Vaccine · 2025
Correlates of higher trust in public health officials: results from a representative cohort of private university undergraduates.
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Gollub Erica L, Myszkowski Nils, Xi Min, Boyraz Guler, Mendelsohn Joshua B
Аннотация
BACKGROUND: University students' COVID-19 vaccination attitudes and decisions are shaped by their trust in health-related information and its sources. Few studies have identified factors associated with trust in public health officials among university students. We sought to identify these factors in a representative cohort of private university undergraduates in New York State.
METHODS: We used two-stage sampling to recruit a representative sample of 233 private university undergraduates from January-May 2022. Students completed a cross-sectional online survey with questions on trust in public health officials, socio-demographics, and COVID-19 vaccine beliefs and attitudes. Logistic regression was used to identify factors associated with trust in public health officials.
RESULTS: Of 233 participants, 162 were women (73 %) and 110 were White (47 %). Three-quarters of participants had high trust in public health officials (n = 170, 76 %). Women were five times as likely (adjusted odds ratio [aOR] = 4.5, 95 % confidence interval [CI]: 2.0-10.3) and White students had 60 % reduced odds (aOR = 0.4, 95 % CI: 0.2-0.9) of reporting high levels of trust in public health officials, compared to men and non-White students, respectively. Students who did not report religious concerns were three times as likely (aOR = 3.4; 95 % CI: 1.5-7.9) and students who were not concerned about long-term side-effects of COVID-19 vaccination were four times as likely (aOR = 3.5; 95 % CI: 1.4-8.8) to report high levels of trust in public health officials compared to students with concerns.
CONCLUSION: Our results differed from previous findings on the effects of race/ethnicity on vaccine hesitancy and medical mistrust, potentially reflecting high education and family income, heightened risk perception among racial minorities, and effective messaging in our sample and study setting. Further targeted messaging on vaccine safety and effectiveness would benefit students, with a particular focus on men, White students, students with religious concerns regarding vaccines, and students with low trust in institutions and leaders recommending vaccination.
METHODS: We used two-stage sampling to recruit a representative sample of 233 private university undergraduates from January-May 2022. Students completed a cross-sectional online survey with questions on trust in public health officials, socio-demographics, and COVID-19 vaccine beliefs and attitudes. Logistic regression was used to identify factors associated with trust in public health officials.
RESULTS: Of 233 participants, 162 were women (73 %) and 110 were White (47 %). Three-quarters of participants had high trust in public health officials (n = 170, 76 %). Women were five times as likely (adjusted odds ratio [aOR] = 4.5, 95 % confidence interval [CI]: 2.0-10.3) and White students had 60 % reduced odds (aOR = 0.4, 95 % CI: 0.2-0.9) of reporting high levels of trust in public health officials, compared to men and non-White students, respectively. Students who did not report religious concerns were three times as likely (aOR = 3.4; 95 % CI: 1.5-7.9) and students who were not concerned about long-term side-effects of COVID-19 vaccination were four times as likely (aOR = 3.5; 95 % CI: 1.4-8.8) to report high levels of trust in public health officials compared to students with concerns.
CONCLUSION: Our results differed from previous findings on the effects of race/ethnicity on vaccine hesitancy and medical mistrust, potentially reflecting high education and family income, heightened risk perception among racial minorities, and effective messaging in our sample and study setting. Further targeted messaging on vaccine safety and effectiveness would benefit students, with a particular focus on men, White students, students with religious concerns regarding vaccines, and students with low trust in institutions and leaders recommending vaccination.