Effects of Facebook Comments on Attitude Toward Vaccines: The Roles of Perceived Distributions of Public Opinion and Perceived Vaccine Efficacy

This study investigated if and how exposure to Facebook comments about vaccines influences one’s attitude toward the vaccines. In this investigation, comments were examined in light of their effect on attitude toward vaccines through perceived distribution of public opinion on vaccines, and perceived vaccine efficacy was tested as a factor moderating relative effects of comments on perception of public opinion distributions. Results from an experimental study (N = 271) showed that exposure to a greater number of comments in a thread expressing (un)favorable opinions on the flu vaccine led to (un)favorable attitude toward the flu vaccine through a change in perceived distribution of public opinions on the vaccination. The indirect effect of comments on attitude toward the flu vaccine through perceived public opinion distributions was greater among participants with lower levels of perceived vaccine efficacy, while the direct effect of comments on attitude was not significant.

[1]  Se-Hoon Jeong,et al.  Public's Responses to Aviation Accidents: The Role of Exemplification and Attributions , 2012 .

[2]  M. Sherif,et al.  The psychology of attitudes. , 1946, Psychological review.

[3]  Dolf Zillmann,et al.  Exemplification Effects in the Promotion of Safety and Health , 2006 .

[4]  S. Shyam Sundar,et al.  Impression-formation effects of printed news varying in descriptive precision and exemplifications. , 1992 .

[5]  Saleem Alhabash,et al.  A Tale of Four Platforms: Motivations and Uses of Facebook, Twitter, Instagram, and Snapchat Among College Students? , 2017 .

[6]  R. Buchanan,et al.  Assessment of vaccination-related information for consumers available on Facebook. , 2014, Health information and libraries journal.

[7]  Murdock,et al.  The serial position effect of free recall , 1962 .

[8]  N. Krämer,et al.  Monitoring the Opinion of the Crowd: Psychological Mechanisms Underlying Public Opinion Perceptions on Social Media , 2017 .

[9]  S. Asch Group forces in the modification and distortion of judgments. , 1952 .

[10]  William A. Gamson,et al.  Goffman's legacy to political sociology , 1985 .

[11]  R. Rimal,et al.  Perceived risk and efficacy beliefs as motivators of change: Use of the risk perception attitude (RPA) framework to understand health behaviors , 2003 .

[12]  Hans-Bernd Brosius,et al.  The Utility of Exemplars in Persuasive Communications , 1994 .

[13]  Hans-Bernd Brosius,et al.  Exemplification in communication: The influence of case reports on the perception of issues. , 2012 .

[14]  R. Rimal Perceived Risk and Self-Efficacy as Motivators: Understanding Individuals' Long-Term Use of Health Information. , 2001 .

[15]  Keiichi Kobayashi The Impact of Perceived Scientific and Social Consensus on Scientific Beliefs , 2018 .

[16]  N. Smith,et al.  Mapping the anti-vaccination movement on Facebook , 2017 .

[17]  S. Chaiken,et al.  Heuristic processing can bias systematic processing: effects of source credibility, argument ambiguity, and task importance on attitude judgment. , 1994, Journal of personality and social psychology.

[18]  K. Mandl,et al.  Mapping information exposure on social media to explain differences in HPV vaccine coverage in the United States. , 2017, Vaccine.

[19]  Daniel Kahneman,et al.  Availability: A heuristic for judging frequency and probability , 1973 .

[20]  Noah J. Goldstein,et al.  Social influence: compliance and conformity. , 2004, Annual review of psychology.

[21]  L. Ross,et al.  The “false consensus effect”: An egocentric bias in social perception and attribution processes , 1977 .

[22]  Robin L. Nabi Reasoning through emotion: An explication and test of a cognitive-functional model for the effects of discrete negative emotions on information processing, attitude change, and recall , 1999 .

[23]  Dolf Zillmann,et al.  Exemplification Theory: Judging the Whole by Some of Its Parts , 1999 .

[24]  Curtis P. Haugtvedt,et al.  Message Order Effects in Persuasion: An Attitude Strength Perspective , 1994 .

[25]  Hyun Jung Oh,et al.  Facebooking for health: An examination into the solicitation and effects of health-related social support on social networking sites , 2013, Comput. Hum. Behav..

[26]  Kar-Hai Chu,et al.  It's not all about autism: The emerging landscape of anti-vaccination sentiment on Facebook. , 2019, Vaccine.

[27]  Michelle Renee Nelson,et al.  Message order effects and gender differences in advertising persuasion , 2003, Journal of Advertising Research.

[28]  Nayla Fawzi,et al.  Can online exemplars trigger a spiral of silence? Examining the effects of exemplar opinions on perceptions of public opinion and speaking out , 2017, New Media Soc..

[29]  S. Chaiken The heuristic model of persuasion. , 1987 .

[30]  Heidi J Larson,et al.  Understanding vaccine hesitancy around vaccines and vaccination from a global perspective: a systematic review of published literature, 2007-2012. , 2014, Vaccine.

[31]  L. Shrum Processing strategy moderates the cultivation effect , 2001 .

[32]  E. Noelle-Neumann The Spiral of Silence A Theory of Public Opinion , 1974 .

[33]  M. Deutsch,et al.  A study of normative and informational social influences upon individual judgement. , 1955, Journal of abnormal psychology.

[34]  M. Eliasziw,et al.  Beliefs and behaviours: understanding chiropractors and immunization. , 2004, Vaccine.

[35]  A. Wakefield,et al.  Ileal-lymphoid-nodular hyperplasia, non-specific colitis, and pervasive developmental disorder in children. , 1998, Lancet.

[36]  L. Moulton,et al.  Parents' Source of Vaccine Information and Impact on Vaccine Attitudes, Beliefs, and Nonmedical Exemptions , 2012, Advances in preventive medicine.

[37]  S. Chaiken,et al.  Audience response as a heuristic cue in persuasion. , 1987, Journal of personality and social psychology.

[38]  Natalie Jomini Stroud,et al.  Exposure to Ideological News and Perceived Opinion Climate , 2014 .

[39]  Shelly Chaiken,et al.  The heuristic-systematic model in its broader context. , 1999 .

[40]  Kristopher J Preacher,et al.  Addressing Moderated Mediation Hypotheses: Theory, Methods, and Prescriptions , 2007, Multivariate behavioral research.

[41]  J. Cacioppo,et al.  Personal involvement as a determinant of argument based persuasion , 1981 .

[42]  Eun-Ju Lee,et al.  What Do Others’ Reactions to News on Internet Portal Sites Tell Us? Effects of Presentation Format and Readers’ Need for Cognition on Reality Perception , 2010, Commun. Res..

[43]  Dolf Zillmann,et al.  Exemplification Theory of Media Influence , 2002 .

[44]  Rui Shi,et al.  Effects of Online Comments on Smokers' Perception of Antismoking Public Service Announcements , 2014, J. Comput. Mediat. Commun..

[45]  E. Noelle-Neumann,et al.  Turbulences in the Climate of Opinion: Methodological Applications of the Spiral of Silence Theory , 1977 .

[46]  È. Dubé,et al.  Vaccine hesitancy, vaccine refusal and the anti-vaccine movement: influence, impact and implications , 2015, Expert review of vaccines.

[47]  Dolf Zillmann,et al.  Exaggerated Versus Representative Exemplification in News Reports , 1994 .

[48]  Timothy K. F. Fung,et al.  Understanding public opinion change of HPV vaccination controversy , 2018, Health Education.

[49]  Shelly Chaiken,et al.  Getting at the truth or getting along: Accuracy- versus impression-motivated heuristic and systematic processing. , 1996 .

[50]  A. Fauci,et al.  Measles in 2019 - Going Backward. , 2019, The New England journal of medicine.

[51]  Edgar Erdfelder,et al.  G*Power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences , 2007, Behavior research methods.

[52]  Bo Xie,et al.  Acceptability of the H1N1 Vaccine Among Older Adults: The Interplay of Message Framing and Perceived Vaccine Safety and Efficacy , 2012, Health communication.

[53]  A. Monto,et al.  Demographic and socioeconomic determinants of influenza vaccination disparities among university students , 2009, Journal of Epidemiology & Community Health.

[54]  Wura Jacobs,et al.  Health information seeking in the digital age: An analysis of health information seeking behavior among US adults , 2017 .

[55]  M. M. Ferree,et al.  Zeitgeist as an Empirical Phenomenon@@@The Spiral of Silence: Public Opinion--Our Social Skin. , 1985 .

[56]  È. Dubé,et al.  Vaccine hesitancy , 2013, Human vaccines & immunotherapeutics.

[57]  I. Ajzen The theory of planned behavior , 1991 .