Trust in government and compliance to COVID-19 vaccination policy
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ABSTRACT:
SUBMITTER: Chung R
PROVIDER: S-EPMC9444179 | biostudies-literature | 2022 Sep
REPOSITORIES: biostudies-literature
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Project description:BackgroundThe launch of COVID-19 vaccines among students provides an opportunity to re-open schools safely. Nonetheless, under the voluntary vaccination policy, the lack of trust in government since the unprecedented massive social unrest in Hong Kong may hinder the vaccination progress. This study aims to assess the impact of trust in government regarding pandemic management on the willingness, uptake, and intention of COVID-19 vaccination among students in Hong Kong.MethodsBased on maximum variation sampling of 12 secondary schools of diverse socioeconomic background, 1,020 students aged 14-16 years completed an online survey between September and October 2021.Results59.2% of the sample received at least one dose of the COVID-19 vaccine, 25.2% showed willingness of vaccination, 44.7% of the unvaccinated intended to receive the vaccine, whereas 13.4% were trustful to the government regarding pandemic management. Results from multivariable logistic regressions showed independent associations of trust with greater vaccination uptake [aOR = 1.63 (95% CI = 1.06-2.52), compared to distrust], willingness [aOR = 12.40 (7.72-19.93)], and intention [aOR = 4.49 (2.06-9.75)]. However, the impact of trust on vaccine uptake reversed [aOR = 0.53 (0.32-0.87)] after additional adjustment for the willingness of vaccination.ConclusionStudents with higher trust in government regarding pandemic management tended to have greater vaccination willingness and hence uptake; nonetheless, given the same level of willingness, distrust might have facilitated a faster adoption of vaccination as a self-initiated protective behavior. As the level of trust is generally low among secondary school students in Hong Kong, rebuilding trust during adolescence is of importance for better preparedness of the next pandemic.
| S-EPMC9843607 | biostudies-literature
Project description:The COVID -19 pandemic represents a global health crisis, so adherence to government guidelines and public health advice is critical in reducing transmission rates. Despite this, it has been reported that a minority of people do not comply with the governmental guidelines. When considering the reasons why some people do not comply with preventive measures, previous studies have shown that beliefs in COVID-19 conspiracy theories negatively predict responsible pandemic-related behaviour. This, in turn, could seriously undermine success in combating the pandemic. Our aim was, therefore, to further investigate the relationship between conspiracy beliefs and adherence to official COVID-19 medical guidelines by including mediating roles of beliefs in pseudoscientific information and trust in government officials. A total of 1882 adults from Croatia provided sociodemographic information and completed several scales related to COVID-19 conspiracy beliefs, beliefs in pseudoscientific information, trust in government officials, and adherence to official COVID-19 guidelines. A multiple mediation analysis revealed a direct negative effect of COVID-19 conspiracy beliefs on compliance with the preventive measures. In addition, conspiracy beliefs were indirectly related to compliance via trust in government officials. The present study builds upon emerging research showing that conspiracy beliefs may have significant social consequences and pose a potential risk to public health. Practical implications of these findings are discussed further.Supplementary informationThe online version contains supplementary material available at 10.1007/s12144-021-01898-y.
| S-EPMC8153526 | biostudies-literature
Project description:ObjectiveWe consider how trust in government, trust in physicians, and interpersonal trust affect the likelihood of COVID-19 vaccine uptake.MethodsA survey of 3057 registered South Dakota voters was fielded in April 2021 that measured COVID-19 vaccine uptake, three aspects of trust, and several other factors related to vaccine hesitancy. Logistic regression was utilized to analyze the responses.ResultsWe found positive, statistically significant, and substantively impactful effects for trust in government and trust in physicians on the likelihood of COVID-19 vaccine uptake, and null results for interpersonal trust.ConclusionsOur findings provide a more nuanced understanding of the relationship between trust and COVID-19 vaccine uptake, and suggest that public health official as well as physicians should strive to increase the public's trust in the medical community.
| S-EPMC9115527 | biostudies-literature
Project description:RationaleVaccination willingness is a critical step in the effort to reach herd immunity and control the COVID-19 pandemic. Nevertheless, many people remain reluctant to be vaccinated.ObjectiveIntegrating the literature on Self-Determination Theory, trust in authorities, and conspiracy theories, this research examines (a) the direct and indirect effect of government trust and conspiracism via underlying forms of motivations for (not) getting vaccinated against COVID-19 and (b) whether these associations differ across the two largely politically independent Belgian linguistic groups.MethodsUsing Structural Equation Modeling, we tested our models in two independent samples, in February 2021 (T1) and April 2021 (T2) (Total N = 8264).ResultsAt T1 and T2, Government trust and conspiracism both predict COVID-19 vaccination intention, respectively positively and negatively. These relations are fully mediated by motivational factors, with identified motivations having a larger positive contribution. Looking at linguistic context, differences emerge at T2, with French-speaking Belgians showing lower levels of government trust and higher levels of conspiracism than Dutch speakers.ConclusionsResults highlight the importance of integrating distal (trust in government, conspiracism) and proximal (motivational) variables to understand vaccination intentions.
| S-EPMC8928706 | biostudies-literature
Project description:ObjectiveTo assess whether lack of trust in the government and scientists reinforces social and racial inequalities in vaccination practices.DesignA follow-up of the EpiCov random population-based cohort survey.SettingIn July 2021, in France.ParticipantsEighty-thousand nine hundred and seventy-one participants aged 18 years and more.Main outcome measuresAdjusted odds ratios of COVID-19 vaccination status (received at least one dose/ intends to get vaccinated/ does not know whether to get vaccinated/refuses vaccination) were assessed using multinomial regressions to test associations with social and trust factors and to study how these two factors interacted with each other.ResultsIn all, 72.2% were vaccinated at the time of the survey. The population of unvaccinated people was younger, less educated, had lower incomes, and more often belonged to racially minoritized groups, as compared to vaccinated people. Lack of trust in the government and scientists to curb the spread of the epidemic were the factors most associated with refusing to be vaccinated: OR = 8.86 (7.13 to 11.00) for the government and OR = 9.07 (7.71 to 10.07) for scientists, compared to vaccinated people. Lack of trust was more prevalent among the poorest which consequently reinforced social inequalities in vaccination. The poorest 10% who did not trust the government reached an OR of 16.2 (11.9 to 22.0) for refusing to be vaccinated compared to the richest 10% who did.ConclusionThere is a need to develop depoliticised outreach programmes targeted at the most socially disadvantaged groups, and to design vaccination strategies conceived with people from different social and racial backgrounds to enable them to make fully informed choices.
| S-EPMC9346080 | biostudies-literature
Project description:The paper investigates the causal relationship between the trust in institutions and compliance with measures introduced to slow down the spread of the novel coronavirus COVID-19 in Slovakia. In addition, the impact of socio-economic characteristics on compliance with introduced measures was analysed. Data were obtained from a survey carried out by the Slovak Academy of Sciences on a representative sample of the Slovak population of 1,000 respondents. To derive the causal relationship between institutional trust and compliance behaviour, a probit regression model was used. Findings suggest that trust in public institutions helps to increase compliance with social distancing. In addition, some socio-economic characteristics such as employment status, age or whether individuals felt endangered by COVID-19 had a positive and statistically significant effect on compliance with measures used to slow the spread of the COVID-19 virus. Institutional trust did not have a statistically significant effect on compliance with face-covering measures. Supplementary Information The online version contains supplementary material available at 10.1007/s11294-021-09818-3.
| S-EPMC8072078 | biostudies-literature
Project description:The COVID-19 pandemic has brought forward myriad challenges to public policy, central of which is understanding the different contextual factors that can influence the effectiveness of policy responses across different systems. In this article, we explore how trust in government can influence the ability of COVID-19 policy responses to curb excess mortality during the pandemic. Our findings indicate that stringent policy responses play a central role in curbing excess mortality. They also indicate that such relationship is not only influenced by systematic and structural factors, but also by citizens' trust in government. We leverage our findings to propose a set of recommendations for policymakers on how to enhance crisis policymaking and strengthen the designs of the widely used underlying policy learning processes.
| S-EPMC8977432 | biostudies-literature
Project description:This study examined the role of trust in lay people's health behaviors related to the current pandemic. A total of 376 Israelis completed an online questionnaire during the second lockdown. A latent profile analysis was conducted to identify profiles of individuals based on their levels of trust in the various institutions and stakeholders examined in this study. A three-profile solution was deemed most appropriate. The largest profile (N = 178) was characterized by low levels of trust in the government, but high levels of trust in science and one's primary care provider. Next, was the generally low trust profile (N = 108), characterized by low levels of trust directed towards all stakeholders and institutes. The third profile (N = 79) was characterized by high levels of trust. Results are discussed in relation to the important role of trust in determining people's response to the current pandemic and the unique features of Israeli society.
| S-EPMC7967340 | biostudies-literature
Project description:In the first wave of the pandemic, places where geographic mobility declined more rapidly saw fewer cases of COVID-19. And yet, there is significant variation in people's compliance with the lockdown measures introduced by governments in order to curb the spread of the virus. In this paper, we show that much of this variation can be explained by different cultural traits. Specifically, we advance the hypothesis that individualism, which puts greater value on personal freedom, makes government intervention harder, whereas collectivism, which emphasises the wellbeing of the group, makes collective action easier. We find support for these ideas across 111 countries, but also when exploiting within country variation in the two largest economies in the world: China and the United States. Across a host of specifications, people were less abiding by the lockdown rules in places with greater prevalence of individualistic cultural traits. We conclude that cultural factors play a critical role in successful policy implementation.
| S-EPMC8452375 | biostudies-literature
Project description:ObjectiveAs a heavily populated megacity, Shanghai faces major epidemic risks. However, Shanghai's control of COVID-19 has been successful owing to both the strict government policy and wide community participation. Here, we investigated the impact of these stakeholders and examined who played a major role across different epidemic stages.DesignWe extended the classic susceptible-exposed-infectious-recovered (SEIR) model considering the heterogeneous contact structure in four social sceneries, i.e., school, workplace, public entertainment venues, and neighborhood community, which could reflect the impact of lockdown policy and wide participation of residents happened at the community level.ResultThe simulation results showed that without lockdown policy and only with community participation, the daily new confirmed cases would gradually increase to more than 7,000 [292/1,000,000] at the end of Sep. However, without community participation and only with a lockdown policy, the daily new confirmed cases sharply decreased to 30 [1.2/1,000,000] at the end of the 1st month and remained low for several months. However, when a lockdown policy was gradually lifted, the new confirmed cases increased exponentially, eventually reaching more than 17,000 [708/1,000,000]. Therefore, a government lockdown policy was necessary for the rapid control of COVID-19 during the outbreak stage while community participation is more important in keeping the number of new confirmed cases low during the reopening stage.ConclusionGovernment lockdown policy and community participation play different roles in the control of COVID-19 at different stages of the epidemic: although the government played a leading role in setting up policies, the broader participation of community fever clinics (CFCs) and the general public were especially crucial in winning the battle against COVID-19 in the long run.
| S-EPMC9315311 | biostudies-literature