Association Between Trust in Government and Practice of Preventive Measures During the COVID-19 Pandemic in Japan

Gotanda, Hiroshi; Miyawaki, Atsushi; Tabuchi, Takahiro; Tsugawa, Yusuke

doi:10.1007/s11606-021-06959-3

Cited by 38 publications

(35 citation statements)

References 22 publications

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“…Participants who answered “yes” or “somewhat yes” to the question, “Is the government trustworthy?” were defined as having trust in the government, while those who answered “no” or “not so much” were defined as having mistrust in the government. 21 We also included the response period (07/28–08/20, 08/21–08/24, or 08/25–08/31) as a potential factor influencing a respondent’s intention to get vaccinated, given that on August 19, 2021, the news reported that in Japan, a pregnant woman with COVID-19 went into preterm labor but was unable to find a hospital that could manage her; the woman delivered at home, which resulted in the death of her newborn. 22…”

Section: Methodsmentioning

confidence: 99%

The Prevalence of COVID-19 Vaccination and Vaccine Hesitancy in Pregnant Women: An Internet-based Cross-sectional Study in Japan

Hosokawa

Okawa

Hori

et al. 2022

Journal of Epidemiology

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Background: Reluctance of people to receive recommended vaccines is a growing concern as 2 distribution of vaccines is considered critical to ending the COVID-19 pandemic. There is little 3 information regarding pregnant women's views toward coronavirus vaccination in Japan.4 Therefore, we investigated the vaccination rate and reasons for vaccination and vaccine 5 hesitancy among pregnant women in Japan.6 Methods: We conducted a cross-sectional study involving 1,791 pregnant women using data 7 from the Japan "COVID-19 and Society" Internet Survey, conducted from July to August 2021, 8 and valid response from 1,621 respondents were analyzed. We defined participants with 9 vaccine hesitancy as those who identified with the statement "I do not want to be vaccinated" or "I want to 'wait and see' before getting vaccinated." Multivariate Poisson regression analysis was used to investigate the factors contributing to vaccine hesitancy. Results:The prevalence of vaccination and vaccine hesitancy among pregnant women was 13.4% (n=217) and 50.9% (n=825), respectively. The main reasons for hesitancy were concerns about adverse reactions and negative effects on the fetus and breastfeeding. The significant factor for vaccine hesitancy was the lack of trust in the government (adjusted PR, 1.26; 95% CI, 1.03-1.54). Other factors such as age, educational attainment, state of emergency declaration were not associated with vaccine hesitancy.Conclusions: COVID-19 vaccination is not widespread among pregnant women in Japan although many vaccines have been shown to be safe in pregnancy. Accurate information dissemination and boosting trust in the government may be important to address vaccine hesitancy among pregnant women.

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Section: Methodsmentioning

confidence: 99%

The Prevalence of COVID-19 Vaccination and Vaccine Hesitancy in Pregnant Women: An Internet-based Cross-sectional Study in Japan

Hosokawa

Okawa

Hori

et al. 2022

Journal of Epidemiology

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“…We analyzed data from the Japan "COVID-19 and Society" Internet Survey (JACSIS) study [26], a cross-sectional, web-based, self-reported questionnaire survey administered by a major nationwide internet research agency with 2.2 million qualified panelists [27][28][29]. Selected individuals aged 15 to 79 years (n=224,389) were included in the JACSIS study using stratified random sampling based on gender, age, and prefecture category to represent the distribution of the general population in Japan in 2019 [30,31]. Individuals who agreed to participate in the survey accessed the designated website and responded to questionnaires asking about a wide range of socioeconomic, lifestyle, and health measures in the context of the COVID-19 pandemic.…”

Section: Study Design Setting and Data Sourcesmentioning

confidence: 99%

Age and Social Disparities in the Use of Telemedicine During the COVID-19 Pandemic in Japan: Cross-sectional Study

Miyawaki¹,

Tabuchi²,

Ong³

et al. 2021

J Med Internet Res

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Background The use of telemedicine outpatient visits has increased dramatically during the COVID-19 pandemic in many countries. Although disparities in access to telemedicine by age and socioeconomic status (SES) have been well-documented, evidence is limited as to how these disparities changed during the COVID-19 pandemic. Moreover, the equity of patient access to telemedicine has been scarcely reported in Japan, despite the huge potential for telemedicine expansion. Objective We aimed to investigate changes due to age and SES disparities in telemedicine use during the COVID-19 pandemic in Japan. Methods Using data from a large internet survey conducted between August 25 and September 30, 2020, in Japan, we examined the associations of participant age and SES (educational attainment, urbanicity of residence, and income level) with their telemedicine use in the following two time periods during the pandemic: April 2020 and August-September 2020. Results Of the 24,526 participants aged 18 to 79 years (50.8% [n=12,446] women), the proportion of individuals who reported using telemedicine increased from 2.0% (n=497) in April 2020 to 4.7% (n=1159) in August-September 2020. After adjusting for potential confounders, younger individuals were more likely to use telemedicine than older individuals in April 2020. Although this pattern persisted in August-September 2020, we also observed a substantial increase in telemedicine use among individuals aged 70 to 79 years (adjusted rates, 0.2% in April 2020 vs 3.8% in August-September 2020; P<.001 after multiple comparisons). We found disparities in telemedicine use by SES in August-September 2020 that did not exist in April 2020. In August-September 2020, individuals with a university degree were more likely to use telemedicine than those with a high school diploma or less (adjusted rates, 6.6% vs 3.5%; P<.001). Individuals living in urban areas exhibited higher rates of telemedicine use than those living in rural areas only in August-September 2020 (adjusted rates, 5.2% vs 3.8%; P<.001). Disparities in telemedicine use by income level were not observed in either time period. Conclusions In general, younger individuals increased their use of telemedicine compared to older individuals during the pandemic, although individuals in their 70s also increased their use of telemedicine. Disparities in telemedicine use by educational attainment and urbanicity of residence widened during the COVID-19 pandemic.

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“…Institutional trust is pivotal in protecting subjective well-being during pandemics and disasters [ 6 , 10 , 11 ]. However, the mechanisms through which institutional trust relates to or influences subjective well-being in the context of the COVID-19 crisis remain unclear.…”

Section: Introductionmentioning

confidence: 99%

Institutional Trust as a Protective Factor during the COVID-19 Pandemic in China

Sun

Jing

et al. 2022

Behavioral Sciences

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Previous research has demonstrated that institutional trust protects subjective well-being during pandemics. However, the potential mediation mechanisms underlying this linkage remain unclear. This study constructs a mediating model to investigate the effect of institutional trust on subjective well-being and the mediating roles of belief in a just world and fear of COVID-19 in the Chinese context. To this end, we survey a sample of 881 participants. The results show that institutional trust, belief in a just world, fear of COVID-19, and subjective well-being (i.e., life satisfaction, positive affect, and negative affect) are significantly interrelated. The results also indicate a significant impact of institutional trust on life satisfaction, positive affect, and negative affect. Belief in a just world and fear of COVID-19, independently and in sequence, mediate the relationship between institutional trust and subjective well-being.

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Association Between Trust in Government and Practice of Preventive Measures During the COVID-19 Pandemic in Japan

Cited by 38 publications

References 22 publications

The Prevalence of COVID-19 Vaccination and Vaccine Hesitancy in Pregnant Women: An Internet-based Cross-sectional Study in Japan

The Prevalence of COVID-19 Vaccination and Vaccine Hesitancy in Pregnant Women: An Internet-based Cross-sectional Study in Japan

Age and Social Disparities in the Use of Telemedicine During the COVID-19 Pandemic in Japan: Cross-sectional Study

Institutional Trust as a Protective Factor during the COVID-19 Pandemic in China

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