Content analysis and sentiment analysis of pro- and anti-vaccine conversations on YouTube in India: intentions and causes

PurposeVaccine hesitancy is a long-standing issue among both the general population and health communicators. This study aims to ascertain the inclination and the reasons for vaccine hesitancy by conducting content analysis and sentiment analysis of the perspectives expressed in comments on videos related to vaccine hesitancy uploaded from India on YouTube.Design/methodology/approachThe assessment of the sentiments of the vaccine-hesitant population is done using Valence Aware Dictionary and sEntiment Reasoner sentiment analysis module implemented with Python's NLTK library to automatically determine the sentiments of the comments. Manual content analysis was performed on 60.09% viewer comments randomly selected from the total comments in 238 videos on vaccine hesitancy originated from India and labelled each comment with labels "Anti", "Pro", "Confused", "Not Applicable" and "Unrelated" labels.FindingsThe study found "Mistrust-Government policies", "Fear-health related consequences", "Mistrust-Scientific research", "Vaccine effectiveness and efficacy" and "Misinformation/myths" as the top five determinants for vaccine hesitancy, whereas "Religious beliefs", "Fear-Economic consequences", "Side Effects- short-term" and "Fear-mode of administration" found to be the lesser cited reasons for vaccine hesitancy. However, the study also investigates changes in the inclination of Indian commenters towards vaccine hesitancy and revolving issues over time.Social implicationsPublic health policymakers and health communicators may find the study useful in determining vaccine hesitancy factors in India.Originality/valueThe originality of this study lies in its approach. To date, no sentiment analysis has been conducted on the content released on YouTube by Indian content creators regarding pro- and anti-vaccination videos. This inquiry seeks to fill this research gap.