Association between beliefs in medical conspiracy theories and health behaviors among medical and healthcare students. Implications for professional practice
Uscinski JE, Enders AM. Conspiracy theories: a primer. Lanham: Rowman & Littlefield; 2023.
van Prooijen J-W, Douglas KM. Conspiracy theories as part of history: the role of societal crises. Mem Stud. 2017;10(3):323–33.
Uscinski J, Enders A, Klofstad C, Seelig M, Drochon H, Premaratne K, et al. Have beliefs in conspiracy theories increased over time? PLoS ONE. 2022;17:e0270429.
Oliver JE, Wood T. Conspiracy theories and the paranoid style(s) of mass opinion. Am J Pol Sci. 2014;58(40):952–66.
Andrade G. Medical conspiracy theories: cognitive science and implications for ethics. Med Health Care Philos. 2020;23:505–18.
Lahrach Y, Furnham A. Are modern health worries associated with medical conspiracy theories? J Psychosom Res. 2017;99:89–94.
Marques MD, Douglas KM, Jolley D. Practical recommendations to communicate with patients about health-related conspiracy theories. Med J Aust. 2022;216:381–4.
Nattrass N. Promoting conspiracy theory: from AIDS to COVID-19. Glob Public Health. 2023;18:2172199.
Kalichman S, Denying AIDS. Conspiracy theories, pseudoscience and human tragedy. Copernicus; 2009.
Ross MW, Essien EJ, Torres I. Conspiracy beliefs about the origin of HIV/AIDS in four racial/ethnic groups. J Acquir Immune Defic Syndr. 2006;41:342–4.
Carstairs C. Debating Water Fluoridation before Dr. Strangelove. Am J Public Health. 2015;105:1559–69.
Blaskiewicz R. The Big Pharma conspiracy theory. Med Writ. 2013;22(4):259–61.
Wolfe RM, Sharp LK. Anti-vaccinationists past and present. BMJ. 2002;325:430–2.
Davidson M. Vaccination as a cause of autism-myths and controversies. Dialogues Clin Neurosci. 2017;19:403–7.
Chen L, Zhang Y, Young R, Wu X, Zhu G. Effects of Vaccine-related conspiracy theories on Chinese young adults’ perceptions of the HPV Vaccine: an experimental study. Health Commun. 2021;36:1343–53.
Karafillakis E, Simas C, Jarrett C, Verger P, Peretti-Watel P, Dib F, et al. HPV vaccination in a context of public mistrust and uncertainty: a systematic literature review of determinants of HPV vaccine hesitancy in Europe. Hum Vaccin Immunother. 2019;15:1615–27.
Andrade GE, Hussain A. Polio in Pakistan: political, sociological, and epidemiological factors. Cureus. 2018;10:e3502.
Hussain B, Latif A, Timmons S, Nkhoma K, Nellums LB. Overcoming COVID-19 vaccine hesitancy among ethnic minorities: a systematic review of UK studies. Vaccine. 2022;40:3413–32.
van Prooijen J-W, Douglas KM. Conspiracy theories as part of history: the role of societal crisis situations. Mem Stud. 2017;10:323–33.
Lee EWJ, Bao H, Wang Y, Lim YT. From pandemic to Plandemic: examining the amplification and attenuation of COVID-19 misinformation on social media. Soc Sci Med. 2023;328:115979.
Nera K, Mora YL, Klein P, Roblain A, Van Oost P, Terache J, et al. Looking for ties with Secret Agendas during the pandemic: Conspiracy Mentality is Associated with reduced Trust in Political, Medical, and Scientific Institutions – but not in Medical Personnel. Psychol Belg. 2022;62:193–207.
Shahsavari S, Holur P, Wang T, Tangherlini TR, Roychowdhury V. Conspiracy in the time of corona: automatic detection of emerging COVID-19 conspiracy theories in social media and the news. J Comput Soc Sci. 2020;3:279–317.
Kaadan MI, Abdulkarim J, Chaar M, Zayegh O, Keblawi MA. Determinants of COVID-19 vaccine acceptance in the arab world: a cross-sectional study. Glob Health Res Policy. 2021;6:23.
Oliver JE, Wood T. Medical conspiracy theories and health behaviors in the United States. JAMA Intern Med. 2014;174:817–8.
Depoux A, Martin S, Karafillakis E, Preet R, Wilder-Smith A, Larson H. The pandemic of social media panic travels faster than the COVID-19 outbreak. J Travel Med. 2020;27:taaa031.
The Lancet Infectious Diseases. The COVID-19 infodemic. Lancet Infect Dis. 2020;20:875.
Lasco G, Curato N. Medical populism. Soc Sci Med. 2019;221:1–8.
Buguzi S. Covid-19: counting the cost of denial in Tanzania. BMJ. 2021;373:n1052.
Coşkun Ö, Kıyak YS, Budakoğlu Iİ. How does evidence-based medicine training affect medical students’ views on traditional, complementary, and alternative medicine and the conspiracy theories about COVID-19: a nationwide study. Prim Health Care Res Dev. 2023;24:e65.
Kroke AM, Ruthig JC. Conspiracy beliefs and the impact on health behaviors. Appl Psychol Health Well Being. 2022;14:311–28.
Earnshaw VA, Eaton LA, Kalichman SC, Brousseau NM, Hill EC, Fox AB. COVID-19 conspiracy beliefs, health behaviors, and policy support. Translational Behav Med. 2020;10:850–6.
Grebe E, Nattrass N. AIDS conspiracy beliefs and unsafe sex in Cape Town. AIDS Behav. 2012;16:761–73.
Moore JP. The dangers of denying HIV. Nature. 2009;459:168–168.
Earnshaw VA, Bogart LM, Klompas M, Katz IT. Medical mistrust in the context of Ebola: implications for intended care-seeking and quarantine policy support in the United States. J Health Psychol. 2019;24:219–28.
Jabkowski P, Domaradzki J, Baranowski M, Exploring. COVID-19 conspiracy theories: education, religiosity, trust in scientists, and political orientation in 26 European countries. Sci Rep. 2023;13:18116.
van Prooijen J-W, Etienne TW, Kutiyski Y, Krouwel APM. Conspiracy beliefs prospectively predict health behavior and well-being during a pandemic. Psychol Med. 2023;53:2514–21.
Bierwiaczonek K, Kunst JR, Pich O. Belief in COVID-19 conspiracy theories reduces Social Distancing over Time. Appl Psychol Health Well Being. 2020;12:1270–85.
Juanchich M, Sirota M, Jolles D, Whiley LA. Are COVID-19 conspiracies a threat to public health? Psychological characteristics and health protective behaviours of believers. Eur J Soc Psychol. 2021;51:969–89.
Paytubi S, Benavente Y, Montoliu A, Binefa G, Brotons M, Ibáñez R, et al. Everything causes cancer? Beliefs and attitudes towards cancer prevention among anti-vaxxers, flat earthers, and reptilian conspiracists: online cross sectional survey. BMJ. 2022;379:e072561.
Soveri A, Karlsson LC, Antfolk J, Lindfelt M, Lewandowsky S. Unwillingness to engage in behaviors that protect against COVID-19: the role of conspiracy beliefs, trust, and endorsement of complementary and alternative medicine. BMC Public Health. 2021;21:684.
Walkowiak MP, Domaradzki J, Walkowiak D. Better Late Than Never: predictors of delayed COVID-19 vaccine uptake in Poland. Vaccines (Basel). 2022;10:528.
Hart J, Graether M. Something’s going on Here: psychological predictors of belief in conspiracy theories. J Individual Differences. 2018;39:229–37.
Uscinski J, Enders A, Diekman A, Funchion J, Klofstad C, Kuebler S, et al. The psychological and political correlates of conspiracy theory beliefs. Sci Rep. 2022;12:21672.
Cosgrove TJ, Murphy CP. Narcissistic susceptibility to conspiracy beliefs exaggerated by education, reduced by cognitive reflection. Front Psychol. 2023;14:1164725.
Prooijen JV. Psychological benefits of believing conspiracy theories. Curr Opin Psychol. 2022;47:101352.
Frenken M, Bilewicz M, Imhoff R. On the relation between religiosity and the endorsement of conspiracy theories: the role of political orientation. Political Psychol. 2023;44:139–56.
van Prooijen J-W, Krouwel APM, Pollet TV. Political extremism predicts belief in conspiracy theories. Social Psychol Personality Sci. 2015;6:570–8.
Imhoff R, Zimmer F, Klein O, António JHC, Babinska M, Bangerter A, et al. Conspiracy mentality and political orientation across 26 countries. Nat Hum Behav. 2022;6:392–403.
Zhai Y, Yan Z, Political Ideology. Ingroup Favoritism, and Conspiratorial thinking: Patriotism, Nationalism, and COVID-19 conspiracy theories. Psychol Rep. 2023;126:1784–802.
Douglas KM, Uscinski JE, Sutton RM, Cichocka A, Nefes T, Ang CS, et al. Underst Conspiracy Theor Political Psychol. 2019;40:3–35.
Douglas KM, Sutton RM, Callan MJ, Dawtry RJ, Harvey AJ. Someone is pulling the strings: hypersensitive agency detection and belief in conspiracy theories. Think Reason. 2016;22:57–77.
Roozenbeek J, Schneider CR, Dryhurst S, Kerr J, Freeman ALJ, Recchia G, et al. Susceptibility to misinformation about COVID-19 around the world. R Soc Open Sci. 2020;7:201199.
Swami V, Voracek M, Stieger S, Tran US, Furnham A. Analytic thinking reduces belief in conspiracy theories. Cognition. 2014;133:572–85.
van Prooijen J-W. Why Education predicts decreased belief in conspiracy theories. Appl Cogn Psychol. 2017;31:50–8.
Oberg E, Frank E. Physicians’ health practices strongly influence patient health practices. J R Coll Physicians Edinb. 2009;39:290–1.
Abdullah MY, Alshehri SA, Mahnashi HA, Alshahrani SS, Alkhaldi SS, Alshammari SM, et al. Role of primary care physician in health promotion and education. Int J Community Med Public Health. 2022;9:4705–9.
Abbasi J. COVID-19 conspiracies and Beyond: how Physicians Can Deal with patients’ misinformation. JAMA. 2021;325:208–10.
Allington D, Duffy B, Wessely S, Dhavan N, Rubin J. Health-protective behaviour, social media usage and conspiracy belief during the COVID-19 public health emergency. Psychol Med. 2021;51:1763–9.
Quinn EK, Fazel SS, Peters CE. The Instagram Infodemic: Cobranding of Conspiracy theories, coronavirus Disease 2019 and Authority-Questioning beliefs. Cyberpsychol Behav Soc Netw. 2021;24:573–7.
Stecula DA, Pickup M. Social Media, cognitive reflection, and conspiracy beliefs. Front Polit Sci. 2021;3.
Xiao X, Borah P, Su Y. The dangers of blind trust: examining the interplay among social media news use, misinformation identification, and news trust on conspiracy beliefs. Public Underst Sci. 2021;30:977–92.
Rodrigues F, Newell R, Babu GR, Chatterjee T, Sandhu NK, Gupta L. The social media infodemic of health-related misinformation and technical solutions. Health Policy Techn. 2024;13(2):100846.
Oyeyemi SO, Fagbemi S, Busari II, Wynn R, Belief. COVID-19 conspiracy theories, level of Trust in Government Information, and willingness to take COVID-19 vaccines among Health Care workers in Nigeria: Survey Study. JMIR Form Res. 2023;7:e41925.
Malaeb D, Sallam M, Salim NA, Dabbous M, Younes S, Nasrallah Y, et al. Knowledge, attitude and Conspiracy Beliefs of Healthcare Workers in Lebanon towards Monkeypox. Trop Med Infect Dis. 2023;8:81.
Jankowska-Polańska B, Sarzyńska K, Czwojdziński E, Świątoniowska-Lonc N, Dudek K, Piwowar A. Attitude of Health Care workers and Medical Students towards Vaccination against COVID-19. Vaccines (Basel). 2022;10:535.
Jastrzẹbska A, Saden G, Knysz B, Pondel M, Siennicka A. The relationship between knowledge about the pandemic and willingness to get vaccinated against SARS-CoV-2 in medical students in Poland: a cross-sectional survey. Front Public Health. 2022;10:914462.
Eurostat, Brancato G, Macchia S, Murgia M, Signore M, Simeoni G, Blanke K, Körner T, Nimmergut A, Lima P, Paulino R, Hoffmeyer-Zlotnik JHP. The Handbook of Recommended Practices for Questionnaire Development and Testing in the European Statistical System. https://www.istat.it/it/files/2013/12/Handbook_questionnaire_development_2006.pdf; 2005. Accessed 3 March 2024.
Fountoulakis KN. Should denialism of mental illness and its treatment be included among conspiracy theories? Eur Arch Psychiatry Clin Neurosci. 2021;271:591–3.
Sawicka-Gutaj N, Gruszczyński D, Guzik P, Mostowska A, Walkowiak J. Publication ethics of human studies in the light of the declaration of Helsinki – a mini-review. J Med Sci. 2022;91:e700–700.
R Core Team. (2023) R A Language and Environment for Statistial Computing. R Foundation for Statistical Computing, Vienna, Austria. – References – Scientific Research Publishing. https://www.scirp.org/reference/referencespapers?referenceid=3586105. Accessed 22 Aug 2024.
Midi H, Sarkar SK, Rana S. Collinearity diagnostics of binary logistic regression model. J Interdisciplinary Math. 2010;13:253–67.
Paterson P, Meurice F, Stanberry LR, Glismann S, Rosenthal SL, Larson HJ. Vaccine hesitancy and healthcare providers. Vaccine. 2016;34:6700–6.
Lamberty P, Imhoff R. Powerful Pharma and its Marginalized Alternatives? Social Psychol. 2018;49:255–70.
Weigmann K. The genesis of a conspiracy theory. EMBO Rep. 2018;19:e45935.
Gautier S, Luyt D, Davido B, Herr M, Cardot T, Rousseau A, et al. Cross-sectional study on COVID-19 vaccine hesitancy and determinants in healthcare students: interdisciplinary trainings on vaccination are needed. BMC Med Educ. 2022;22:299.
Berg TT, Wicker S. Knowledge, attitude and behavior towards vaccinations among nursing- and health care students in Hesse. An observational study. GMS J Med Educ. 2021;38:Doc115.
Petersen J, Mülder LM, Kegel P, Röthke N, Wiegand HF, Lieb K, et al. Impfbereitschaft Von Krankenhauspersonal in Deutschland: Welche Rolle Spielen Verschwörungsannahmen zu COVID-19? Bundesgesundheitsbl. 2022;65:1178–87.
Galliford N, Furnham A. Individual difference factors and beliefs in medical and political conspiracy theories. Scand J Psychol. 2017;58:422–8.
Furman FM, Zgliczyński WS, Jankowski M, Baran T, Szumowski Ł, Pinkas J. The state of Vaccine confidence in Poland: a 2019 Nationwide Cross-sectional Survey. Int J Environ Res Public Health. 2020;17:4565.
Gala D, Parrill A, Patel K, Rafi I, Nader G, Zhao R, et al. Factors impacting COVID-19 vaccination intention among medical students. Hum Vaccin Immunother. 2022;18:2025733.
Lucia VC, Kelekar A, Afonso NM. COVID-19 vaccine hesitancy among medical students. J Public Health (Oxf). 2021;43:445–9.
Blancke S, Smedt JD. 19. Evolved to be Irrational? Evolutionary and cognitive foundations of Pseudosciences. In: Pigliucci M, Boudry M, editors. Philosophy of pseudoscience: reconsidering the demarcation problem. University of Chicago Press; 2013. pp. 361–80.
Dubé E, Laberge C, Guay M, Bramadat P, Roy R, Bettinger J. Vaccine hesitancy: an overview. Hum Vaccin Immunother. 2013;9:1763–73.
Larson HJ, Jarrett C, Eckersberger E, Smith DMD, Paterson P. Understanding vaccine hesitancy around vaccines and vaccination from a global perspective: a systematic review of published literature, 2007–2012. Vaccine. 2014;32:2150–9.
Enders AM, Uscinski J, Klofstad C, Stoler J. On the relationship between conspiracy theory beliefs, misinformation, and vaccine hesitancy. PLoS ONE. 2022;17:e0276082.
Assenheimer D, Knox K, Nadarajah VD, Zimitat C. Medical students’ epistemological beliefs: implications for curriculum. Educ Health (Abingdon). 2016;29:107–12.
Coulehan J, Williams PC. Vanquishing virtue: the impact of medical education. Acad Med. 2001;76:598–605.
