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. Author manuscript; available in PMC: 2020 Oct 23.
Published in final edited form as: Vaccine. 2019 Sep 24;37(45):6793–6802. doi: 10.1016/j.vaccine.2019.08.068

Table 3.

General vaccine beliefs (excluding HPV vaccine), organized by theme

Theme Belief Number of Studies
(N = 71)
Adverse effects Vaccines cause diseases/illnesses 36
Taking too many vaccines overloads immune system 13
Vaccines contain harmful ingredients 12
Younger children are more susceptible to vaccine risks 9
Vaccine is too new/not fully studied 4
Vaccines do not work for everyone 3
Herd immunity increases risks of VPD 1
Mistrust Profit motive 8
Mistrust of doctors 3
Black children are given low quality vaccines 2
Mistrust of government/doctors 2
Mistrust of government/doctors/pharma 2
Mistrust of government/pharma 2
Mistrust of pharma 2
Lack of necessity Naturally developed immunity is superior 6
Natural remedies as substitutes for vaccines 4
Environmental control as substitute for vaccines 3
VPD is not severe 2
Herd immunity works so vaccination is not necessary 1
Lifestyle choices as substitutes for vaccines 1
Vaccine is unnatural human intervention 1
Pro-vaccine opinions Child deserves protection 4
Vaccine is therapeutic 4
Doctors/public health experts have the public's best interests in mind 1
Vaccination protects household economy and social capital 1
Vaccine protects reproductive capability at some ages 1
Vaccines serve the greater good 1
Skepticism about effectiveness Herd immunity does not work 2
Vaccine schedule is not related to effectiveness 2
Vaccines become ineffective after multiple doses 1
Vaccines do not work 1
Desire for autonomy Herd immunity implies herd mentality 1
Mandate implies importance of a vaccine 1
Vaccine decision is a parent's right 1
Morality concerns Some vaccine ingredients are derived from fetuses 1