The impact of trust in government on pandemic management on the compliance with voluntary COVID-19 vaccination policy among adolescents after social unrest in Hong Kong

Chung, Gary Ka-Ki; Chan, Yau Kei; Chan, Siu-Ming; Chen, Ji‐Kang; Wong, Hung; Chung, Roger Yat‐Nork

doi:10.3389/fpubh.2022.992895

Cited by 12 publications

(12 citation statements)

References 46 publications

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“…This study highlights that individuals with a higher level of trust in information from the government were more likely to receive the first dose vaccine early. This result is similar to several local studies [ 52 , 53 , 54 ] and reveals that people learn about the pandemic and take action to prevent infection not only considering the content and quality of the information but also their levels of trust in information from their government [ 25 , 55 ]. We also found that the standardized indirect/mediated effects of trust in information from the government on the associations between two subdomains of CHL and first dose vaccination were negative.…”

Section: Discussionsupporting

confidence: 87%

Associations between Health Literacy, Trust, and COVID-19 Vaccine Hesitancy: The Case of Hong Kong

Tian

Dong

et al. 2023

Vaccines

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This study investigates how health literacy (HL) and trust in health information affected COVID-19 vaccine hesitancy among Chinese Hong Kong adults. A cross-sectional study was conducted in August 2022. A total of 401 participants completed the study. Participants completed a newly developed Hong Kong HL scale and self-reported their trust levels in health information from different resources. The proportions of early uptake of the first dose and booster dose of COVID-19 vaccine were 69.1% and 71.8%, respectively. The risk of delaying the first dose was higher among participants with inadequate functional HL (OR = 0.58, p = 0.015), adequate levels of two subdomains of critical HL (OR = 1.82, p = 0.013; OR = 1.91, p < 0.01), and low-level trust in health information from the government (OR = 0.57, p = 0.019). Respondents with adequate interactive HL (OR = 0.52, p = 0.014) and inadequate level of one subdomain of critical HL (OR =1.71, p = 0.039) were more likely to delay the booster dose. This negative association between critical HL and vaccination was suppressed by trust in health information from the government. This study shows that HL and trust in health information from the government are associated with COVID-19 vaccine hesitancy. Efforts should be directed at providing tailored communication strategies with regard to people’s HL and increasing public confidence in health authorities to decrease vaccine hesitancy.

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Section: Discussionsupporting

confidence: 87%

Associations between Health Literacy, Trust, and COVID-19 Vaccine Hesitancy: The Case of Hong Kong

Tian

Dong

et al. 2023

Vaccines

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“…Data were collected from a purposive sample of 12 secondary schools of different socioeconomic background (see the socioeconomic classifications in Supplementary Table 1 ) in Hong Kong via online survey between September and October 2021 ( 22 ). Invitation letters were sent to members of the Hong Kong Association of the Heads of Secondary Schools (established by dedicated secondary school principals with a vision to enhance professionalism and the understanding of education in secondary schools) to recruit all Secondary 3 students enrolled to each participating school (equivalent to Grade 9 in the United States or Year 10 in the United Kingdom).…”

Section: Methodsmentioning

confidence: 99%

Socioeconomic inequality in the worsening of psychosocial wellbeing via disrupted social conditions during COVID-19 among adolescents in Hong Kong: self-resilience matters

Chung

Chan

Lee

et al. 2023

Front. Public Health

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BackgroundAdolescents, especially the socioeconomically disadvantaged, are facing devastating psychosocial impact of the COVID-19 pandemic during their critical developmental period. This study aims to (i) examine the socioeconomic patterning of the worsening of psychosocial wellbeing, (ii) delineate the underlying mediating factors (i.e., overall worry about COVID-19, family's financial difficulty, learning problems, and loneliness), and (iii) explore the moderating effect of resilience in the inter-relationship among adolescents under COVID-19.MethodsBased on maximum variation sampling of 12 secondary schools of diverse socioeconomic background in Hong Kong, 1018 students aged 14-16 years were recruited and completed the online survey between September and October 2021. Multi-group structural equation modeling (SEM) by resilience levels was employed to delineate the pathways between socioeconomic position and the worsening of psychosocial wellbeing.ResultsSEM analysis showed a significant total effect of socioeconomic ladder with the worsening of psychosocial wellbeing during the pandemic in the overall sample (β = −0.149 [95% CI = −0.217 – −0.081], p < 0.001), which operated indirectly through learning problems and loneliness (both p < 0.001 for their indirect effects). Consistent pattern with stronger effect size was observed in the lower resilience group; nonetheless, the associations were substantially mitigated in the higher resilience group.ConclusionIn addition to facilitating self-directed learning and easing loneliness during the pandemic, evidence-based strategies to build up resilience among adolescents are critical to buffer against the adverse socioeconomic and psychosocial impacts of the pandemic or other potential catastrophic events in the future.

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“…In addition to these key factors, an individual’s views and attitudes towards society have been highlighted as correlates of vaccination in an increasing number of studies. Notably, higher levels of social capital [ 10 , 11 , 12 ] and trust in government [ 13 , 14 , 15 ] are found to be in favor of vaccination in many countries.…”

Section: Introductionmentioning

confidence: 99%

“…Building upon previous studies [ 10 , 11 , 12 , 13 , 14 , 15 ], we examined how general trust in others, trust in government, and interaction with neighbors affect an individual’s decisions on vaccine uptake. General trust in others is a key element of social capital, which is defined as the quality of relationships among community members [ 16 ].…”

Section: Introductionmentioning

confidence: 99%

“…Trust in government, which refers to people’s beliefs that the government acts transparently and fairly in accordance with the public interest, has also been investigated as a factor related to vaccination willingness [ 13 , 14 , 15 ]. Analyzing vaccination practices in the context where the government takes the lead in managing the pandemic crisis makes it even more important to consider trust in the government.…”

Section: Introductionmentioning

confidence: 99%

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Trust, Interaction with Neighbors, and Vaccination during the COVID-19 Pandemic: A Cross-Sectional Analysis of Chinese Data

Oshio

Ping

2023

Vaccines

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The COVID-19 pandemic significantly impacted public health and quality of life, leading to government recommendations for vaccination. Using cross-sectional data from a nationwide population-based survey conducted in China (N = 6860), this study aimed to examine the associations between individual vaccine uptake and general trust in others, trust in government, and interaction with neighbors. We conducted a multilevel logistic regression analysis to examine the relevance of these factors at the individual and community levels. Among young adults, higher levels of general trust at both levels were positively associated with vaccination, with odds ratios (OR) of 1.35 (95% confidence interval [CI]: 1.07, 1.70) and 1.58 (95% CI: 1.14, 2.18), respectively. We also found a positive association between vaccination and community-level interaction with neighbors, with ORs of 1.55 (95% CI: 1.11, 2.17). In contrast, among older individuals, vaccination was positively associated only with individual-level interaction with neighbors, with an OR of 1.55 (95% CI: 1.15, 2.08). The results indicated that vaccine uptake was associated with an individual’s views of society and the social environment of the community, with substantial variations between the young and the old. Our findings emphasize the significance of public health measures to strengthen neighborhood interactions among older adults.

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The impact of trust in government on pandemic management on the compliance with voluntary COVID-19 vaccination policy among adolescents after social unrest in Hong Kong

Cited by 12 publications

References 46 publications

Associations between Health Literacy, Trust, and COVID-19 Vaccine Hesitancy: The Case of Hong Kong

Associations between Health Literacy, Trust, and COVID-19 Vaccine Hesitancy: The Case of Hong Kong

Socioeconomic inequality in the worsening of psychosocial wellbeing via disrupted social conditions during COVID-19 among adolescents in Hong Kong: self-resilience matters

Trust, Interaction with Neighbors, and Vaccination during the COVID-19 Pandemic: A Cross-Sectional Analysis of Chinese Data

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