The paradoxical effects of institutional trust on risk perception and risk management in the Covid-19 pandemic: evidence from three societies

Dai, Yue; Huang, Yi-Hui Christine; Jia, Wufan; Cai, Qinxian

doi:10.1080/13669877.2022.2108122

Cited by 11 publications

(4 citation statements)

References 48 publications

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“…Their study found that several factors, in addition to the technical or financial accessibility of vaccines, influence vaccine compliance. These factors are consistent with the Health Belief Model, which is widely recognized as the predominant theoretical framework utilized for forecasting vaccine adherence ( 17 ). The Health Belief Model emphasizes the influence of an individual’s beliefs and perceptions about health behaviors and measures, such as vaccination, on their health behaviors ( 18 ).…”

Section: Literature Review and Research Hypothesessupporting

confidence: 79%

“…The dependent variable is the public vaccination willingness. Referring to the well-established scales with similar variables in the previous studies ( 15 – 17 , 21 , 23 , 25 ), public vaccination willingness was measured by asking the respondents the following question: “Would you be willing to receive the COVID-19 vaccine if it were available?” ( Table 1 ). The responses were measured using a 5-point Likert scale, with a higher score on the scale indicating a stronger level of public vaccination willingness.…”

Section: Methodsmentioning

confidence: 99%

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Impact of epidemic prevention policies on public vaccination willingness: empirical research in China

Zhong,

Zhuang,

Zhang

2024

Front. Public Health

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BackgroundThe sudden emergence of the COVID-19 pandemic in early 2020 posed an enormous threat to public health. Vaccination is currently recognized as the most cost-effective preventive and control measure against the COVID-19 pandemic worldwide and is the key to constructing a line of defense against the virus, while the epidemic prevention policies adopted by governments have an important impact on the protective behavior of the public. The purpose of this study is to analyze the mechanism by which the stringency of epidemic prevention policies affects public vaccination willingness and to explore the mediating effect of public risk perception.MethodsA cross-sectional survey was conducted among 387 adults from December 2022 to June 2023 in China. A multiple linear regression model was used to explore the impact of epidemic prevention policy stringency on public vaccination willingness, and a hierarchical regression model was used to test the mediating effect of public risk perception.ResultsOur results showed that public vaccination willingness increased by approximately 45.5% for every one-unit increase in the stringency of the epidemic prevention policies, which shows that the stringency of epidemic prevention policies has a significant positive influence on public vaccination willingness. In addition, public risk perception increased by approximately 38.9% during the period of stringent government policies on epidemic prevention. For every one-unit increase in risk perception, public vaccination willingness increased by approximately 40.9%, and the relationship between the stringency of epidemic prevention policies and public vaccination willingness was partially mediated by risk perception.ConclusionThe stricter the epidemic prevention policies, the stronger the public vaccination willingness; risk perception plays a mediating effect between the stringency of epidemic prevention policies and public vaccination willingness. This finding is particularly important for exploring and analyzing the factors influencing public vaccination willingness and for improving public health.

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Section: Literature Review and Research Hypothesessupporting

confidence: 79%

Section: Methodsmentioning

confidence: 99%

Impact of epidemic prevention policies on public vaccination willingness: empirical research in China

Zhong,

Zhuang,

Zhang

2024

Front. Public Health

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“…One key driver of vaccine acceptance appears to be concern about vaccine safety and effectiveness, reflecting the rapid pace of vaccine development and worries about mild, yet common and transient side effects [ 2 , 12 ]. This is related to another major determinant: trust in government, health authorities, and healthcare workers [ 12 , 13 ]. Arguably, trust of the source of information is an intrinsic and potentially modifiable component of successful uptake of vaccines [ 14 , 15 ].…”

Section: Introductionmentioning

confidence: 99%

Increasing Vaccination: Psychological Characteristics of COVID-19 Vaccine Advocates, Converts, and Resisters in Hong Kong

2022

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This study uses longitudinal data to profile psychological characteristics of COVID-19 vaccine advocates, resisters, and converts. We conducted a two-wave longitudinal survey (Nwave1 = 3190, Nwave2 = 2193) in Hong Kong using stratified quota sampling. Among those who completed both survey waves, 458 (30.5%) were classified as vaccine advocates, 295 (19.7%) were vaccine resisters, and 621 (41.4%) were vaccine converts (who shifted away from hesitancy). Compared to advocates, resisters were more likely to be female, those without children, between 40 and 49 years old, democratic voters, and those with poor health. Highly educated individuals, non-democrats, and those in good health were more likely to convert from hesitancy to acceptance. Public trust in authorities and confidence in vaccine were the primary factors related to vaccine uptake. Those who were more confident in vaccine, those who increased in information consumption and risk perceptions towards the pandemic, and those who decreased in their trust of health professionals were more likely to convert. Our study complements the emerging global picture of COVID-19 vaccine acceptance by focusing on changes in vaccine hesitancy during the pandemic.

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“…The internal factors of “I-C” dichotomy, which is argued by Hofstede et al (2005) as well as Pitlik and Rode (2017) , may be inherent cultural traits and beliefs that lead to differences in policy acceptance ( Otto et al, 2020 ; Atalay and Solmazer, 2021 ; Lyu et al, 2022 ). Apart from internal factors, trust has been found to play a siginificant role in many behavioral outcomes ( Huang et al, 2021 ; Dai et al, 2022 ). Thus, we argue that people’s trust in government and key opinion leaders (i.e., KOLs), subjected to influences of self-efficacy and cultural values, may also shape their acceptance of zero-COVID policy.…”

Section: Introductionmentioning

confidence: 99%

Go for zero tolerance: Cultural values, trust, and acceptance of zero-COVID policy in two Chinese societies

Huang

Liu

et al. 2022

Front. Psychol.

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This study seeks to explain the wide acceptance of the stringent zero-COVID policy in two Chinese societies—Mainland China (n = 2,184) and Taiwan (n = 1,128)—from perspectives of cultural values and trust. By employing the efficacy mechanism, this study identifies significant indirect effects of trust in government and key opinion leaders (KOL) on people’s policy acceptance in both societies. Namely, people who interpret the pandemic as a collectivist issue and who trust in government will be more accepting of the zero-COVID policy, whereas those who framed the pandemic as an individual issue tend to refuse the policy. Trust in government and KOLs foster these direct relationships, but trust in government functions as a more important mediator in both societies. The different contexts of the two Chinese societies make the difference when shaping these relationships. These findings provide practical considerations for governmental agencies and public institutions that promote the acceptance of the zero-COVID policy during the pandemic.

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The paradoxical effects of institutional trust on risk perception and risk management in the Covid-19 pandemic: evidence from three societies

Cited by 11 publications

References 48 publications

Impact of epidemic prevention policies on public vaccination willingness: empirical research in China

Impact of epidemic prevention policies on public vaccination willingness: empirical research in China

Increasing Vaccination: Psychological Characteristics of COVID-19 Vaccine Advocates, Converts, and Resisters in Hong Kong

Go for zero tolerance: Cultural values, trust, and acceptance of zero-COVID policy in two Chinese societies

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