What Accounts for the Variation in COVID-19 Vaccine Hesitancy in Eastern, Southern and Western Europe?
Attitudes towards vaccination have proven to be a major factor determining the pace of national COVID-19 vaccination campaigns throughout 2021. In Europe, large differences in levels of vaccine hesitancy and refusal have emerged, which are highly correlated with actual vaccination levels. This article explores attitudes towards COVID-19 vaccination in 27 European countries based on data from Eurobarometer (May 2021). The statistical analyses show that demographic variables have complex effects on vaccine hesitancy and refusal. Trust in different sources of health-related information has significant effects as well, with people who trust the Internet, social networks and ‘people around’ in particular being much more likely to express vaccine skepticism. As expected, beliefs in the safety and effectiveness of vaccines have large predictive power, but – more interestingly – net of these two beliefs, the effects of trust in Internet, online social networks and people as sources of health information are significantly reduced. This study shows that the effects of demographic, belief-related and other individual-level factors on vaccine hesitancy and refusal are context-specific. Yet, explanations of the differences in vaccine hesitancy across Europe need to consider primarily different levels of trust and vaccine-relevant beliefs, and to a lesser extent their differential effects.