The effectiveness of coercive measures in motivating vaccination: Evidence from China during the COVID-19 pandemic

Governments worldwide have implemented mandates, restrictions, and other coercive measures to secure adequate vaccine coverage, with the COVID-19 pandemic providing numerous examples. While the ethics and public reception of such measures are matters of heated discussion, their effectiveness in moti...

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Main Author: Yue Guan
Format: Article
Language:English
Published: Taylor & Francis Group 2025-12-01
Series:Global Public Health
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Online Access:https://www.tandfonline.com/doi/10.1080/17441692.2024.2445827
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author Yue Guan
author_facet Yue Guan
author_sort Yue Guan
collection DOAJ
description Governments worldwide have implemented mandates, restrictions, and other coercive measures to secure adequate vaccine coverage, with the COVID-19 pandemic providing numerous examples. While the ethics and public reception of such measures are matters of heated discussion, their effectiveness in motivating individuals to get vaccinated remains incompletely understood. This study addresses that gap by analyzing data from a 2022 nationwide online survey conducted in China. Respondents recruited through proportional quota sampling to reflect key demographic characteristics of the population were asked to specify their COVID-19 vaccination status and the reason behind their decision. Results reveal that while most respondents reported getting vaccinated voluntarily, 14.6% attributed their vaccination to the government’s coercive mobilisation efforts. Moreover, members of the ruling Chinese Communist Party, as well as individuals favouring Western vaccines unavailable in China, were more likely to cite coercive mobilisation as the reason for their vaccination. These findings suggest that coercive measures can motivate a substantial proportion of the population to get vaccinated, especially those closely connected to the political system and those with unmet vaccination preferences. Given the controversy surrounding such measures, this enhanced understanding of their effectiveness could help with formulating targeted policies to combat infectious diseases and safeguard public health.
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spelling doaj-art-2ab25603093146b8a1f0ab1687411f952025-01-07T18:09:57ZengTaylor & Francis GroupGlobal Public Health1744-16921744-17062025-12-0120110.1080/17441692.2024.2445827The effectiveness of coercive measures in motivating vaccination: Evidence from China during the COVID-19 pandemicYue Guan0Department of Global Studies, Aarhus University, Aarhus C, DenmarkGovernments worldwide have implemented mandates, restrictions, and other coercive measures to secure adequate vaccine coverage, with the COVID-19 pandemic providing numerous examples. While the ethics and public reception of such measures are matters of heated discussion, their effectiveness in motivating individuals to get vaccinated remains incompletely understood. This study addresses that gap by analyzing data from a 2022 nationwide online survey conducted in China. Respondents recruited through proportional quota sampling to reflect key demographic characteristics of the population were asked to specify their COVID-19 vaccination status and the reason behind their decision. Results reveal that while most respondents reported getting vaccinated voluntarily, 14.6% attributed their vaccination to the government’s coercive mobilisation efforts. Moreover, members of the ruling Chinese Communist Party, as well as individuals favouring Western vaccines unavailable in China, were more likely to cite coercive mobilisation as the reason for their vaccination. These findings suggest that coercive measures can motivate a substantial proportion of the population to get vaccinated, especially those closely connected to the political system and those with unmet vaccination preferences. Given the controversy surrounding such measures, this enhanced understanding of their effectiveness could help with formulating targeted policies to combat infectious diseases and safeguard public health.https://www.tandfonline.com/doi/10.1080/17441692.2024.2445827Coercive measuresvaccine mandatesCOVID-19mobilisationChinaSDG 3: Good heath and well-being
spellingShingle Yue Guan
The effectiveness of coercive measures in motivating vaccination: Evidence from China during the COVID-19 pandemic
Global Public Health
Coercive measures
vaccine mandates
COVID-19
mobilisation
China
SDG 3: Good heath and well-being
title The effectiveness of coercive measures in motivating vaccination: Evidence from China during the COVID-19 pandemic
title_full The effectiveness of coercive measures in motivating vaccination: Evidence from China during the COVID-19 pandemic
title_fullStr The effectiveness of coercive measures in motivating vaccination: Evidence from China during the COVID-19 pandemic
title_full_unstemmed The effectiveness of coercive measures in motivating vaccination: Evidence from China during the COVID-19 pandemic
title_short The effectiveness of coercive measures in motivating vaccination: Evidence from China during the COVID-19 pandemic
title_sort effectiveness of coercive measures in motivating vaccination evidence from china during the covid 19 pandemic
topic Coercive measures
vaccine mandates
COVID-19
mobilisation
China
SDG 3: Good heath and well-being
url https://www.tandfonline.com/doi/10.1080/17441692.2024.2445827
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