{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,20]],"date-time":"2026-08-20T15:29:14Z","timestamp":1787239754349,"version":"build-2736575974"},"update-to":[{"DOI":"10.1371\/journal.pcbi.1013586","type":"new_version","label":"New version","source":"publisher","updated":{"date-parts":[[2025,10,16]],"date-time":"2025-10-16T00:00:00Z","timestamp":1760572800000}}],"reference-count":85,"publisher":"Public Library of Science (PLoS)","issue":"10","license":[{"start":{"date-parts":[[2025,10,13]],"date-time":"2025-10-13T00:00:00Z","timestamp":1760313600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100004334","name":"Merck","doi-asserted-by":"publisher","award":["100861"],"award-info":[{"award-number":["100861"]}],"id":[{"id":"10.13039\/100004334","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100004826","name":"Natural Science Foundation of Beijing Municipality","doi-asserted-by":"publisher","award":["1244045"],"award-info":[{"award-number":["1244045"]}],"id":[{"id":"10.13039\/501100004826","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["www.ploscompbiol.org"],"crossmark-restriction":false},"short-container-title":["PLoS Comput Biol"],"abstract":"<jats:p>Declines in vaccination coverage for vaccine-preventable diseases, such as measles and chickenpox, have enabled their surprising comebacks and pose significant public health challenges in the wake of growing vaccine hesitancy. Vaccine opt-outs and refusals are often fueled by beliefs concerning perceptions of vaccine effectiveness and exaggerated risks. Here, we quantify the impact of competing beliefs \u2013 vaccine-averse versus vaccine-neutral \u2013 on social imitation dynamics of vaccination, alongside the epidemiological dynamics of disease transmission. These beliefs may be pre-existing and fixed, or coevolving attitudes. This interplay among beliefs, behaviors, and disease dynamics demonstrates that individuals are not perfectly rational; rather, they base their vaccine uptake decisions on beliefs, personal experiences, and social influences. We find that the presence of a small proportion of fixed vaccine-averse beliefs can significantly exacerbate the vaccination dilemma, making the tipping point in the hysteresis loop more sensitive to changes in individuals\u2019 perceived costs of vaccination and vaccine effectiveness. However, in scenarios where competing beliefs spread concurrently with vaccination behavior, their double-edged impact can lead to self-correction and alignment between vaccine beliefs and behaviors. The results show that coevolution of vaccine beliefs and behaviors makes populations more sensitive to abrupt changes in perceptions of vaccine cost and effectiveness compared to scenarios without beliefs. Our work provides valuable insights into harnessing the social contagion of even vaccine-neutral attitudes to overcome vaccine hesitancy.<\/jats:p>","DOI":"10.1371\/journal.pcbi.1013586","type":"journal-article","created":{"date-parts":[[2025,10,13]],"date-time":"2025-10-13T17:33:33Z","timestamp":1760376813000},"page":"e1013586","update-policy":"https:\/\/doi.org\/10.1371\/journal.pcbi.corrections_policy","source":"Crossref","is-referenced-by-count":2,"title":["Social imitation dynamics of vaccination driven by vaccine effectiveness and beliefs"],"prefix":"10.1371","volume":"21","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8252-1990","authenticated-orcid":true,"given":"Feng","family":"Fu","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ran","family":"Zhuo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xingru","family":"Chen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"340","published-online":{"date-parts":[[2025,10,13]]},"reference":[{"key":"pcbi.1013586.ref001","doi-asserted-by":"crossref","DOI":"10.1093\/oso\/9780198545996.001.0001","volume-title":"Infectious diseases of humans: Dynamics and control","author":"R Anderson","year":"1991"},{"key":"pcbi.1013586.ref002","doi-asserted-by":"crossref","first-page":"036104","DOI":"10.1103\/PhysRevE.65.036104","article-title":"Immunization of complex networks","volume":"65","author":"R Pastor-Satorras","year":"2002","journal-title":"Phys Rev E Stat Nonlin Soft Matter Phys."},{"key":"pcbi.1013586.ref003","volume-title":"China and the origins of immunology","author":"J Needham","year":"1980"},{"issue":"9","key":"pcbi.1013586.ref004","doi-asserted-by":"crossref","first-page":"201095","DOI":"10.1098\/rsos.201095","article-title":"Evolutionary game theory modelling to represent the behavioural dynamics of economic shutdowns and shield immunity in the COVID-19 pandemic","volume":"7","author":"KMA Kabir","year":"2020","journal-title":"R Soc Open Sci."},{"issue":"9","key":"pcbi.1013586.ref005","doi-asserted-by":"crossref","DOI":"10.1001\/jamanetworkopen.2021.26882","article-title":"Trajectory of COVID-19 vaccine hesitancy over time and association of initial vaccine hesitancy with subsequent vaccination","volume":"4","author":"AJ Siegler","year":"2021","journal-title":"JAMA Netw Open."},{"key":"pcbi.1013586.ref006","doi-asserted-by":"crossref","DOI":"10.2196\/58257","article-title":"Online media use and COVID-19 vaccination in real-world personal networks: Quantitative study","volume":"26","author":"I Oan\u0103","year":"2024","journal-title":"J Med Internet Res."},{"key":"pcbi.1013586.ref007","doi-asserted-by":"crossref","unstructured":"Wadman M, You J. 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