Differential effects of honor ideology on flu vaccine uptake in the United States and Turkey

Flu vaccine uptake is an important public health behavior which contributes to decreased flu mortality and less severe flu symptoms. Despite its proven potential for protecting vulnerable populations, many individuals do not get the flu vaccine due to beliefs or perception that they are invulnerable...

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Main Authors: Stephen Foster, Pelin Gül
Format: Article
Language:English
Published: Elsevier 2025-01-01
Series:Current Research in Ecological and Social Psychology
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Online Access:http://www.sciencedirect.com/science/article/pii/S2666622725000061
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author Stephen Foster
Pelin Gül
author_facet Stephen Foster
Pelin Gül
author_sort Stephen Foster
collection DOAJ
description Flu vaccine uptake is an important public health behavior which contributes to decreased flu mortality and less severe flu symptoms. Despite its proven potential for protecting vulnerable populations, many individuals do not get the flu vaccine due to beliefs or perception that they are invulnerable to the flu. The current research explored whether this perception and its subsequent impact on decreased flu vaccine uptake, may be more prevalent in cultures of honor, where maintaining a reputation of strength and resilience is encouraged. The study also explored if these effects replicate across two different honor cultures (southern United States and Turkey). Results showed that individual-level honor endorsement was linked with perceived invulnerability to the flu in both the U.S. and Turkey but while this was linked to decreased vaccine uptake in the U.S., it was linked with increased uptake in Turkey (Studies 1 and 2). Finally, a regional comparison in the U.S. showed that higher flu mortality in a U.S. honor region was explained by lower rates of flu vaccine uptake in the region (Study 3). Findings suggest that while honor facilitates decreased vaccine uptake among Americans because they perceive themselves strong and invulnerable to flu, it could actually increase uptake in cultures where honor is expressed as protecting one's family.
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spelling doaj-art-2a7c85e410f9454185288bea1fa9e11c2025-08-20T02:37:10ZengElsevierCurrent Research in Ecological and Social Psychology2666-62272025-01-01810021910.1016/j.cresp.2025.100219Differential effects of honor ideology on flu vaccine uptake in the United States and TurkeyStephen Foster0Pelin Gül1Penn State York, USA; Corresponding author at: Penn State York, 1031 Edgecomb Avenue, York, PA, 17403, USA.University of Groningen, USAFlu vaccine uptake is an important public health behavior which contributes to decreased flu mortality and less severe flu symptoms. Despite its proven potential for protecting vulnerable populations, many individuals do not get the flu vaccine due to beliefs or perception that they are invulnerable to the flu. The current research explored whether this perception and its subsequent impact on decreased flu vaccine uptake, may be more prevalent in cultures of honor, where maintaining a reputation of strength and resilience is encouraged. The study also explored if these effects replicate across two different honor cultures (southern United States and Turkey). Results showed that individual-level honor endorsement was linked with perceived invulnerability to the flu in both the U.S. and Turkey but while this was linked to decreased vaccine uptake in the U.S., it was linked with increased uptake in Turkey (Studies 1 and 2). Finally, a regional comparison in the U.S. showed that higher flu mortality in a U.S. honor region was explained by lower rates of flu vaccine uptake in the region (Study 3). Findings suggest that while honor facilitates decreased vaccine uptake among Americans because they perceive themselves strong and invulnerable to flu, it could actually increase uptake in cultures where honor is expressed as protecting one's family.http://www.sciencedirect.com/science/article/pii/S2666622725000061Culture of honorFlu vaccine uptakeHealth psychologyCross-Cultu
spellingShingle Stephen Foster
Pelin Gül
Differential effects of honor ideology on flu vaccine uptake in the United States and Turkey
Current Research in Ecological and Social Psychology
Culture of honor
Flu vaccine uptake
Health psychology
Cross-Cultu
title Differential effects of honor ideology on flu vaccine uptake in the United States and Turkey
title_full Differential effects of honor ideology on flu vaccine uptake in the United States and Turkey
title_fullStr Differential effects of honor ideology on flu vaccine uptake in the United States and Turkey
title_full_unstemmed Differential effects of honor ideology on flu vaccine uptake in the United States and Turkey
title_short Differential effects of honor ideology on flu vaccine uptake in the United States and Turkey
title_sort differential effects of honor ideology on flu vaccine uptake in the united states and turkey
topic Culture of honor
Flu vaccine uptake
Health psychology
Cross-Cultu
url http://www.sciencedirect.com/science/article/pii/S2666622725000061
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AT pelingul differentialeffectsofhonorideologyonfluvaccineuptakeintheunitedstatesandturkey