Media habits tied to MMR vaccine hesitancy in US adults
Where Americans get their news may play a significant role in shaping their attitudes toward the measles, mumps, and rubella (MMR) vaccine, according to a national study published in Vaccine.In the cross-sectional survey of nearly 3,000 US adults led by researchers at Johns Hopkins University, 17% of respondents said they believe the risks of the MMR vaccine outweigh its benefits, indicating vaccine hesitancy.
The survey, conducted in August 2025, comes as measles cases have resurged across the country, with more than 2,000 infections reported by the end of 2025.
That’s the highest number of annual cases since measles was
declared eliminated in the United States in 2000.
Embrace of MAHA movement tied to hesitancy
Most respondents reported engaging with a wide range of news
sources across multiple mediums, including social media platforms, but notable
differences emerged between hesitant and non-hesitant people. Adults who were
hesitant about MMR vaccination were more likely to consume content from
right-leaning “new” media outlets and to rely on non-authoritative health
information sources.
For example, engagement with right-leaning outlets such as
Breitbart was associated with roughly double the odds of MMR hesitancy
(adjusted odds ratio [aOR], 2.08). In contrast, consumption of more-mainstream
outlets and platforms, including YouTube, Facebook, X (formerly Twitter),
podcasts, and Fox News, was generally not linked with increased hesitancy.
People who reported turning to alternative health
practitioners, social media influencers, or alternative health newsletters had
significantly higher odds of vaccine skepticism. Those relying on alternative
health providers had up to 71% higher odds of vaccine hesitancy (aOR, 1.71),
and those who often got information from social media health influencers had
41% higher odds of hesitancy (aOR, 1.41).
Conversely, seeking information from physicians or
professional medical organizations was linked to lower odds of vaccine
reluctance. Adults who reported relying on physicians “sometimes or often” for
information had substantially reduced odds (aOR, 0.32).
“These findings build on prior studies that have highlighted
the connection between right-leaning media and vaccine hesitancy in two
critical ways; first, we reinforce findings that ‘mainstream’ media consumption
was not generally associated with vaccine hesitancy, and extend this finding
beyond media outlets to include more mainstream social media platforms and
digital news services,” write the authors.
“And second, we more narrowly identify the subset of ‘new’
right media sources as having associations with MMR hesitancy,” they added.
“More generally, our findings suggest that when everyone is already engaging
online, where and how they choose to do so
matters.”
In the survey, vaccine-hesitant adults also tended to be
younger (62% were under age 44) and were more likely to be parents (40% had a
child) than their non-hesitant peers. They were also more likely to be racial
minorities, have lower education and income levels, express more conservative
political beliefs, and identify with the Make America Health Again (MAHA)
movement.
Unclear whether media habits drive or reflect skepticism
The data show a clear divide between hesitant and
non-hesitant adults in terms of their information ecosystems. "Our work
reveals a strong association between people's specific media habits and their
attitudes toward vaccination," senior author Lauren Gardner, PhD, director
of Johns Hopkins' Center for Systems Science and Engineering, said in a news release.
What remains unclear is whether people’s media consumption
habits drive hesitancy or result from it. The authors call for more research to
investigate the relationship between media habits and vaccine reluctance.
“Are hesitant adults actively seeking out non-authoritative
sources, or are susceptible groups disproportionately being digitally targeted
by these sources? Or are non-hesitant adults simply better able to filter out
non-authoritative information? Or is the relationship bi-directional, creating
a feedback loop in any of the scenarios?” write the authors.
While MMR hesitancy remains a minority view, the authors
suggest that strengthening trust in clinicians could help offset the impact of
different media narratives.
"With public health becoming increasingly polarized,
it's critical to understand people's attitudes about vaccines, and this work
suggests people's media preferences play an outsized role in influencing those
attitudes," lead author Amelia Jamison, PhD, a health communications
researcher at Johns Hopkins, said in the release.
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