Is disgust proneness prospectively associated with influenza vaccine hesitancy and uptake?

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Springer Science and Business Media LLC


Although various demographic and psychosocial factors have been identified as correlates of influenza vaccine hesitancy, factors that promote infectious disease avoidance, such as disgust proneness, have been rarely examined. In two large national U.S. samples (Ns = 475 and 1007), we investigated whether disgust proneness was associated with retrospective accounts of influenza vaccine uptake, influenza vaccine hesitancy, and eventual influenza vaccine uptake, while accounting for demographics and personality. Across both studies, greater age, higher education, working in healthcare, and greater disgust proneness were significantly related to greater likelihood of previously receiving an influenza vaccine. In Study 2, which was a year-long longitudinal project, disgust proneness prospectively predicted influenza vaccine hesitancy and eventual vaccine uptake during the 2020–2021 influenza season. Findings from this project expand our understanding of individual-level factors associated with influenza vaccine hesitancy and uptake, highlighting a psychological factor to be targeted in vaccine hesitancy interventions.


This version of the article has been accepted for publication, after peer review (when applicable) and is subject to Springer Nature’s AM terms of use, but is not the Version of Record and does not reflect post-acceptance improvements, or any corrections. The Version of Record is available online at:


Influenza, Vaccine hesitancy, Vaccine uptake, Disgust sensitivity, Personality


Shook, N. J., Fitzgerald, H. N., Oosterhoff, B., MacFarland, E., & Sevi, B. (2022). Is disgust proneness prospectively associated with influenza vaccine hesitancy and uptake?. Journal of Behavioral Medicine, 1-11.
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