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Determinants of trust in the flu vaccine for African Americans and Whites

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  • Freimuth, Vicki S.
  • Jamison, Amelia M.
  • An, Ji
  • Hancock, Gregory R.
  • Quinn, Sandra Crouse

Abstract

Trust is thought to be a major factor in vaccine decisions, but few studies have empirically tested the role of trust in adult immunization. Utilizing a 2015 national survey of African American and White adults (n = 1630), we explore multiple dimensions of trust related to influenza immunization, including generalized trust, trust in the flu vaccine, and trust in the vaccine production process. We find African Americans report lower trust than Whites across all trust measures. When considering demographic, racial, and ideological predictors, generalized trust shows statistically significant effects on both trust in the flu vaccine and trust in the vaccine process. When controlling for demographic, racial, and ideological variables, higher generalized trust was significantly associated with higher trust in the flu vaccine and the vaccine process. When controlling for generalized trust, in addition to the baseline covariates, psychosocial predictors (i.e. risk perception, social norms, knowledge) are significant predictors of trust in flu vaccine and trust in the vaccine process, with significant differences by race. These findings suggest that trust in vaccination is complex, and that significant differences in trust between White and African American adults may be contributing to disparities in influenza immunization.

Suggested Citation

  • Freimuth, Vicki S. & Jamison, Amelia M. & An, Ji & Hancock, Gregory R. & Quinn, Sandra Crouse, 2017. "Determinants of trust in the flu vaccine for African Americans and Whites," Social Science & Medicine, Elsevier, vol. 193(C), pages 70-79.
    • Handle: RePEc:eee:socmed:v:193:y:2017:i:c:p:70-79
    DOI: 10.1016/j.socscimed.2017.10.001
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    References listed on IDEAS

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    Cited by:

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    3. Kiana Wilkins, 2022. "Intersectional Immunity? Examining How Race/Ethnicity and Sexual Orientation Combine to Shape Influenza Vaccination Among US Adults," Population Research and Policy Review, Springer;Southern Demographic Association (SDA), vol. 41(6), pages 2585-2612, December.
    4. Jamison, Amelia M. & Quinn, Sandra Crouse & Freimuth, Vicki S., 2019. "“You don't trust a government vaccine”: Narratives of institutional trust and influenza vaccination among African American and white adults," Social Science & Medicine, Elsevier, vol. 221(C), pages 87-94.
    5. Hill, Patrick L. & Burrow, Anthony L. & Strecher, Victor J., 2021. "Sense of purpose in life predicts greater willingness for COVID-19 vaccination," Social Science & Medicine, Elsevier, vol. 284(C).
    6. John Iceland & Eric Silver & Kerby Goff, 2023. "Moral intuitions and vaccine hesitancy during the COVID‐19 pandemic," Social Science Quarterly, Southwestern Social Science Association, vol. 104(3), pages 230-247, May.
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    8. Samuel Stroope & Rhiannon A. Kroeger & Courtney E. Williams & Joseph O. Baker, 2021. "Sociodemographic correlates of vaccine hesitancy in the United States and the mediating role of beliefs about governmental conspiracies," Social Science Quarterly, Southwestern Social Science Association, vol. 102(6), pages 2472-2481, November.
    9. Lahijani, Ariana Y. & King, Adrian R. & Gullatte, Mary M. & Hennink, Monique & Bednarczyk, Robert A., 2021. "HPV Vaccine Promotion: The church as an agent of change," Social Science & Medicine, Elsevier, vol. 268(C).
    10. Nong, Paige & Raj, Minakshi & Trinidad, Marie Grace & Rowe, Zachary & Platt, Jodyn, 2021. "Understanding racial differences in attitudes about public health efforts during COVID-19 using an explanatory mixed methods design," Social Science & Medicine, Elsevier, vol. 287(C).
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