Trust and COVID-19 vaccine hesitancy in the Dominican Republic: a national cross-sectional household survey, June-October 2021.

Autor:	Garnier S; EHESP French School of Public Health, Paris, France salomegarnier99@gmail.com.; Department of Emergency Medicine, Brigham and Women's Hospital, Boston, Massachusetts, USA.; Harvard Humanitarian Initiative, Cambridge, Massachusetts, USA., Then C; Dirección General de Epidemiología, Santo Domingo, Dominican Republic., de St Aubin M; Department of Emergency Medicine, Brigham and Women's Hospital, Boston, Massachusetts, USA.; Harvard Humanitarian Initiative, Cambridge, Massachusetts, USA., Cadavid Restrepo A; School of Public Health, The University of Queensland, Saint Lucia, Queensland, Australia., Mayfield HJ; School of Public Health, The University of Queensland, Saint Lucia, Queensland, Australia., Dumas D; Department of Emergency Medicine, Brigham and Women's Hospital, Boston, Massachusetts, USA.; Harvard Humanitarian Initiative, Cambridge, Massachusetts, USA., Duke W; Universidad Nacional Pedro Henríquez Ureña, Santo Domingo, Dominican Republic., Peña F; Dirección General de Epidemiología, Santo Domingo, Dominican Republic., Kucharski AJ; London School of Hygiene & Tropical Medicine, London, UK., Skewes R; Dirección General de Epidemiología, Santo Domingo, Dominican Republic., Zielinski Gutiérrez E; Central America Regional Office, Centers for Disease Control and Prevention, Guatemala City, Guatemala., Coyoli J; Department of Government, Harvard University Faculty of Arts and Sciences, Cambridge, Massachusetts, USA., Etienne MC; Department of Emergency Medicine, Brigham and Women's Hospital, Boston, Massachusetts, USA., Lau CL; School of Public Health, The University of Queensland, Saint Lucia, Queensland, Australia., Vázquez M; Yale School of Medicine, New Haven, Connecticut, USA., Nilles E; Department of Emergency Medicine, Brigham and Women's Hospital, Boston, Massachusetts, USA.; Harvard Humanitarian Initiative, Cambridge, Massachusetts, USA.
Jazyk:	angličtina
Zdroj:	BMJ open [BMJ Open] 2024 May 23; Vol. 14 (5), pp. e081523. Date of Electronic Publication: 2024 May 23.
DOI:	10.1136/bmjopen-2023-081523
Abstrakt:	Objective: This study investigates the role of trust in shaping COVID-19 vaccine acceptance in the Dominican Republic (DR) during the COVID-19 pandemic. Design: Cross-sectional household survey. Setting: Randomly selected households across 134 clusters in the DR, from 30 June 2021 to 12 October 2021. Participants: 5999 participants ≥16 years of age were enrolled. Outcome Measures: COVID-19 vaccine hesitancy (CVH) data were collected from participants ≥16 years of age and analysed as both an ordinal and binary variable. Results: Overall, CVH was low (5.2% (95% CI 4.6% to 5.8%)), but more common among younger individuals, women and individuals of Mestizo ethnicity. Higher trust in local government, national government, scientists and local doctors (considered official sources) was associated with lower odds of CVH (OR 0.89 (95% CI 0.72 to 0.88), 0.89 (95% CI 0.81 to 0.98), 0.87 (95% CI 0.80 to 0.94) and 0.70 (95% CI 0.62 to 0.80), respectively). Higher trust in religious leaders, social media and traditional media (considered unofficial sources) was associated with higher odds of CVH, with respective ORs of 1.32 (95% CI 1.18 to 1.47), 1.30 (95% CI 1.19 to 1.41) and 1.08 (95% CI 0.97 to 1.22). Conclusion: We report findings on CVH from a national household survey in the DR and identify overall low rates of CVH but marked heterogeneity by age, gender and ethnicity. Trust in unofficial versus official sources of information is associated with increased CVH. These findings highlight and quantify the importance of trust as a key parameter when considering public health communication strategies. Competing Interests: Competing interests: None declared. (© Author(s) (or their employer(s)) 2024. Re-use permitted under CC BY. Published by BMJ.)
Databáze:	MEDLINE
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