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Survey of U.S. adults links religious and political factors to mRNA vaccine attitudes

Survey of U.S. adults links religious and political factors to mRNA vaccine attitudes
Photo by Joseph Chan / Unsplash
Key Takeaway
Note: Survey links vaccine attitudes to religious/political factors; associations, not causation.

An observational survey study analyzed attitudes toward mRNA vaccines among 4939 U.S. adults from six religious groups (Black Protestant, Catholic, Evangelical Protestant, Jewish, Mainline Protestant, Muslim) and atheist, agnostic, or spiritual individuals. The study examined how religious affiliations, beliefs, practices, political orientation, and distrust in healthcare related to self-reported support for and concerns about mRNA vaccines, without a primary clinical outcome.

Regarding support, Evangelical Protestant participants showed significantly less support than other groups, while atheist participants were the most supportive. For concerns, Muslim participants had the highest concerns, and atheist participants had the lowest. The strongest predictors of greater support were more spiritual community support for community health, higher acceptance of evolution, more liberal political orientation, and less distrust toward the healthcare system. The strongest predictors of greater concerns were more distrust toward the healthcare system and more conservative political orientation.

No safety or tolerability data related to vaccine administration were reported, as this was a survey of attitudes. Key limitations include the observational, cross-sectional design, which precludes causal inference, and reliance on self-reported attitudes rather than clinical behaviors or outcomes. The findings describe associations between sociocultural factors and vaccine attitudes in a specific U.S. population at a point in time. The practice relevance is not explicitly reported, but the data may inform understanding of population-level sentiment drivers.

Study Details

Sample sizen = 4,939
EvidenceLevel 5
PublishedApr 2026
View Original Abstract ↓
Religion has contributed to societal divides regarding COVID-19 mRNA vaccines. In this study, we conducted a secondary analysis of a survey of U.S. adults (N=4939) focused on how religious affiliations, beliefs, and practices impact attitudes toward genetic and genomic activities, one of which was mRNA vaccines. The dataset included large samples of participants from six religious groups in the U.S. (Black Protestant, Catholic, Evangelical Protestant, Jewish, Mainline Protestant, and Muslim), as well as individuals who were atheist, agnostic, or spiritual. ANCOVA results indicated that Evangelical Protestant participants showed significantly less support for mRNA vaccines than other groups, while atheist participants were the most supportive. Muslim participants had the highest concerns, whereas atheist participants had the lowest. Regression analyses indicated the strongest predictors of support for mRNA vaccines were more spiritual community support for community health, followed by higher acceptance of evolution, more liberal political orientation, less distrust toward the healthcare system, higher frequency of attending religious activities, higher income, lower fundamentalist religious beliefs, and more spiritual community support for liberal reproductive and end of life views. The strongest predictors of concerns about mRNA vaccines were more distrust toward the healthcare system and more conservative political orientation, followed by less spiritual community support for community health, stronger beliefs about God in the body, more fundamentalist religious beliefs, and lower knowledge of genetics. The large sample size, and examination of a broad array of religious variables alongside distrust and political orientation offer new insights. These findings add to the literature on the culture wars surrounding mRNA vaccines, and can perhaps aid in future efforts to build trust and relationships between public health and religious communities.
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