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When Lack of Trust in the Government and in Scientists Reinforces Social Inequalities in Vaccination Against COVID-19

Author

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  • Nathalie Bajos

    (IRIS - Institut de Recherche Interdisciplinaire sur les enjeux Sociaux - sciences sociales, politique, santé - EHESS - École des hautes études en sciences sociales - INSERM - Institut National de la Santé et de la Recherche Médicale - CNRS - Centre National de la Recherche Scientifique - Université Sorbonne Paris Nord)

  • Alexis Spire

    (CERAPS - Centre d'Etudes et de Recherches Administratives, Politiques et Sociales - UMR 8026 - Université de Lille - CNRS - Centre National de la Recherche Scientifique, IRIS - Institut de Recherche Interdisciplinaire sur les enjeux Sociaux - sciences sociales, politique, santé - EHESS - École des hautes études en sciences sociales - INSERM - Institut National de la Santé et de la Recherche Médicale - CNRS - Centre National de la Recherche Scientifique - Université Sorbonne Paris Nord)

  • Léna Silberzan

    (IRIS - Institut de Recherche Interdisciplinaire sur les enjeux Sociaux - sciences sociales, politique, santé - EHESS - École des hautes études en sciences sociales - INSERM - Institut National de la Santé et de la Recherche Médicale - CNRS - Centre National de la Recherche Scientifique - Université Sorbonne Paris Nord)

  • Antoine Sireyjol

    (IRIS - Institut de Recherche Interdisciplinaire sur les enjeux Sociaux - sciences sociales, politique, santé - EHESS - École des hautes études en sciences sociales - INSERM - Institut National de la Santé et de la Recherche Médicale - CNRS - Centre National de la Recherche Scientifique - Université Sorbonne Paris Nord)

  • Florence Jusot

    (Legos - Laboratoire d'Economie et de Gestion des Organisations de Santé - Université Paris Dauphine-PSL - PSL - Université Paris Sciences et Lettres, IRDES - Institut de Recherche et Documentation en Economie de la Santé - Université Paris Dauphine-PSL - PSL - Université Paris Sciences et Lettres, LEDa - Laboratoire d'Economie de Dauphine - IRD - Institut de Recherche pour le Développement - Université Paris Dauphine-PSL - PSL - Université Paris Sciences et Lettres - CNRS - Centre National de la Recherche Scientifique)

  • Laurence Meyer

    (LISEC - Laboratoire Interuniversitaire des Sciences de l'Education et de la Communication - UNISTRA - Université de Strasbourg - Université de Haute-Alsace (UHA) - Université de Haute-Alsace (UHA) Mulhouse - Colmar - UL - Université de Lorraine, BMNST - Biopathologie de la Myéline, Neuroprotection et Stratégies Thérapeutiques - UNISTRA - Université de Strasbourg - INSERM - Institut National de la Santé et de la Recherche Médicale, CESP - Centre de recherche en épidémiologie et santé des populations - UVSQ - Université de Versailles Saint-Quentin-en-Yvelines - AP-HP - Assistance publique - Hôpitaux de Paris (AP-HP) - Hôpital Paul Brousse - INSERM - Institut National de la Santé et de la Recherche Médicale - Université Paris-Saclay)

  • Jeanna-Eve Franck

    (IRIS - Institut de Recherche Interdisciplinaire sur les enjeux Sociaux - sciences sociales, politique, santé - EHESS - École des hautes études en sciences sociales - INSERM - Institut National de la Santé et de la Recherche Médicale - CNRS - Centre National de la Recherche Scientifique - Université Sorbonne Paris Nord)

  • Josiane Warszawski

    (CRESS (U1153 / UMR_A 1125) - Centre for Research in Epidemiology and Statistics | Centre de Recherche Épidémiologie et Statistiques - CNAM - Conservatoire National des Arts et Métiers [CNAM] - USPC - Université Sorbonne Paris Cité - INSERM - Institut National de la Santé et de la Recherche Médicale - UPCité - Université Paris Cité - INRAE - Institut National de Recherche pour l’Agriculture, l’Alimentation et l’Environnement, IC UM3 (UMR 8104 / U1016) - Institut Cochin - INSERM - Institut National de la Santé et de la Recherche Médicale - CNRS - Centre National de la Recherche Scientifique - UPCité - Université Paris Cité, CESP - Centre de recherche en épidémiologie et santé des populations - UVSQ - Université de Versailles Saint-Quentin-en-Yvelines - AP-HP - Assistance publique - Hôpitaux de Paris (AP-HP) - Hôpital Paul Brousse - INSERM - Institut National de la Santé et de la Recherche Médicale - Université Paris-Saclay)

Abstract

Objective To assess whether lack of trust in the government and scientists reinforces social and racial inequalities in vaccination practices. Design A follow-up of the EpiCov random population-based cohort survey. Setting In July 2021, in France. Participants Eighty-thousand nine hundred and seventy-one participants aged 18 years and more. Main Outcome Measures Adjusted odds ratios of COVID-19 vaccination status (received at least one dose/ intends to get vaccinated/ does not know whether to get vaccinated/refuses vaccination) were assessed using multinomial regressions to test associations with social and trust factors and to study how these two factors interacted with each other. Results In all, 72.2% were vaccinated at the time of the survey. The population of unvaccinated people was younger, less educated, had lower incomes, and more often belonged to racially minoritized groups, as compared to vaccinated people. Lack of trust in the government and scientists to curb the spread of the epidemic were the factors most associated with refusing to be vaccinated: OR = 8.86 (7.13 to 11.00) for the government and OR = 9.07 (7.71 to 10.07) for scientists, compared to vaccinated people. Lack of trust was more prevalent among the poorest which consequently reinforced social inequalities in vaccination. The poorest 10% who did not trust the government reached an OR of 16.2 (11.9 to 22.0) for refusing to be vaccinated compared to the richest 10% who did. Conclusion There is a need to develop depoliticised outreach programmes targeted at the most socially disadvantaged groups, and to design vaccination strategies conceived with people from different social and racial backgrounds to enable them to make fully informed choices.

Suggested Citation

  • Nathalie Bajos & Alexis Spire & Léna Silberzan & Antoine Sireyjol & Florence Jusot & Laurence Meyer & Jeanna-Eve Franck & Josiane Warszawski, 2022. "When Lack of Trust in the Government and in Scientists Reinforces Social Inequalities in Vaccination Against COVID-19," Post-Print hal-03959619, HAL.
    • Handle: RePEc:hal:journl:hal-03959619
    DOI: 10.3389/fpubh.2022.908152
    Note: View the original document on HAL open archive server: https://hal.science/hal-03959619v2
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    References listed on IDEAS

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    1. McNeill, Lorna Haughton & Kreuter, Matthew W. & Subramanian, S.V., 2006. "Social Environment and Physical activity: A review of concepts and evidence," Social Science & Medicine, Elsevier, vol. 63(4), pages 1011-1022, August.
    2. Ward, Jeremy K. & Alleaume, Caroline & Peretti-Watel, Patrick, 2020. "The French public's attitudes to a future COVID-19 vaccine: The politicization of a public health issue," Social Science & Medicine, Elsevier, vol. 265(C).
    3. J Ward & C. Alleaume & P Peretti-Watel & V. Seror & S Cortaredona & O. Launay & Jocelyn Raude & P. Verger & F. Beck & S. Legleye & Olivier L’haridon, 2020. "The French public's attitudes to a future COVID-19 vaccine: The politicization of a public health issue," Post-Print hal-03004549, HAL.
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    Cited by:

    1. Gunjan Kumari & Oindrila Dey, 2024. "Can redistribution of vaccine improve global welfare? Lessons from COVID-19," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 25(7), pages 1217-1238, September.
    2. Benedikt V. Meylahn & Arnoud V. den Boer & Michel Mandjes, 2023. "Trusting: Alone and together," Papers 2303.01921, arXiv.org, revised Feb 2024.
    3. Rohde, Nicholas, 2023. "Economic insecurity, nativism, and the erosion of institutional trust," Journal of Economic Behavior & Organization, Elsevier, vol. 212(C), pages 1017-1028.

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