Economics, John Wiley & Sons, Ltd., vol. 31(6), pages 1266-1275, June.

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    More about this item

    Keywords

    MMR vaccine; Autism; Confirmatory bias; Media; Misinformation;
    All these keywords.

    JEL classification:

    • I12 - Health, Education, and Welfare - - Health - - - Health Behavior
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health
    • I26 - Health, Education, and Welfare - - Education - - - Returns to Education

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