ArticleSocial science & medicine (1982)2019
"You don't trust a government vaccine": Narratives of institutional trust and influenza vaccination among African American and white adults.
Article in Social science & medicine (1982), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 176 papers, 1 of them a synthesis that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
176 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Political Polarization During Disease Outbreaks: A Meta-Analysis of Archival Survey Data From Polio to COVID-19.American journal of public health · 2026Pooled it
- Greater Improvements in Vaccination Outcomes Among Black Young Adults With Vaccine-Resistant Attitudes in the United States South Following a Digital Health Intervention: Latent Profile Analysis of a Randomized Control Trial.JMIR public health and surveillance · 2025Trial
- The impact of educational interventions on COVID-19 and vaccination attitudes among patients in Michigan: A prospective study.Frontiers in public health · 2023Trial
- COVID-19 Related Medical Mistrust, Health Impacts, and Potential Vaccine Hesitancy Among Black Americans Living With HIV.Journal of acquired immune deficiency syndromes (1999) · 2021Trial
- The Access Paradox: A Decade of Expanded Influenza Vaccine Access That Did Not Close a Racial Disparity.Journal of racial and ethnic health disparities · 2026Review
- Parental vaccination intentions following Florida's announced elimination of school vaccine mandates: The role of vaccine hesitancy.Preventive medicine reports · 2026Article
- Associations Between Healthcare Discrimination, Medical Mistrust, and COVID-19 Vaccine Uptake Among Young Black Adults in the Southern United States.Journal of racial and ethnic health disparities · 2026Article
- Parental Vaccine Hesitancy in the Post-COVID-19 Era: Results from a Cross-Sectional Survey in the United States, 2025.Vaccines · 2026Article
- AI Meets Attitudes: Cross-Sectional Quantitative Study of COVID-19 Vaccine Hesitancy in Alaska's Diverse Communities.Journal of medical Internet research · 2026Article
- Predictors of low trust in national healthcare systems in 30 countries.BMC health services research · 2026Article
- Beyond biomedical interventions: social vaccinology as a framework for vaccination policy and public governance.Health affairs scholar · 2026Article
- Making US public health a good idea again.Lancet regional health. Americas · 2026Review
- Institutional trust and vaccination delay as key metrics for vaccination rollout success.Communications medicine · 2026Article
- COVID-19 Vaccine Hesitancy: Trust in Local Clinics Predict Perceptions of Vaccine Safety and Vaccination Status.Community health equity research & policy · 2026Article
- Building and Sustaining Flu Vaccine Acceptance and Trust in the Black Community through Partnerships with Churches, Salons, and Barbershops.Journal of racial and ethnic health disparities · 2025Article
- Adherence to national and international vaccine information sources and future pandemic preparedness among Iranian adults in the post-COVID-19 era.BMC public health · 2025Article
- Vaccine Hesitancy in Public Healthcare During Pandemics: An International Study to Inform Management Learning.Health science reports · 2025Article
- Revisiting Public Trust and Media Influence During COVID-19 Post-Vaccination Era-Waning of Anxiety and Depression Levels Among Skilled Workers and Students in Serbia.Behavioral sciences (Basel, Switzerland) · 2025Article
- A Cross-Sectional Study of COVID-19 Knowledge, Attitudes, and Practices Among Black Communities in the Greater Toronto Area.Journal of racial and ethnic health disparities · 2025Article
- The Spectrum of Hesitancy in COVID-19 Vaccine Uptake Among Pregnant Latinas on the United States-Mexico Border.Women's reproductive health (Philadelphia, Pa.) · 2025Article
116 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
Abstract
Vaccine confidence depends on trust in vaccines as products and trust in the system that produces them. In the US, this system consists of a complex network connecting pharmaceutical companies, government agencies, and the healthcare system. We explore narratives from White and African American adults describing their trust in these institutions, with a focus on influenza vaccine. Our data were collected between 2012 and 2014 as part of a mixed-methods investigation of racial disparities in influenza immunization. We interviewed 119 adults, primarily in Maryland and Washington, DC, in three stages utilizing semi-structured interviews (12), focus groups (9, n = 91), and in-depth interviews (16). Analysis was guided by grounded theory. Trust in institutions emerged as a significant theme, with marked differences by race. In 2018, we contextualized these findings within the growing scholarship on trust and vaccines. Most participants distrusted pharmaceutical companies, which were viewed to be motivated by profit. Trust in government varied. Whites described implicit trust of federal institutions but questioned their competency. African Americans were less trusting of the government and were more likely to doubt its motives. Trust in institutions may be fragile, and once damaged, may take considerable time and effort to repair.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.