The mediational role of trust in the healthcare system in the association between generalized trust and willingness to get COVID-19 vaccination in Iran

Ahorsu, D.K., Lin, C.-Y., Yahaghai, R., Alimoradi, Z., Broström, A., Griffiths, M.D. ORCID: 0000-0001-8880-6524 and Pakpour, A.H., 2022. The mediational role of trust in the healthcare system in the association between generalized trust and willingness to get COVID-19 vaccination in Iran. Human Vaccines and Immunotherapeutics, 18 (1): e1993689. ISSN 2164-5515

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Abstract

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.

Item Type: Journal article
Publication Title: Human Vaccines and Immunotherapeutics
Creators: Ahorsu, D.K., Lin, C.-Y., Yahaghai, R., Alimoradi, Z., Broström, A., Griffiths, M.D. and Pakpour, A.H.
Publisher: Taylor & Francis
Date: 2022
Volume: 18
Number: 1
ISSN: 2164-5515
Identifiers:
NumberType
10.1080/21645515.2021.1993689DOI
1484632Other
Rights: © 2021 The Author(s). Published with license by Taylor & Francis Group, LLC. This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives License (http://creativecommons.org/licenses/by-nc-nd/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited, and is not altered, transformed, or built upon in any way.
Divisions: Schools > School of Social Sciences
Record created by: Laura Ward
Date Added: 02 Nov 2021 15:51
Last Modified: 21 Mar 2022 11:37
URI: https://irep.ntu.ac.uk/id/eprint/44578

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