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The mediational role of trust in the healthcare system in the association between generalized trust and willingness to get COVID-19 vaccination in Iran
Hong Kong Polytech Univ, Fac Hlth & Social Sci, Dept Rehabil Sci, Hung Hom, Hong Kong, Peoples R China..
Natl Cheng Kung Univ, Coll Med, Inst Allied Hlth Sci, Tainan, Taiwan..ORCID iD: 0000-0002-2129-4242
Qazvin Univ Med Sci, Social Determinants Hlth Res Ctr, Res Inst Prevent Noncommunicable Dis, Qazvin, Iran.
Qazvin Univ Med Sci, Social Determinants Hlth Res Ctr, Res Inst Prevent Noncommunicable Dis, Qazvin, Iran.ORCID iD: 0000-0001-5327-2411
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2022 (English)In: Human Vaccines & Immunotherapeutics, ISSN 2164-5515, E-ISSN 2164-554X, Vol. 18, no 1, p. 1-8Article in journal (Refereed) Published
Sustainable development
Sustainable Development
Abstract [en]

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.

Place, publisher, year, edition, pages
Taylor & Francis, 2022. Vol. 18, no 1, p. 1-8
Keywords [en]
COVID-19, generalized trust, healthcare system, vaccination
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
URN: urn:nbn:se:hj:diva-55076DOI: 10.1080/21645515.2021.1993689ISI: 000712724000001PubMedID: 34715009Scopus ID: 2-s2.0-85118457770Local ID: GOA;intsam;776898OAI: oai:DiVA.org:hj-55076DiVA, id: diva2:1611532
Available from: 2021-11-15 Created: 2021-11-15 Last updated: 2022-06-23Bibliographically approved

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Broström, AndersPakpour, Amir H.

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Lin, Chung-YingAlimoradi, ZainabBroström, AndersPakpour, Amir H.
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