ArticleSocial science & medicine (1982)2022
Information trust and COVID-19 vaccine hesitancy amongst middle-aged and older adults in Singapore: A latent class analysis Approach.
Article in Social science & medicine (1982), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 1 of them a synthesis that pooled it.
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Who cites it
36 citing papers in PubMed, 1 synthesis or guideline pooled it, 91 citations in OpenAlex.
- Social Media and eHealth Literacy Among Older Adults: Systematic Literature Review.Journal of medical Internet research · 2025Pooled it
- Online Information Behavior Regarding COVID-19 Vaccination and Its Association With Vaccination Behavior Based on Cluster Analysis of User Groups: Cross-Sectional Study.JMIR infodemiology · 2026Article
- Article
- Assessing knowledge, attitudes, willingness, and barriers to Pneumococcal vaccination among Canadian older adults: a cross-sectional survey.BMC public health · 2026Article
- Effectiveness of mobile vaccination teams to increase COVID-19 booster uptake in Singapore: a population-based synthetic control study.BMC global and public health · 2026Article
- Infecting minds: socio-contextual drivers of vaccine perceptions and attitudes among young and older adults living in urban and rural areas in KwaZulu-Natal, South Africa.BMC public health · 2025Article
- Association of National Identity and Trust in Government with COVID-19 Vaccination and Brand Choice in Taiwan.Journal of community health · 2024Article
- Older Adults' Perspectives and Experiences With Digital Health in Singapore: Qualitative Study.JMIR human factors · 2024Article
- Online Media Use and COVID-19 Vaccination in Real-World Personal Networks: Quantitative Study.Journal of medical Internet research · 2024Article
- Vaccination Motivators and Deterrents Among Undervaccinated Older Adults in North Dakota.Journal of community health · 2024Article
- Achilles' heel: elderly COVID-19 vaccination policy in China.Health research policy and systems · 2024Article
- Trust and COVID-19 vaccine hesitancy in the Dominican Republic: a national cross-sectional household survey, June-October 2021.BMJ open · 2024Article
- Correlation of geopolitics, education, democracy with COVID-19 vaccination rate.BMC public health · 2024Article
- The effect of perceived social support and health literacy on parental COVID-19 vaccine hesitation in preschool children: a cross-sectional study.Scientific reports · 2024Article
- Low uptake of COVID-19 booster doses among elderly cancer patients in China: A multicentre cross-sectional study.Journal of global health · 2024Article
- The disparity in hesitancy toward COVID-19 vaccination between older individuals in nursing homes and those in the community in Taizhou, China.BMC geriatrics · 2023Article
- Review
- Psychological and Personality Characteristics Associated With COVID-19 Vaccination Behavior in Korean General Population.Journal of Korean medical science · 2023Article
- Trust and COVID-19 vaccine hesitancy.Scientific reports · 2023Article
- Trust and COVID precautionary measures during the early days of the COVID-19 pandemic: Evidence from two African countries.SSM - population health · 2023Article
Corrections and comments
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
rationaleCOVID-19 vaccine hesitancy presents significant challenges for public health.
objectiveVaccine hesitancy among middle-aged and older adults has been a significant barrier in Singapore's battle against COVID-19. We hypothesize that the trust middle-aged and older adults place in various sources of information influences vaccine hesitancy, and that distinct typologies of trust can be identified to better inform targeted health communication efforts.
methodData from a nationally representative panel survey of Singaporeans aged 56-75 (N = 6094) was utilized. Modules fielded in August and November 2020, and June 2021 were analyzed, assessing social networks, trust in sources of information, and vaccination status respectively. Predictors of vaccination status were first examined. Latent class analysis was then used to identify typologies of trust in various sources of information.
resultsTrust in formal sources of information (e.g government sources) is found to predict vaccination status among respondents. Contrary to expectations, trust in social media and informal sources (family and friends), and perceived social support did not predict vaccination status. Latent class analysis identified 4 typologies of respondents based on their patterns of trust in these sources. Significantly, it is found that a portion of respondents with low trust in formal sources of information have high trust in informal sources. The four distinct typologies of trust in sources of information are also found to predict vaccination status.
conclusionsBecause trust in formal sources of information influences vaccination status, authorities should build trust in such sources to encourage vaccination against COVID-19. However, health communication strategies with middle-aged and older adults who have low levels of trust in the formal sources may be more effective if authorities leveraged alternative channels such as informal sources, including the social networks of such individuals. Overall, the findings suggest the need for targeted communication strategies to encourage vaccination.
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