{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,4]],"date-time":"2026-07-04T20:28:57Z","timestamp":1783196937759,"version":"3.54.6"},"reference-count":35,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2026,2,8]],"date-time":"2026-02-08T00:00:00Z","timestamp":1770508800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/100000001","name":"national science foundation","doi-asserted-by":"publisher","award":["2021727"],"award-info":[{"award-number":["2021727"]}],"id":[{"id":"10.13039\/100000001","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100006221","name":"united states - israel binational science foundation","doi-asserted-by":"publisher","award":["2411613"],"award-info":[{"award-number":["2411613"]}],"id":[{"id":"10.13039\/100006221","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Med Decis Making"],"published-print":{"date-parts":[[2026,5]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>This research investigates how individuals\u2019 perceived motivations for receiving the COVID-19 vaccine\u2014specifically, feeling pressured versus vaccinating voluntarily\u2014relate to future health-protective behaviors and perceived risk of the vaccine and the virus.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      In 2 studies, with a total of\n                      <jats:italic toggle=\"yes\">N<\/jats:italic>\n                      \u2009=\u20091,252 respondents, participants self-reported their past vaccination motivation and completed measures assessing willingness to receive future vaccines, engage in general health-protective behaviors, and perceived risks associated with the virus and the vaccine.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Findings consistently show that individuals who felt pressured to vaccinate are positioned between unvaccinated individuals and those who vaccinated voluntarily in their perceptions and intentions. Compared with voluntary vaccinators, they reported lower willingness to receive future vaccines and engage in protective behaviors and greater perceived vaccine risk. However, their willingness to engage in these behaviors was still greater than that of unvaccinated individuals.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Limitations<\/jats:title>\n                    <jats:p>The studies are mainly cross-sectional and do not track the same individuals over time.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Perceived motivation for past vaccination significantly predicts vaccinated individuals\u2019 attitudes and future intentions related to health behaviors, even unrelated to COVID-19.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Implications<\/jats:title>\n                    <jats:p>Treating all vaccinated individuals as a uniform group can be overly simplistic. Public health messaging and interventions may be more effective when considering individuals\u2019 vaccination motivation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Highlights<\/jats:title>\n                    <jats:list list-type=\"bullet\">\n                      <jats:list-item>\n                        <jats:p>Treating all vaccinated individuals the same can be simplistic.<\/jats:p>\n                      <\/jats:list-item>\n                      <jats:list-item>\n                        <jats:p>The perception of the vaccine and virus risks differ depending on whether vaccination felt voluntary or coerced.<\/jats:p>\n                      <\/jats:list-item>\n                      <jats:list-item>\n                        <jats:p>Different motivations behind vaccination can shape future medical decisions beyond the pandemic.<\/jats:p>\n                      <\/jats:list-item>\n                    <\/jats:list>\n                  <\/jats:sec>","DOI":"10.1177\/0272989x251408848","type":"journal-article","created":{"date-parts":[[2026,2,9]],"date-time":"2026-02-09T05:12:50Z","timestamp":1770613970000},"page":"421-431","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Pressured or Voluntary? 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