Emotional Susceptibility to Public Scrutiny and Vaccine Hesitancy: An Exploratory Experimental Analysis

Christine Alamaa & Alice Dominici

Italian Economic Journal2026https://doi.org/10.1007/s40797-026-00365-6article
ABDC B
Weight
0.50

Abstract

This paper explores the understudied link between self-consciousness and vaccine scepticism, combining an experimental approach with causal forests to estimate individual treatment effects. Leveraging data from a laboratory experiment with Italian university students, we find that individuals who are more easily induced to self-conscious responses (e.g., feeling shame or embarrassment) in response to public scrutiny tend to hold stronger vaccine misbeliefs. Rather than identifying a causal effect of self-consciousness elicitation on vaccine attitudes, our results highlight a correlation between pre-treatment attitudes and susceptibility to self-conscious emotions. This suggests that studying targeted public health communication may be crucial, as more sceptical individuals could avoid discussing with health professionals or develop self-conscious emotions as a result of these interactions, further exacerbating their vaccine hesitancy.

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https://doi.org/https://doi.org/10.1007/s40797-026-00365-6

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@article{christine2026,
  title        = {{Emotional Susceptibility to Public Scrutiny and Vaccine Hesitancy: An Exploratory Experimental Analysis}},
  author       = {Christine Alamaa & Alice Dominici},
  journal      = {Italian Economic Journal},
  year         = {2026},
  doi          = {https://doi.org/https://doi.org/10.1007/s40797-026-00365-6},
}

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Evidence weight

0.50

Balanced mode · F 0.40 / M 0.15 / V 0.05 / R 0.40

F · citation impact0.50 × 0.4 = 0.20
M · momentum0.50 × 0.15 = 0.07
V · venue signal0.50 × 0.05 = 0.03
R · text relevance †0.50 × 0.4 = 0.20

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