The far-right and anti-vaccine attitudes: lessons from Spain’s mass COVID-19 vaccine roll-out

Author:

Serrano-Alarcón Manuel1ORCID,Wang Yuxi1ORCID,Kentikelenis Alexander23ORCID,Mckee Martin4ORCID,Stuckler David12ORCID

Affiliation:

1. DONDENA Centre for Research on Social Dynamics and Public Policy, Bocconi University , Milan, Italy

2. Department of Social & Political Sciences, Bocconi University , Milan, Italy

3. Centre for Business Research, University of Cambridge , Cambridge, UK

4. Department of Health Services Research and Policy, London School of Hygiene and Tropical Medicine, University of London , London, UK

Abstract

AbstractBackgroundFar-right politicians in several countries have been vocal opponents of COVID-19 vaccination. But can this threaten vaccine roll-out?MethodsWe take advantage of repeated cross-sectional surveys with samples of around 3800 individuals across Spain conducted monthly from December 2020 to January 2022 (n = 51 294) to examine any association between far-right politics and vaccine hesitancy through the whole vaccine roll-out.ResultsConsistent with prior data, we found that far-right supporters were almost twice as likely to be vaccine-hesitant than the overall population in December 2020, before vaccines became available. However, with a successful vaccine roll out, this difference shrank, reaching non-significance by September 2021. From October 2021, however, vaccine hesitancy rebounded among this group at a time when the leadership of the far-right promoted a ‘freedom of choice’ discourse common among anti-vax supporters. By the latest month analysed (January 2022), far-right voters had returned to being twice as likely to be vaccine-hesitant and 7 percentage points less likely to be vaccinated than the general population.ConclusionsOur results are consistent with evidence that far-right politicians can encourage vaccine hesitancy. Nonetheless, we show that public attitudes towards vaccination are not immutable. Whereas a rapid and effective vaccine rollout can help to overcome the resistance of far-right voters to get vaccinated, they also seem to be susceptible to their party leader’s discourse on vaccines.

Funder

Fondazione Cariplo

Norwegian Research Council

Centre for Global Health Inequalities Research

Norwegian University for Science and Technology

Publisher

Oxford University Press (OUP)

Subject

Public Health, Environmental and Occupational Health

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