COVID‐19 amplified the issue of public resistance to government vaccination programs. Little attention has focused on people's moral reasons for noncompliance, which differ from—but often build upon—the epistemic claims they make about vaccine safety and efficacy, disease severity, and the trustworthiness of government. This study explores the drivers of noncompliance with the COVID‐19 vaccination program in Western Australia, using in‐depth interviews with refusers. Distrust in the government and concerns about safety, efficacy, and necessity (rationality) drive noncompliance when vaccination is voluntary. When governments mandate vaccines, rationales expand to include cost–benefit analyses of consequences, consideration of available alternatives, and moral justifications, with policytakers expressing “morality policy reactance” toward mandates as morality (rather than regulatory) policies. Our theoretical framework of vaccine noncompliance drivers shows distrust, rationality, and morality as interrelated and supported by social motivation. We consider policy implications and suggest holistic measures.

中文翻译：

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不遵守疫苗强制令的驱动因素——不信任、理性、道德和社会动机之间的相互作用


COVID-19 放大了公众对政府疫苗接种计划的抵制问题。人们很少关注不遵守规定的道德原因，这些理由与他们对疫苗安全性和有效性、疾病严重程度和政府可信度的认识论主张不同，但往往建立在这种说法之上。本研究通过对拒绝者进行深入访谈，探讨了西澳大利亚州不遵守 COVID-19 疫苗接种计划的驱动因素。当疫苗接种是自愿的时，对政府的不信任和对安全性、有效性和必要性 （合理性） 的担忧导致了不合规行为。当政府强制要求接种疫苗时，基本原理扩展到包括后果的成本效益分析、对可用替代方案的考虑和道德理由，政策制定者对作为道德（而不是监管）政策的授权表示“道德政策反应”。我们的疫苗不依从性驱动因素理论框架表明，不信任、理性和道德是相互关联的，并得到社会动机的支持。我们考虑政策影响并提出整体措施。