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Political division during COVID-19 was 12 times more pronounced than in previous disease outbreaks regarding vaccine reluctance, according to an extensive new examination by Caitlin McMurtry, an assistant professor at the Brown School at Washington University in St. Louis.
Moreover, division was five times more significant concerning worries about infection, the research indicated.
The study, published in the American Journal of Public Health, evaluates nearly seventy years of archived survey data, tracing back to polio in 1954. It illustrates how partisanship influences risk perceptions, adherence to preventive measures, and vaccine acceptance during health emergencies.
“Our results show that political division during COVID-19 was approximately five times higher than in any other disease outbreak for which we possess public opinion data related to concerns about infection, and more than 12 times higher regarding vaccine reluctance,” McMurtry stated.
Elevated levels of division continue to persist, indicating that reversal may prove challenging.
“The division during COVID-19 was markedly more intense than in prior outbreaks, representing a distinct leap in polarization that cannot be accounted for by gradual partisan divergence over time,” she noted.

“The results highlight that political identity transcends policy preferences — it also influences how individuals perceive health threats and respond to safeguard themselves and their communities,” remarked McMurtry, an authority on health policy and politics. “Even when confronted with identical epidemiological data, individuals’ reactions frequently diverge along partisan lines. This has tangible implications for containing disease transmission and ensuring fair health outcomes.”
The study encompassed 170 surveys spanning 13 outbreaks over nearly seven decades. It revealed that even after accounting for increasing political separation over time, division surged during COVID-19 to unprecedented levels regarding concerns about contracting a disease and vaccine reluctance.
“Minimal levels of partisan discord are often seen during crises. However, the extent of polarization during and after COVID-19 has surpassed other disease outbreaks in modern American history, such as the anthrax terrorist incidents and the initial years of the HIV/AIDS epidemic,” she stated.
McMurtry discerned that polarization during COVID-19 was about 1.1 to 14.9 times more elevated than expected, assuming pre-pandemic trends remained unchanged.
“This suggests that previous methods to mitigate societal divisions may not be efficient,” McMurtry articulated in the paper. “Further investigation into strategies for unifying partisans is critically necessary.”
She highlighted the necessity of adapting public health strategies to navigate these rifts. “Public health communication must regard the political context,” she asserted. “Methods that bridge partisan divides, depoliticize disease outbreaks, and communicate effectively across diverse communities are essential for managing outbreaks successfully.”
By examining nearly seventy years of data, the extensive analysis provides an extraordinary perspective on how politics and public health have intersected over time.
“This research is not solely a historical examination — it provides actionable insights for present and future public health emergencies,” McMurtry remarked. “Comprehending how polarization influences responses can assist health officials in designing more inclusive and effective interventions that may ultimately save lives.”
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