Vaccine Incentives Harm Intrinsic Motivation: Evidence From a Priming Experiment

Monetary incentives for vaccination may undermine intrinsic motivation, but evidence on this effect remains scarce. We conducted an experiment among 513 vaccine-hesitant adults to test whether priming individuals with a monetary incentive reduces their willingness to vaccinate against COVID-19. Our findings show that one in seven were willing to vaccinate without an incentive but declined the vaccine when asked to consider a payment. Additionally, priming participants lowered their perceptions of vaccine safety by 9 pp and prosocial attitudes toward vaccination by 10 pp. These negative effects were concentrated among men, racial and ethnic minorities, and participants with lower preexisting trust in the vaccine. Our results highlight an unintended consequence of vaccine incentives.

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Publication Details

Journal
Health Economics
Published
2025-11-11
DOI
https://doi.org/10.1002/hec.70061
Primary Topic
Vaccine Coverage and Hesitancy
Type
article
Field-Weighted Citation Impact
0.00

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article

Vaccine Incentives Harm Intrinsic Motivation: Evidence From a Priming Experiment

James Huỳnh, Johnny Huynh, Corey Jacinto
Health Economics
Vaccine Coverage and Hesitancy
article

Vaccine Incentives Harm Intrinsic Motivation: Evidence From a Priming Experiment

James Huỳnh, Johnny Huynh, Corey Jacinto
article en

Abstract

Monetary incentives for vaccination may undermine intrinsic motivation, but evidence on this effect remains scarce. We conducted an experiment among 513 vaccine-hesitant adults to test whether priming individuals with a monetary incentive reduces their willingness to vaccinate against COVID-19. Our findings show that one in seven were willing to vaccinate without an incentive but declined the vaccine when asked to consider a payment. Additionally, priming participants lowered their perceptions of vaccine safety by 9 pp and prosocial attitudes toward vaccination by 10 pp. These negative effects were concentrated among men, racial and ethnic minorities, and participants with lower preexisting trust in the vaccine. Our results highlight an unintended consequence of vaccine incentives.

Health EconomicsVol. 35(2)
Dartmouth College (US), University of California, Los Angeles (US), University of Michigan (US), Michigan United (US)
National Science Foundation
Openalex Percentile: Top 58%
Vaccine Coverage and Hesitancy
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Vaccine Incentives Harm Intrinsic Motivation: Evidence From a Priming Experiment — James Huỳnh, Johnny Huynh, et al. · Health Economics (2025) | TGRS Research Map | TGRS