Opposing Role of Trust as a Modifier of COVID-19 Vaccine Uptake in an Indigenous Population

Rubén Juárez · Krit Phankitnirundorn · May M Okihiro · Alika K. Maunakea

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Vaccine Coverage and Hesitancy SARS-CoV-2 and COVID-19 Research Misinformation and Its Impacts

Abstract

Native Hawaiians and other Pacific Islanders (NHPIs) were disproportionately impacted by COVID-19 and remain significantly under-vaccinated against SARS-CoV-2. To understand vaccine hesitancy, we surveyed 1124 adults residing in a region with one of the lowest vaccination rates in Hawaii during our COVID-19 testing program. Probit regression analysis revealed that race/ethnicity was not directly associated with the probability of vaccine uptake. Instead, a higher degree of trust in official sources of COVID-19 information increased the probability of vaccination by 20.68%, whereas a higher trust in unofficial sources decreased the probability of vaccination by 12.49% per unit of trust. These results revealed a dual and opposing role of trust on vaccine uptake. Interestingly, NHPIs were the only racial/ethnic group to exhibit a significant positive association between trust in and consumption of unofficial sources of COVID-19 information, which explained the vaccine hesitancy observed in this indigenous population. These results offer novel insight relevant to COVID-19 mitigation efforts in minority populations.

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2021Measuring the impact of COVID-19 vaccine misinformation on vaccination intent in the UK and USA 2020Determinants of COVID-19 vaccine acceptance in the US 2020Susceptibility to misinformation about COVID-19 around the world 2021Predictors of COVID-19 vaccine hesitancy in the UK household longitudinal study 2021Covid-19 vaccine hesitancy among ethnic minority groups 2021Trust in a COVID-19 vaccine in the U.S.: A social-ecological perspective 2020COVID-19 conspiracy beliefs, health behaviors, and policy support 2022An epidemic of uncertainty: rumors, conspiracy theories and vaccine hesitancy

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2022Dynamics of Trust and Consumption of COVID-19 Information Implicate a Mechanism for COVID-19 Vaccine and Booster Uptake 2024Trust in governments, public health institutions, and other information sources as determinants of COVID-19 vaccine uptake behavior in Japan

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