Department of Rehabilitation Sciences, Faculty of Health & Social Sciences, The Hong Kong Polytechnic University, Hung Hom, Hong Kong.
Institute of Allied Health Sciences, College of Medicine, National Cheng Kung University, Tainan, Taiwan.
Hum Vaccin Immunother. 2022 Dec 31;18(1):1-8. doi: 10.1080/21645515.2021.1993689. Epub 2021 Oct 29.
For some individuals, there appears to be some level of unwillingness in getting a COVID-19 vaccine which may be due to trust issues. The present study used a mediation model to investigate how trust is associated with an individual's willingness to get COVID-19 vaccination among Iranians. A total of 10,843 Iranian adults were recruited in Qazvin province using a multistage stratified cluster sampling method. The survey was completed between February 19 and April 9, 2021. The findings showed that generalized trust was positively associated with trust in the healthcare system, trust in the healthcare system was positively associated with willingness to get COVID-19 vaccination, and generalized trust was positively associated with willingness to get COVID-19 vaccination. Also, trust in the healthcare system mediated the association between generalized trust and willingness to get COVID-19 vaccination. There were some significant demographic differences in COVID-19 vaccination willingness. The findings suggest that generalized trust plays a significant role in directly or indirectly influencing individuals' willingness to get COVID-19 vaccine. Therefore, government bodies and health officials may utilize these findings to appeal in a more transparent and professional manner in encouraging individuals to get a COVID-19 vaccine. However, for those with lower trust levels (in general and in the healthcare system), the focus may be to re-build and/or regain the individuals' trust through carefully planned transparent communication, information dissemination, and ethical education to help increase the uptake of COVID-19 vaccination.
对于某些人来说，他们似乎对接种 COVID-19 疫苗存在一定程度的不情愿，这可能是由于信任问题。本研究采用中介模型来调查信任与伊朗人接种 COVID-19 疫苗意愿之间的关系。总共招募了 10843 名伊朗成年人，使用多阶段分层聚类抽样方法在卡齐万省进行。调查于 2021 年 2 月 19 日至 4 月 9 日进行。结果表明，普遍信任与对医疗保健系统的信任呈正相关，对医疗保健系统的信任与接种 COVID-19 疫苗的意愿呈正相关，普遍信任与接种 COVID-19 疫苗的意愿呈正相关。此外，对医疗保健系统的信任中介了普遍信任与接种 COVID-19 疫苗意愿之间的关系。COVID-19 疫苗接种意愿存在一些显著的人口统计学差异。研究结果表明，普遍信任在直接或间接影响个体接种 COVID-19 疫苗的意愿方面发挥着重要作用。因此，政府机构和卫生官员可以利用这些发现，以更透明和专业的方式呼吁个人接种 COVID-19 疫苗。然而，对于那些信任度较低的人（普遍信任度和对医疗保健系统的信任度），重点可能是通过精心规划的透明沟通、信息传播和道德教育来重新建立和/或恢复个人的信任，以帮助提高 COVID-19 疫苗的接种率。
