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

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...

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Main Authors: Ruben Juarez, Krit Phankitnirundorn, May Okihiro, Alika K. Maunakea
Format: Article
Language:English
Published: MDPI AG 2022-06-01
Series:Vaccines
Subjects:
Online Access:https://www.mdpi.com/2076-393X/10/6/968
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author Ruben Juarez
Krit Phankitnirundorn
May Okihiro
Alika K. Maunakea
author_facet Ruben Juarez
Krit Phankitnirundorn
May Okihiro
Alika K. Maunakea
author_sort Ruben Juarez
collection DOAJ
description 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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spelling doaj.art-7569e9f19eeb45dea63674c98f12efbb2023-11-23T19:22:16ZengMDPI AGVaccines2076-393X2022-06-0110696810.3390/vaccines10060968Opposing Role of Trust as a Modifier of COVID-19 Vaccine Uptake in an Indigenous PopulationRuben Juarez0Krit Phankitnirundorn1May Okihiro2Alika K. Maunakea3Department of Economics and UHERO, University of Hawaii, Honolulu, HI 96822, USADepartment of Economics and UHERO, University of Hawaii, Honolulu, HI 96822, USADepartment of Pediatrics, John A. Burns School of Medicine, University of Hawaii, Honolulu, HI 96813, USADepartment of Anatomy, Biochemistry and Physiology, John A. Burns School of Medicine, University of Hawaii, Honolulu, HI 96813, USANative 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.https://www.mdpi.com/2076-393X/10/6/968COVID-19health disparitiestrustsources of information
spellingShingle Ruben Juarez
Krit Phankitnirundorn
May Okihiro
Alika K. Maunakea
Opposing Role of Trust as a Modifier of COVID-19 Vaccine Uptake in an Indigenous Population
Vaccines
COVID-19
health disparities
trust
sources of information
title Opposing Role of Trust as a Modifier of COVID-19 Vaccine Uptake in an Indigenous Population
title_full Opposing Role of Trust as a Modifier of COVID-19 Vaccine Uptake in an Indigenous Population
title_fullStr Opposing Role of Trust as a Modifier of COVID-19 Vaccine Uptake in an Indigenous Population
title_full_unstemmed Opposing Role of Trust as a Modifier of COVID-19 Vaccine Uptake in an Indigenous Population
title_short Opposing Role of Trust as a Modifier of COVID-19 Vaccine Uptake in an Indigenous Population
title_sort opposing role of trust as a modifier of covid 19 vaccine uptake in an indigenous population
topic COVID-19
health disparities
trust
sources of information
url https://www.mdpi.com/2076-393X/10/6/968
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AT mayokihiro opposingroleoftrustasamodifierofcovid19vaccineuptakeinanindigenouspopulation
AT alikakmaunakea opposingroleoftrustasamodifierofcovid19vaccineuptakeinanindigenouspopulation