{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,30]],"date-time":"2026-10-30T03:06:05Z","timestamp":1793329565393,"version":"4.5.0"},"reference-count":56,"publisher":"SAGE Publications","issue":"7","license":[{"start":{"date-parts":[[2025,11,3]],"date-time":"2025-11-03T00:00:00Z","timestamp":1762128000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Health Psychol"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:p>Vaccine hesitancy (VH) among vaccinated individuals remains a relatively under investigated topic. This study contributes to fill this research gap by examining the social representations of COVID-19 vaccines among vaccinated Italian adults. Using a mixed-method approach, we analyzed data from 664 vaccinated Italian adults through hierarchical cluster analysis and similarity analysis. Results revealed distinct representational patterns between non-hesitant and slightly hesitant adopters despite their shared vaccination status. While safety emerged as a core element in both groups\u2019 representations, non-hesitant participants expressed a more positive affective-cognitive orientation anchored in scientific trust whilst slightly hesitant adopters exhibited persistent ambivalence, with emotional elements (particularly fear and anxiety) playing a prominent role. The findings challenged the assumption that VH reflects complete vaccine refusal and suggests the need for tailored public health communication strategies. The results indicate that interventions should consider VH levels and variability beyond the mere dichotomy hesitant-not hesitant. Recommendations are discussed.<\/jats:p>","DOI":"10.1177\/13591053251375321","type":"journal-article","created":{"date-parts":[[2025,11,4]],"date-time":"2025-11-04T04:49:47Z","timestamp":1762231787000},"page":"2872-2888","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Vaccine hesitancy is anything but homogeneous: The social representations of COVID-19 vaccines among not hesitant and slightly hesitant vaccinated adults"],"prefix":"10.1177","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4240-5076","authenticated-orcid":false,"given":"Alessia","family":"Rochira","sequence":"first","affiliation":[{"name":"University of Salento, Lecce, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8908-3284","authenticated-orcid":false,"given":"Roberto","family":"Fasanelli","sequence":"additional","affiliation":[{"name":"University of Naples Federico II, Napoli, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0749-183X","authenticated-orcid":false,"given":"Gabriele","family":"Prati","sequence":"additional","affiliation":[{"name":"University of Bologna, Cesena, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2149-6570","authenticated-orcid":false,"given":"Flora","family":"Gatti","sequence":"additional","affiliation":[{"name":"University of Naples Federico II, Napoli, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8127-6807","authenticated-orcid":false,"given":"Silvia","family":"Gattino","sequence":"additional","affiliation":[{"name":"University of Torino, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniela","family":"Marzana","sequence":"additional","affiliation":[{"name":"Universit\u00e0 Cattolica del Sacro Cuore, Milano, Italy"},{"name":"CERISVICO Research Centre on Community Development and Organisational Quality of Life, Brescia, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fortuna","family":"Procentese","sequence":"additional","affiliation":[{"name":"University of Naples Federico II, Napoli, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9367-7365","authenticated-orcid":false,"given":"Evelyn","family":"De Simone","sequence":"additional","affiliation":[{"name":"University of Salento, Lecce, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,11,3]]},"reference":[{"key":"e_1_3_3_2_1","unstructured":"Abric JC (1994) Social Practices and Representations. 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