“…Although the pattern of the effectiveness of fear appeals regarding vaccination intentions is complicated across the reviewed studies, a difference is discernable in the reviewed studies between individualist and collectivist cultures. Most studies conducted in an individualist culture show that fear appeals often had no effect on Americans’ vaccination intentions [ 15 , 16 , 17 , 18 , 23 , 24 , 30 , 33 , 36 , 38 , 45 , 48 , 51 , 53 , 58 , 59 ], although a few found that fear appeals occasionally improve [ 10 , 49 , 62 ] or harm Americans’ vaccination intentions [ 56 ]. In contrast, studies conducted in a collectivist culture show that fear appeals primarily increase Chinese vaccination intentions [ 19 , 27 , 28 , 42 , 44 , 50 , 57 ], although occasionally, fear appeals decrease Chinese vaccination intentions [ 29 , 41 , 46 ].…”