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Ideological differences in COVID-19 vaccine intention : the effects of trust in the healthcare system, in complementary and alternative medicine, and perceived threat from the disease
Monika Lamot, Katja Kerman, Andrej Kirbiš, 2024, izvirni znanstveni članek

Opis: Introduction: Politically left-leaning individuals are more likely to get vaccinated against COVID-19, although little is known about the mechanisms underlying the ideological differences in vaccination intentions. Understanding the extent to which trust in the healthcare system, in complementary and alternative medicine, and the perceived threat from the disease contribute to these disparities is crucial, as it could inform targeted interventions to address vaccine hesitancy across the political spectrum. Methods: The present cross-sectional study conducted among adults living in Slovenia (n = 858) examined the mediating role of trust in the healthcare system, trust in complementary and alternative medicine (CAM), and the perceived threat from the virus on COVID-19 vaccination intention. Results: We found that leftist ideology and trust in the healthcare system positively predicted vaccination intention, whereas CAM negatively predicted this intention. In addition, left-leaning individuals expressed greater trust in the healthcare system and lower trust in CAM, resulting in higher levels of COVID-19 vaccination intention. The serial mediation model confirmed that trust in CAM was a negative predictor, while trust in the healthcare system positively predicted perceived threat. Discussion: When dealing with vaccine hesitancy among right-oriented individuals, strategies should focus on enhancing trust in the healthcare system and critically evaluating the reliance on CAM.
Ključne besede: vaccine hesitancy, political ideology, percieved threat, trust, healthcare system, complementary medicine, alternative medicine
Objavljeno v DKUM: 08.04.2024; Ogledov: 293; Prenosov: 16
Celotno besedilo (536,31 KB)
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The impact of socioeconomic status, perceived threat and healthism on vaccine hesitancy
Andrej Kirbiš, 2023, izvirni znanstveni članek

Opis: The ideology of healthism and low perceptions of the threat of vaccine-preventable diseases may explain the positive link between socioeconomic status (SES) and vaccine hesitancy in highincome countries. The present study aimed to examine the effect of three measures of SES (education, income and family economic status), the perceived threat of infectious diseases and two dimensions of healthism (personal responsibility for own health and distrust in healthcare institutions) on vaccine hesitancy, adjusting for sociodemographic variables. A cross-sectional quantitative study was performed in 2019. Non-probability sampling was employed by sending invitations to respondents over the age of 18 to participate in the study. The snowball technique was used, employing e-mails and digital social networks (Facebook, Twitter and Instagram). Data from 661 respondents were collected via 1 ka.si, an online survey tool. Multivariate regression analysis indicated that vaccine hesitancy was significantly more likely to be expressed by women (β = 0.29; p < 0.001), high-income respondents (β = 0.09; p < 0.01), those who have lower perceptions of the threat of vaccine-preventable diseases (β = 0.39; p < 0.001) and those scoring high on two healthism measures (expressing high perceived control of their own health (β = 0.18; p < 0.001) and high distrust in the Slovenian healthcare system and institutions (β = 0.37; p < 0.001)). The findings indicate that among the examined predictors, low perceived threat of vaccine-preventable diseases and low trust in the healthcare system are among the strongest predictors of vaccine hesitancy among the Slovenian public. Policymakers, physicians and other healthcare workers should be especially attentive to the public’s and patients’ perceptions of the risk of infectious diseases and distrust in medical institutions, including during doctor–patient communication and through public health campaigns and policies.
Ključne besede: vaccine hesitancy, vaccine attitudes, healthism, socioeconomic status, percieved threat
Objavljeno v DKUM: 15.03.2024; Ogledov: 311; Prenosov: 8
Celotno besedilo (315,83 KB)
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