Understanding vaccine hesitancy through the lens of trust and the 3C model: evidence from Chinese General Social Survey 2021.

ABSTRACT:

Background

Trust is critical in managing infectious disease outbreaks, influencing both healthcare delivery and public compliance. While existing studies suggest trust reduces vaccine hesitancy (VH), the mechanisms remain unclear, particularly how different types of trust impact VH.

Methods

This study uses data from the 2021 Chinese General Social Survey (CGSS), analyzing responses from 7,907 individuals. VH was assessed via COVID-19 vaccination status. Four trust types-generalized, government, doctor, and internet trust-were examined using binary probit regression. Structural equation modeling analyzed the mediating role of psychological factors: self-confidence, complacency, and responsibility. Robustness checks employed alternative dependent variables and models.

Resul

SUBMITTER: Dong B 

PROVIDER: S-EPMC12521134 | biostudies-literature | 2025

REPOSITORIES: biostudies-literature