Trust and COVID-19 vaccine hesitancy in the Dominican Republic: a national cross-sectional household survey, June-October 2021.
BMJ Open
; 14(5): e081523, 2024 May 23.
Article
en En
| MEDLINE
| ID: mdl-38803259
ABSTRACT
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. OUTCOMEMEASURES:
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.Palabras clave
Texto completo:
1
Banco de datos:
MEDLINE
Asunto principal:
Confianza
/
Vacunas contra la COVID-19
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SARS-CoV-2
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COVID-19
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Vacilación a la Vacunación
Límite:
Adolescent
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Adult
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Aged
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Female
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Humans
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Male
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Middle aged
País/Región como asunto:
Caribe ingles
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Dominica
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Republica dominicana
Idioma:
En
Revista:
BMJ Open
Año:
2024
Tipo del documento:
Article
País de afiliación:
Francia