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Calculation, knowledge, and identity: Dimensions of trust when making COVID-19 vaccination choices in China

Vaccine hesitancy threatens the response to the COVID-19 pandemic and to other infectious disease outbreaks globally. Fostering trust has been highlighted as a critical factor in addressing vaccine hesitancy and expanding vaccine coverage, but qualitative exploration of trust in the context of vacci...

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Autores principales: Jiao, Lirui, Wachinger, Jonas, Dasch, Selina, Bärnighausen, Till, McMahon, Shannon A., Chen, Simiao
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Published by Elsevier Ltd. 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10232919/
https://www.ncbi.nlm.nih.gov/pubmed/37334196
http://dx.doi.org/10.1016/j.ssmqr.2023.100288
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author Jiao, Lirui
Wachinger, Jonas
Dasch, Selina
Bärnighausen, Till
McMahon, Shannon A.
Chen, Simiao
author_facet Jiao, Lirui
Wachinger, Jonas
Dasch, Selina
Bärnighausen, Till
McMahon, Shannon A.
Chen, Simiao
author_sort Jiao, Lirui
collection PubMed
description Vaccine hesitancy threatens the response to the COVID-19 pandemic and to other infectious disease outbreaks globally. Fostering trust has been highlighted as a critical factor in addressing vaccine hesitancy and expanding vaccine coverage, but qualitative exploration of trust in the context of vaccination remains limited. We contribute to filling this gap by providing a comprehensive qualitative analysis of trust in the context of COVID-19 vaccination in China. We conducted 40 in-depth interviews with Chinese adults in December 2020. During data collection, trust emerged as a highly salient topic. Interviews were audio-recorded, transcribed verbatim, translated into English, and analyzed with a combination of inductive and deductive coding. Following established trust literature, we differentiate between three types of trust – calculation-based trust, knowledge-based trust, and identity-based trust – which we grouped across components of the health system, as informed by the WHO's building blocks. Our results highlight how participants attributed their level of trust in COVID-19 vaccines to their trust in the medical technology itself (based on assessing risks and benefits or previous vaccination experiences), the service delivery and health workforce (informed by past experiences with health providers and their role throughout the pandemic), and leadership and governance (drawing on notions of government performance and patriotism). Reducing negative impact from past vaccine controversies, increasing the credibility of pharmaceutical companies, and fostering clear communication are identified as important channels for facilitating trust. Our findings emphasize a strong need for comprehensive information on COVID-19 vaccines and increased promotion of vaccination by credible figures.
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spelling pubmed-102329192023-06-01 Calculation, knowledge, and identity: Dimensions of trust when making COVID-19 vaccination choices in China Jiao, Lirui Wachinger, Jonas Dasch, Selina Bärnighausen, Till McMahon, Shannon A. Chen, Simiao SSM Qual Res Health Article Vaccine hesitancy threatens the response to the COVID-19 pandemic and to other infectious disease outbreaks globally. Fostering trust has been highlighted as a critical factor in addressing vaccine hesitancy and expanding vaccine coverage, but qualitative exploration of trust in the context of vaccination remains limited. We contribute to filling this gap by providing a comprehensive qualitative analysis of trust in the context of COVID-19 vaccination in China. We conducted 40 in-depth interviews with Chinese adults in December 2020. During data collection, trust emerged as a highly salient topic. Interviews were audio-recorded, transcribed verbatim, translated into English, and analyzed with a combination of inductive and deductive coding. Following established trust literature, we differentiate between three types of trust – calculation-based trust, knowledge-based trust, and identity-based trust – which we grouped across components of the health system, as informed by the WHO's building blocks. Our results highlight how participants attributed their level of trust in COVID-19 vaccines to their trust in the medical technology itself (based on assessing risks and benefits or previous vaccination experiences), the service delivery and health workforce (informed by past experiences with health providers and their role throughout the pandemic), and leadership and governance (drawing on notions of government performance and patriotism). Reducing negative impact from past vaccine controversies, increasing the credibility of pharmaceutical companies, and fostering clear communication are identified as important channels for facilitating trust. Our findings emphasize a strong need for comprehensive information on COVID-19 vaccines and increased promotion of vaccination by credible figures. Published by Elsevier Ltd. 2023-12 2023-06-01 /pmc/articles/PMC10232919/ /pubmed/37334196 http://dx.doi.org/10.1016/j.ssmqr.2023.100288 Text en © 2023 Published by Elsevier Ltd. Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.
spellingShingle Article
Jiao, Lirui
Wachinger, Jonas
Dasch, Selina
Bärnighausen, Till
McMahon, Shannon A.
Chen, Simiao
Calculation, knowledge, and identity: Dimensions of trust when making COVID-19 vaccination choices in China
title Calculation, knowledge, and identity: Dimensions of trust when making COVID-19 vaccination choices in China
title_full Calculation, knowledge, and identity: Dimensions of trust when making COVID-19 vaccination choices in China
title_fullStr Calculation, knowledge, and identity: Dimensions of trust when making COVID-19 vaccination choices in China
title_full_unstemmed Calculation, knowledge, and identity: Dimensions of trust when making COVID-19 vaccination choices in China
title_short Calculation, knowledge, and identity: Dimensions of trust when making COVID-19 vaccination choices in China
title_sort calculation, knowledge, and identity: dimensions of trust when making covid-19 vaccination choices in china
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10232919/
https://www.ncbi.nlm.nih.gov/pubmed/37334196
http://dx.doi.org/10.1016/j.ssmqr.2023.100288
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