Mistrust in public health institutions is a stronger predictor of vaccine hesitancy and uptake than Trust in Trump

Choi, Yong‐Jin; Fox, Ashley

doi:10.1016/j.socscimed.2022.115440

Cited by 29 publications

(19 citation statements)

References 66 publications

(85 reference statements)

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“…A large observational study by Bollyky et al showed that from 2020 to 2022, American states with a greater proportion of people expressing interpersonal trust were associated with lower rates of COVID‐19 infection and death, as well as higher rates of vaccination 22 . Other studies have found that trust in government, social trust, trust in physicians and mistrust of public health institutions and scientists are associated with vaccination intention and rates 23,24 . These findings are consistent with many of the expressions of trust and distrust made by our participants during the early pandemic.…”

Section: Discussionsupporting

confidence: 90%

“…22 Other studies have found that trust in government, social trust, trust in physicians and mistrust of public health institutions and scientists are associated with vaccination intention and rates. 23,24 These findings are consistent with many of the expressions of trust and distrust made by our participants during the early pandemic. Gavisha Waidyaratne, Eric Steinbrook, Shalini Roy, Annabella Opoku, Kaitlyn Jaffe and Susan Dorr Goold contributed to the analysis of the results and to the writing of the manuscript.…”

Section: Vulnerability and Risksupporting

confidence: 86%

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Trust and distrust in low‐income Michigan residents during the early COVID‐19 pandemic: A qualitative study

Waidyaratne

Steinbrook

Roy

et al. 2023

Health Expectations

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BackgroundTrust and distrust have shaped health behaviour during the COVID‐19 pandemic. Since the start of the pandemic, misinformation and polarization eroded trust across the United States. In states like Michigan, pandemic restrictions led to significant unrest. Michiganders also faced disproportionate morbidity and mortality from COVID‐19 during this period.ObjectiveThe objective of this qualitative study was to understand the individual experiences of trust in low‐income Michiganders during the early COVID‐19 pandemic.ParticipantsTwenty‐four participants at or below 200% of the federal poverty line who resided in Michigan were recruited for this study.ApproachInterviews were conducted during the winter of 2020 using a formal interview guide that addressed sources of information, perceptions of risk and exposure, protective behaviours and impacts of the pandemic at home, work and in receiving healthcare.ResultsThematic analysis showed that themes of trust and distrust emerged in multiple facets of our participants' experiences, including in the context of information sources, the behaviours of others, health, financial security, employment and overall safety. Trust and distrust in low‐income communities often stemmed from significant financial and economic vulnerabilities and instability in access to healthcare that was exacerbated in the pandemic. Furthermore, participant trust was shaped by internal (e.g., relationships with others) and external (e.g., source of information, social inequity) factors that influenced their perceptions and experiences during the pandemic.ConclusionTrust has played an important role in many aspects of the experiences of low‐income communities during the COVID‐19 pandemic. This is important for clinicians to consider as COVID‐19 becomes endemic, and trust continues to impact patients' approaches to vaccines, testing and treatment options.Patient or Public ContributionThis study was designed and conducted with the assistance and input of the members of the DECIDERS Steering Committee, a diverse statewide network of community members in Michigan. The DECIDERS team allows community members to have a voice in the design and conduct of health research, and collaborates with researchers to improve health across the state of Michigan.

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Section: Discussionsupporting

confidence: 90%

Section: Vulnerability and Risksupporting

confidence: 86%

Trust and distrust in low‐income Michigan residents during the early COVID‐19 pandemic: A qualitative study

Waidyaratne

Steinbrook

Roy

et al. 2023

Health Expectations

View full text Add to dashboard Cite

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“…Low trust in government is a consistent predictor of VH. [15] , [44] While media strategies targeted at reducing VH may not be effective, [43] it is reasonable to emphasize the importance of succinct, consistent, and honest governmental communication about vaccines particularly regarding safety and effectiveness. The role of social media is increasingly being recognized to have a major role in attitudes towards vaccination.…”

Section: Discussionmentioning

confidence: 99%

COVID-19 vaccine hesitancy prevalence in Mexico: A systematic review and metanalysis

Ramonfaur,

Limaye,

Hinojosa-González

et al. 2024

Vaccine: X

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“…A sentiment of trust, in its various forms—including trust in government, the healthcare system, and healthcare providers—has been identified as a significant factor contributing to vaccine hesitancy in the U.S. and worldwide [ 58 , 59 , 60 ]. The relationship between such sentiment and vaccine acceptance is similarly present among Black and African American individuals in the U.S., with an additional layer of complexity arising from a historical backdrop of unethical practices in the medical field and contemporary experiences of discrimination affecting this population’s sentiments of trust in the system and providers in charge of vaccination.…”

Section: Discussionmentioning

confidence: 99%

Determinants of Vaccine Hesitancy among African American and Black Individuals in the United States of America: A Systematic Literature Review

Savoia,

Masterson,

Olander

et al. 2024

Vaccines

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Despite the crucial role the COVID-19 vaccine played in curbing the pandemic, a significant portion of Black and African American individuals expressed hesitancy toward being vaccinated. This review aimed to identify the determinants of COVID-19 vaccine hesitancy among Black and African American individuals in the U.S. The literature search was conducted in December 2022 according to the PRISMA criteria focusing on empirical studies. Data extraction methods, critical appraisal, and secondary thematic analysis were conducted on both quantitative and qualitative studies. Sixteen quantitative studies identified the key factors associated with vaccine hesitancy, such as confidence in vaccine effectiveness, safety, and trust in the healthcare system. Fourteen qualitative studies revealed major themes of mistrust, fear, and information needs, including historical mistrust, concerns about the vaccine development process, and contemporary institutional mistrust. The synthesis of quantitative and qualitative findings derived from this review provides a nuanced understanding of the determinants of vaccine hesitancy in Black and African American communities in the U.S., offering a foundation for the development of evidence-based interventions. Mistrust in the healthcare system, fear, and informational gaps on vaccine safety and effectiveness were identified as significant barriers to vaccination, demanding targeted interventions.

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Mistrust in public health institutions is a stronger predictor of vaccine hesitancy and uptake than Trust in Trump

Cited by 29 publications

References 66 publications

Trust and distrust in low‐income Michigan residents during the early COVID‐19 pandemic: A qualitative study

Trust and distrust in low‐income Michigan residents during the early COVID‐19 pandemic: A qualitative study

COVID-19 vaccine hesitancy prevalence in Mexico: A systematic review and metanalysis

Determinants of Vaccine Hesitancy among African American and Black Individuals in the United States of America: A Systematic Literature Review

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