Olawa Babatola, Lawal Abiodun, Odoh Ikenna, Azikiwe Judith, Olawole Ayodeji, Odusina Emmanuel, Ayodele Israel, Ajayi Olubukola
Department of Psychology, Federal University Oye-Ekiti, Oye-Ekiti, Nigeria.
University Medical Centre, Federal University Oye-Ekiti, Oye-Ekiti, Nigeria.
J Egypt Public Health Assoc. 2023 Feb 6;98(1):1. doi: 10.1186/s42506-023-00129-5.
Research shows that trust in government is associated with the acceptance of COVID-19 vaccination. However, there is no empirical evidence suggesting the pathway by which this association is formed. This study examines how dimensional attitudes towards vaccination explain the relationship between mistrust in government and COVID-19 vaccination acceptance.
The study was an online cross-sectional survey involving 1026 adults (of which 58.9% are female) resident in Nigeria with a mean age of 26.09 (±8.46) years. Data were collected using structured questionnaires assessing the level of mistrust in government, dimensional attitudes towards vaccination, and acceptance to be vaccinated for COVID-19. Structural equation modeling was used to analyze data.
Results show that 56.8% of participants mistrust the government, while COVID-19 vaccination acceptance rate was 28.2%. Mistrust in government was significantly associated with low acceptance of COVID-19 vaccination. Furthermore, mistrust in the government was predictive of negative attitudes towards COVID-19 vaccination which include worries about unforeseen future effects of vaccines, mistrust of vaccine benefits (MVB), concerns about commercial profiteering (CCP), and preference for natural immunity. The outcomes of indirect effect analyses indicated that mistrust in government was associated with high mistrust in vaccine benefits (MVB) and increased concerns about commercial profiteering (CCP), which in turn lead to low acceptance of COVID-19 vaccination.
Mistrust in the government was high and was coupled with low vaccination acceptance. It is important to initiate culturally relevant awareness programs aiming at combating false notions about COVID-19 vaccination such as MVB and CCP arising from mistrust in government.
研究表明，对政府的信任与新冠疫苗接种的接受度相关。然而，尚无实证证据表明这种关联是通过何种途径形成的。本研究考察了对疫苗接种的维度态度如何解释对政府的不信任与新冠疫苗接种接受度之间的关系。
该研究为在线横断面调查，涉及居住在尼日利亚的1026名成年人（其中58.9%为女性），平均年龄为26.09（±8.46）岁。使用结构化问卷收集数据，评估对政府的不信任程度、对疫苗接种的维度态度以及对新冠疫苗接种的接受意愿。采用结构方程模型分析数据。
结果显示，56.8%的参与者不信任政府，而新冠疫苗接种接受率为28.2%。对政府的不信任与新冠疫苗接种的低接受度显著相关。此外，对政府的不信任预示着对新冠疫苗接种的负面态度，包括对疫苗不可预见的未来影响的担忧、对疫苗益处的不信任、对商业暴利的担忧以及对自然免疫的偏好。间接效应分析结果表明，对政府的不信任与对疫苗益处的高度不信任以及对商业暴利的担忧增加相关，进而导致对新冠疫苗接种的低接受度。
对政府的不信任程度较高，且与疫苗接种接受度较低相关。开展与文化相关的宣传项目很重要，旨在消除因对政府的不信任而产生的关于新冠疫苗接种的错误观念，如对疫苗益处的不信任和对商业暴利的担忧。
