ArticleBMC public health2023
Institutional trust is a distinct construct related to vaccine hesitancy and refusal.
Article in BMC public health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 47 papers, 1 of them a synthesis that pooled it.
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Who cites it
47 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Why do people trust (or mistrust) health organizations? A systematic review.International journal for equity in health · 2026Pooled it
- Effectiveness of an online vaccine misinformation game for Arabic-speaking Australians: a randomized controlled trial.Frontiers in public health · 2026Trial
- Influenza vaccine Hesitancy in older adults in China: A latent profile analysis.Human vaccines & immunotherapeutics · 2026Article
- A missed opportunity: faith leaders and the HPV vaccination effort in Addis Ababa, Ethiopia.Global health action · 2026Article
- What polio can learn from leprosy.BMC global and public health · 2026Article
- Change in trust in public health authorities, medical care providers, health scientists, and provincial and federal governments in Canada, from before COVID-19 pandemic to May 2024.Canadian journal of public health = Revue canadienne de sante publique · 2026Article
- Authority endorsements backfire and social norms fail to increase vaccination intent in post-COVID Kazakhstan.SSM - population health · 2026Article
- Disparities in COVID-19 Vaccination and Implications for Hospital-Based Interventions.Journal of general internal medicine · 2026Article
- Article
- Trusting the Psychotherapist, Trusting the Governmental System and Perhaps Trusting the Neighbor Next Door: Exploring the Institutional Nature of Trust in Psychotherapists and Examining Different Groups of Trusters in a Large German Patient Sample.Clinical psychology in Europe · 2026Article
- Self-reported hepatitis B vaccination uptake and associated factors among adults in a tertiary hospital, Nasarawa State, Nigeria.Tropical diseases, travel medicine and vaccines · 2026Article
- Social Trust Profile Transitions and Health-Seeking Behavior: A Latent Transition Analysis of Three-Wave Panel Data from China.Behavioral sciences (Basel, Switzerland) · 2026Article
- Community-led vaccine strategies to boost COVID-19 vaccine uptake among racialized immigrant groups in Parc Extension, Quebec: a strengths-based exemplar study.Canadian journal of public health = Revue canadienne de sante publique · 2026Article
- Health literacy reductionism: when individual deficits become the default explanation.Health promotion international · 2026Article
- National Acceptance and Determinants of Immersive Extended Reality in Health Care in China: Cross-Sectional Study.Journal of medical Internet research · 2026Article
- "Just be honest with us": A qualitative analysis of Canadians' public trust during the COVID-19 pandemic.Canadian journal of public health = Revue canadienne de sante publique · 2026Article
- Institutional factors influencing vaccine access in Canada: a scoping review.BMC public health · 2026Article
- Vaccination Attitudes in the Adult Population of Kazakhstan: A Nationally Representative Cross-Sectional Study.Vaccines · 2026Article
- Understanding determinants of parental HPV vaccine hesitancy under a municipal free vaccination program in Guangzhou, China.Health policy and planning · 2026Article
- Beyond emotions: Social cognitive predictors of COVID-19 vaccination intentions before and after vaccine roll-out.PLOS global public health · 2026Article
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Authors and funding
11 authors.
Funding
Abstract
backgroundVaccine hesitancy is driven by a heterogeneous and changing set of psychological, social and historical phenomena, requiring multidisciplinary approaches to its study and intervention. Past research has brought to light instances of both interpersonal and institutional trust playing an important role in vaccine uptake. However, no comprehensive study to date has specifically assessed the relative importance of these two categories of trust as they relate to vaccine behaviors and attitudes.
methodsIn this paper, we examine the relationship between interpersonal and institutional trust and four measures related to COVID-19 vaccine hesitancy and one measure related to general vaccine hesitancy. We hypothesize that, across measures, individuals with vaccine hesitant attitudes and behaviors have lower trust-especially in institutions-than those who are not hesitant. We test this hypothesis in a sample of 1541 Canadians.
resultsA deficit in both interpersonal and institutional trust was associated with higher levels of vaccine hesitant attitudes and behaviors. However, institutional trust was significantly lower than interpersonal trust in those with high hesitancy scores, suggesting that the two types of trust can be thought of as distinct constructs in the context of vaccine hesitancy.
conclusionsBased on our findings, we suggest that diminished institutional trust plays a crucial role in vaccine hesitancy. We propose that this may contribute to a tendency to instead place trust in interpersonally propagated belief systems, which may be more strongly misaligned with mainstream evidence and thus support vaccine hesitancy attitudes. We offer strategies rooted in these observations for creating public health messages designed to enhance vaccine uptake.
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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.