The role of trust in the likelihood of receiving a COVID-19 vaccine: Results from a national survey

PREVENTIVE MEDICINE

卷:153

Article

Szilagyi, Peter G.¹  Thomas, Kyla²  Shah, Megha D.³  Vizueta, Nathalie¹  Cui, Yan³  Vangala, Sitaram⁴  Fox, Craig⁵  Kapteyn, Arie² 

[1] Univ Calif Los Angeles, UCLA Mattel Childrens Hosp, Dept Pediat, Los Angeles, CA 90095 USA

[2] Univ Southern Calif, Dornsife Coll Letters Arts & Sci, Ctr Econ & Social Res, Los Angeles, CA 90007 USA

[3] Off Hlth Assessment & Epidemiol, Los Angeles Cty Dept Publ Hlth, Los Angeles, CA USA

[4] Univ Calif Los Angeles, David Geffen Sch Med, Dept Med Stat Core, Los Angeles, CA 90095 USA

[5] Univ Calif Los Angeles, UCLA Anderson Sch Management, Los Angeles, CA 90095 USA

关键词: COVID-19;    Vaccination;    Trust;    Racial;    ethnic minorities;    Older adults;    Essential workers;    Underserved communities;   

DOI  :  10.1016/j.ypmed.2021.106727

来源: Elsevier

【 摘 要 】

High acceptance of coronavirus disease 2019 (COVID-19) vaccines is instrumental to ending the pandemic. Vaccine acceptance by subgroups of the population depends on their trust in COVID-19 vaccines. We surveyed a probability-based internet panel of 7832 adults from December 23, 2020-January 19, 2021 about their likelihood of getting a COVID-19 vaccine and the following domains of trust: an individual's generalized trust, trust in COVID-19 vaccine's efficacy and safety, trust in the governmental approval process and general vaccine development process for COVID-19 vaccines, trust in their physician about COVID-19, and trust in other sources about COVID-19. We included identified at-risk subgroups: healthcare workers, older adults (65-74-year-olds and >= 75-year-olds), frontline essential workers, other essential workers, and individuals with high-risk chronic conditions. Of 5979 respondents, only 57.4% said they were very likely or somewhat likely to get a COVID-19 vaccine. More hesitant respondents (p < 0.05) included: women, young adults (18-49 years), Blacks, individuals with lower education, those with lower income, and individuals without high-risk chronic conditions. Lack of trust in the vaccine approval and development processes explained most of the demographic variation in stated vaccination likelihood, while other domains of trust explained less variation. We conclude that hesitancy for COVID-19 vaccines is high overall and among at-risk subgroups, and hesitancy is strongly tied to trust in the vaccine approval and development processes. Building trust is critical to ending the pandemic.

【 授权许可】

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