Challenges for public-service delivery: the case of Covid-19 vaccine hesitancy

Abstract

The aim of this paper is to identify the most vaccine-hesitant groups in a contemporary democratic state, Sweden. We rely on two representative surveys that were conducted in 2020 and that asked Swedish citizens how likely they were to accept immunization with a Covid-19 vaccine if one were offered to them. Using clustering methods, we find a wide variety of vaccine-hesitant groups, with the highest levels of vaccine hesitancy among individuals who combine low personal health risks with political orientations and ideological convictions that are associated with antivaccinationist attitudes. The paper's findings have important implications for public-health policy and, more broadly, for theories of how governments can convince individual citizens to play their part in achieving important social goals.