“Be honest and gain trust”: a population health study to understand the factors associated with building trust in local government related to COVID-19 and vaccination in three historically disinvested neighborhoods in New York City

Frontiers in Public Health

Public Health

Fatoumata Diallo¹  Lauren J. Shiman¹  Brandon Brooks¹  Sheena Dorvil²  Jennifer Pierre²  Christina I. Nieves³  Rachel Dannefer³  Maria Lejano⁴ 

[1] Bureau of Bronx Neighborhood Health, Center for Health Equity and Community Wellness, New York City Department of Health and Mental Hygiene, Bronx, NY, United States;Bureau of Brooklyn Neighborhood Health, Center for Health Equity and Community Wellness, New York City Department of Health and Mental Hygiene, Brooklyn, NY, United States;Bureau of Harlem Neighborhood Health, Center for Health Equity and Community Wellness, New York City Department of Health and Mental Hygiene, New York, NY, United States;Division of Epidemiology, New York City Department of Health and Mental Hygiene, Queens, NY, United States;

关键词: COVID-19;    vaccines;    trust;    local government;    population health;   

DOI  :  10.3389/fpubh.2023.1285152

 received in 2023-08-29, accepted in 2023-10-05,  发布年份 2023

来源: Frontiers

【 摘 要 】

BackgroundDistrust in government among people of color is a response to generations of systemic racism that have produced preventable health inequities. Higher levels of trust in government are associated with better adherence to government guidelines and policies during emergencies, but factors associated with trust and potential actions to increase trust in local government are not well understood.MethodsThe COVID-19 Community Recovery study sampled participants from the New York City (NYC) Department of Health and Mental Hygiene’s NYC Health Panel, a probability-based survey panel who complete health surveys periodically. Participants who lived in one of three historically disinvested communities in NYC where the NYC Department of Health and Mental Hygiene has dedicated resources to reduce health inequities were included. The cross-sectional survey was fielded from September 30 to November 4, 2021 and could be self-administered online or conducted via CATI (Computer Assisted Telephone Interviewing) in English, Spanish, and Simplified Chinese (Mandarin and Cantonese by phone). Demographic data were summarized by descriptive statistics. Crude and adjusted logistic regression analyses were used to assess factors predictive of trust in local government as a source of information about COVID-19 vaccines. Open-ended responses about strengthening residents’ trust in local government were coded using an iteratively generated codebook.ResultsIn total, 46% of respondents indicated NYC local government was a trusted source of information about COVID-19 vaccines, relatively high compared to other sources. In bivariate analyses, race/ethnicity, age group, educational attainment, length of time living in NYC, and household income were significantly associated with identifying NYC government as a trusted source of information about COVID-19 vaccines. In multivariable logistic regression, no variables remained significant predictors of selecting local government as a trusted source of information. Key recommendations for local government agencies to build residents’ trust include communicating clearly and honestly, addressing socioeconomic challenges, and enhancing public COVID-19 protection measures.ConclusionStudy findings demonstrate that nearly half of residents in three historically divested NYC communities consider local government to be a trusted source of information about COVID-19 vaccines. Strategies to increase trust in local government can help reduce community transmission of COVID-19 and protect public health.

【 授权许可】

Unknown   
Copyright © 2023 Shiman, Diallo, Nieves, Brooks, Dannefer, Dorvil, Lejano and Pierre.