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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Format: | Article |
Language: | English |
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MDPI AG
2022-06-01
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Series: | Vaccines |
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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. |
first_indexed | 2024-03-09T22:16:18Z |
format | Article |
id | doaj.art-7569e9f19eeb45dea63674c98f12efbb |
institution | Directory Open Access Journal |
issn | 2076-393X |
language | English |
last_indexed | 2024-03-09T22:16:18Z |
publishDate | 2022-06-01 |
publisher | MDPI AG |
record_format | Article |
series | Vaccines |
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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