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Trust and Trustworthiness: Considerations for COVID-19 Vaccine Receipt in the Chicago Metropolitan Area.

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Title: Trust and Trustworthiness: Considerations for COVID-19 Vaccine Receipt in the Chicago Metropolitan Area.
Authors: Bishop-Royse, Jessica1 jessica_c_bishop-royse@rush.edu, Gutierrez-Kapheim, Melissa2 melissa.gutierrezkapheim@sinai.org, Silva, Abigail3 asilva8@luc.edu, Lomahan, Sarah4 Sarah_Lomahan@rush.edu, Jindal, Monique5 mjindal@uic.edu, Krogen, Michaela2 Michaela.Krogen@sinai.org, Vu, Milkie6 milkie.vu@northwestern.edu, Martin, Molly7 mollyma@uic.edu
Source: Journal of Community Health. Jun2025, Vol. 50 Issue 3, p395-405. 11p.
Subject Terms: *Immunization, *Self-evaluation, *Hispanic Americans, *Federal government, *Vaccine hesitancy, *Discrimination (Sociology), *Employment, Institutional racism, African Americans, Research funding, Multiple regression analysis, COVID-19 vaccines, Trust, Metropolitan areas, Patient-professional relations
Geographic Terms: Illinois
Abstract: Black Americans are disproportionately affected by COVID-19 related disease and mortality due to longstanding social, political, economic, and environmental injustices. Although structural determinants of health have clear links to both COVID-19 disease and vaccine uptake, many public health researchers focus on the contribution of individual level trust in vaccine uptake, obscuring how distrust develops and is reinforced through continued systemic injustice. While much is known about relationship between individual trust and receipt of the COVID-19 vaccine, less is known about how structural racism and exposure to discrimination influence that association. Using survey data collected in the Chicago metropolitan area, we examined associations between structural racism, discrimination, and trust on two measures of vaccine acceptance: self-report receipt of any vaccine and completion of the primary series. Multiple variable logistic regression results suggest that participants who trusted the federal government to ensure a safe pediatric COVID-19 vaccine had higher odds of being vaccinated and completing the primary series. NH Black and Hispanic participants' distrust of their doctor to provide COVID-19 information reduced their odds of vaccine uptake. Trust in medical professionals was linked to higher odds of vaccine receipt for Hispanic participants but not for NH Black participants. Education consistently influenced the likelihood of receiving any vaccine for both NH Black and Hispanic participants, but not completing the primary series. Conversely, employment was strongly related to completing the primary series but not initial vaccine receipt. Measures of structural racism and discrimination had minimal impact on vaccine uptake in this sample. [ABSTRACT FROM AUTHOR]
Copyright of Journal of Community Health is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Education Research Complete
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  Data: Trust and Trustworthiness: Considerations for COVID-19 Vaccine Receipt in the Chicago Metropolitan Area.
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  Data: <searchLink fieldCode="AR" term="%22Bishop-Royse%2C+Jessica%22">Bishop-Royse, Jessica</searchLink><relatesTo>1</relatesTo><i> jessica_c_bishop-royse@rush.edu</i><br /><searchLink fieldCode="AR" term="%22Gutierrez-Kapheim%2C+Melissa%22">Gutierrez-Kapheim, Melissa</searchLink><relatesTo>2</relatesTo><i> melissa.gutierrezkapheim@sinai.org</i><br /><searchLink fieldCode="AR" term="%22Silva%2C+Abigail%22">Silva, Abigail</searchLink><relatesTo>3</relatesTo><i> asilva8@luc.edu</i><br /><searchLink fieldCode="AR" term="%22Lomahan%2C+Sarah%22">Lomahan, Sarah</searchLink><relatesTo>4</relatesTo><i> Sarah_Lomahan@rush.edu</i><br /><searchLink fieldCode="AR" term="%22Jindal%2C+Monique%22">Jindal, Monique</searchLink><relatesTo>5</relatesTo><i> mjindal@uic.edu</i><br /><searchLink fieldCode="AR" term="%22Krogen%2C+Michaela%22">Krogen, Michaela</searchLink><relatesTo>2</relatesTo><i> Michaela.Krogen@sinai.org</i><br /><searchLink fieldCode="AR" term="%22Vu%2C+Milkie%22">Vu, Milkie</searchLink><relatesTo>6</relatesTo><i> milkie.vu@northwestern.edu</i><br /><searchLink fieldCode="AR" term="%22Martin%2C+Molly%22">Martin, Molly</searchLink><relatesTo>7</relatesTo><i> mollyma@uic.edu</i>
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  Data: <searchLink fieldCode="DE" term="%22Illinois%22">Illinois</searchLink>
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  Label: Abstract
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  Data: Black Americans are disproportionately affected by COVID-19 related disease and mortality due to longstanding social, political, economic, and environmental injustices. Although structural determinants of health have clear links to both COVID-19 disease and vaccine uptake, many public health researchers focus on the contribution of individual level trust in vaccine uptake, obscuring how distrust develops and is reinforced through continued systemic injustice. While much is known about relationship between individual trust and receipt of the COVID-19 vaccine, less is known about how structural racism and exposure to discrimination influence that association. Using survey data collected in the Chicago metropolitan area, we examined associations between structural racism, discrimination, and trust on two measures of vaccine acceptance: self-report receipt of any vaccine and completion of the primary series. Multiple variable logistic regression results suggest that participants who trusted the federal government to ensure a safe pediatric COVID-19 vaccine had higher odds of being vaccinated and completing the primary series. NH Black and Hispanic participants' distrust of their doctor to provide COVID-19 information reduced their odds of vaccine uptake. Trust in medical professionals was linked to higher odds of vaccine receipt for Hispanic participants but not for NH Black participants. Education consistently influenced the likelihood of receiving any vaccine for both NH Black and Hispanic participants, but not completing the primary series. Conversely, employment was strongly related to completing the primary series but not initial vaccine receipt. Measures of structural racism and discrimination had minimal impact on vaccine uptake in this sample. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Journal of Community Health is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Value: 10.1007/s10900-024-01424-8
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      – Code: eng
        Text: English
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        PageCount: 11
        StartPage: 395
    Subjects:
      – SubjectFull: Immunization
        Type: general
      – SubjectFull: Self-evaluation
        Type: general
      – SubjectFull: Hispanic Americans
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      – SubjectFull: Federal government
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      – SubjectFull: Vaccine hesitancy
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      – SubjectFull: African Americans
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      – SubjectFull: COVID-19 vaccines
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      – SubjectFull: Trust
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      – SubjectFull: Patient-professional relations
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      – SubjectFull: Illinois
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              M: 06
              Text: Jun2025
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