COVID-19 vaccination, risk-compensatory behaviours, and social contacts in four countries in the UK

This research has not been peer-reviewed. It is a preliminary report that should not be regarded as conclusive, guide clinical practice or health-related behaviour, or be reported in news media as established information.

The physiological effects of vaccination against SARS-CoV-2 (COVID-19) are well documented, yet the behavioural effects are largely unknown. Risk compensation suggests that gains in personal safety, as a result of vaccination, are offset by increases in risky behaviour, such as socialising, commuting and working outside the home. This is potentially problematic because transmission of SARS-CoV-2 is driven by contacts, which could be amplified by vaccine-related risk compensation behaviours. Here, we show that social behaviours were overall unrelated to personal vaccination, but - adjusting for variation in mitigation policies - were responsive to the level of vaccination in the wider population: individuals in the UK were risk compensating when rates of vaccination were rising. This effect was observed across four nations of the UK, each of which varied policies autonomously.

Author list

John Buckell, Joel Jones, Philippa C Matthews, Ian Diamond, Emma Rourke, Ruth Studley, Duncan Cook, Ann Sarah Walker, Koen B Pouwels, The COVID-19 Infection Survey Team

Novel Coronavirus SARS-CoV-2

10.1101/2021.11.15.21266255

MedRxiv