Vaccination decisions under risk: experimental evidence from the COVID-19 pandemic

We examine how risk preferences influence vaccination decisions and subsequent behavior in a pandemic context. Using data from 2,701 individuals from seven European countries, we employed an incentivized ‘virus risk elicitation task’, adapted from the bomb risk elicitation task, to elicit individual...

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Bibliographic Details
Main Authors: Hermanns, Benedicta (Author) , Kokot, Johanna (Author)
Format: Article (Journal)
Language:English
Published: 2026
In: Theory and decision
Year: 2026, Volume: 100, Issue: 3, Pages: 667-719
ISSN:1573-7187
DOI:10.1007/s11238-025-10110-7
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Online Access:Verlag, kostenfrei, Volltext: https://doi.org/10.1007/s11238-025-10110-7
Verlag, kostenfrei, Volltext: https://link.springer.com/article/10.1007/s11238-025-10110-7
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Author Notes:Benedicta Hermanns, Johanna Kokot
Description
Summary:We examine how risk preferences influence vaccination decisions and subsequent behavior in a pandemic context. Using data from 2,701 individuals from seven European countries, we employed an incentivized ‘virus risk elicitation task’, adapted from the bomb risk elicitation task, to elicit individual risk preferences in a health-related context. In the first part of the experiment, all participants faced a risk of infection without the option of vaccination. In the second part, some participants were offered a vaccination option that reduced potential losses from infection. We found that most participants were risk-averse and that there was an inverse U-shaped relationship between risk preferences and vaccination uptake: individuals with risk preferences closer to neutrality were more likely to opt for vaccination. Among participants who chose vaccination, we observed an increase in social interaction, which is consistent with risk compensation behavior. These results provide evidence on the relationship between risk preferences, vaccination decisions, and post-vaccination behavior, offering insights into the drivers of vaccine hesitancy and informing the design of future public health strategies.
Item Description:Online veröffentlicht: 11. April 2026
Gesehen am 27.04.2026
Physical Description:Online Resource
ISSN:1573-7187
DOI:10.1007/s11238-025-10110-7