Trust in a COVID-19 vaccine in the U.S.: A social-ecological perspective


On an individual level, one dimension of trust that may be common to COVID-19 and other vaccines is the overall reluctance to obtain vaccinations due to fear of serious side effects. For example, there are well-studied individuals and social groups that endorse antivaccine attitudes and have negative views of any vaccine (Dubé et al., 2015; Larson et al., 2014). These individuals express concerns about the product, including potential side effects and the purity of the vaccine ingredients (Smith, 2017). According to a report on vaccine confidence from the 2015 U.S. National Vaccine Advisory Committee, a survey among health care providers revealed that up to 85% of physicians encountered guardians who plan to refuse one or more recommended vaccines for children, citing concern about adverse effects and misinformation on vaccine safety (National Vaccine Advisory Committee Report, 2015).

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