Racial differences in institutional trust and COVID-19 vaccine hesitancy and refusal

Anisah B. Bagasra · Sara C. Doan

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Vaccine Coverage and Hesitancy SARS-CoV-2 and COVID-19 Research COVID-19 and Mental Health

Abstract

BACKGROUND: Previous research has indicated that demographic differences affect COVID-19 vaccination rates. Trust, in both the vaccine itself and institutional trust, is one possible factor. The present study examines racial differences in institutional trust and vaccine status among a nationally representative sample of adults in the United States. METHODS: Data for the current study was collected as part of Wave 8 Omnibus 2000 survey conducted by RAND ALP and consisted of 2080 participants. Responses were collected through the online RAND ALP survey in March 2021. RESULTS: Trust in the scientific community was the strongest predictor for already receiving at least one dose of the COVID-19 vaccine at the time of study. Asians had a significantly higher trust in the scientific community compared to all other groups. Results also showed a significant difference in level of trust of the government's response to the COVID-19 pandemic with Indian/Alaskan Natives reporting lower trust compared to Whites, Blacks and Asians. Asians also had a significantly higher level of trust when compared to those who identified as racial Other. Those who identify as American Indian/Alaskan Natives had the lowest levels of institutional trust. Trust in the government's response was not indicative of vaccination within the sample. CONCLUSIONS: Strategies to increase trust of the scientific community can be employed to address vaccine hesitancy through community-based initiatives and building of partnerships between the scientific community and local community stakeholders.

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References

2012Bayesian structural equation modeling: A more flexible representation of substantive theory.2020Effects of the COVID-19 pandemic and nationwide lockdown on trust, attitudes toward government, and well-being.2021COVID-19 and vaccine hesitancy: A longitudinal study 2019Towards a More Inclusive and Dynamic Understanding of Medical Mistrust Informed by Science 2021Individual and social determinants of COVID-19 vaccine uptake 2021Trust in a COVID-19 vaccine in the U.S.: A social-ecological perspective 2021Political polarization on COVID-19 pandemic response in the United States 2021Integrating health behavior theories to predict American’s intention to receive a COVID-19 vaccine

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2022When Lack of Trust in the Government and in Scientists Reinforces Social Inequalities in Vaccination Against COVID-19 2022Medical Mistrust, Perceived Discrimination, and Race: a Longitudinal Analysis of Predictors of COVID-19 Vaccine Hesitancy in US Adults 2022COVID-19 Vaccine Hesitancy and Trust in Government in Nigeria 2022The social patterning of Covid-19 vaccine uptake in older adults: A register-based cross-sectional study in Sweden

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