{"title":"In Whom We Trust: The Effect of Trust, Subjective Norms, and Socioeconomic Status on Attitudes and COVID-19 Vaccination Intentions.","authors":"Neil Talbert, Norman Wong","doi":"10.1080/10410236.2025.2456995","DOIUrl":null,"url":null,"abstract":"<p><p>As COVID-19 vaccination hesitancy remains a major public health issue, understanding the factors influencing attitudes and COVID-19 vaccination intentions is a public health priority. Applying the theory of planned behavior (TPB), this study examined the role of two forms of social trust - namely, particularized trust toward relationally close others and generalized trust toward people in general - in moderating the relationship between social norms (injunctive and descriptive) and COVID-19 vaccination attitudes and intent. In two studies (<i>n</i> = 235 for Study 1, <i>n</i> = 273 for Study 2, total <i>N</i> = 508), we found some support for the TPB in the context of COVID-19 vaccination, with attitudes and injunctive norms significantly predicting vaccination intention. However, perceived behavioral control was not a significant predictor of COVID-19 vaccination intention. Extending the TPB, we found that trust in others had an <i>amplifying effect</i> on the relationship between descriptive norms and COVID-19 vaccination attitudes. However, trust attenuated the link between injunctive norms and attitudes toward COVID-19 vaccination. The implications of these findings are discussed.</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"2375-2388"},"PeriodicalIF":2.7000,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Health Communication","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1080/10410236.2025.2456995","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/2/4 0:00:00","PubModel":"Epub","JCR":"Q1","JCRName":"COMMUNICATION","Score":null,"Total":0}
引用次数: 0
Abstract
As COVID-19 vaccination hesitancy remains a major public health issue, understanding the factors influencing attitudes and COVID-19 vaccination intentions is a public health priority. Applying the theory of planned behavior (TPB), this study examined the role of two forms of social trust - namely, particularized trust toward relationally close others and generalized trust toward people in general - in moderating the relationship between social norms (injunctive and descriptive) and COVID-19 vaccination attitudes and intent. In two studies (n = 235 for Study 1, n = 273 for Study 2, total N = 508), we found some support for the TPB in the context of COVID-19 vaccination, with attitudes and injunctive norms significantly predicting vaccination intention. However, perceived behavioral control was not a significant predictor of COVID-19 vaccination intention. Extending the TPB, we found that trust in others had an amplifying effect on the relationship between descriptive norms and COVID-19 vaccination attitudes. However, trust attenuated the link between injunctive norms and attitudes toward COVID-19 vaccination. The implications of these findings are discussed.
由于COVID-19疫苗接种犹豫不决仍然是一个重大的公共卫生问题,了解影响态度和COVID-19疫苗接种意愿的因素是公共卫生重点。运用计划行为理论(TPB),本研究考察了两种形式的社会信任——即对关系密切的他人的特定信任和对一般人的广义信任——在调节社会规范(禁令性和描述性)与COVID-19疫苗接种态度和意图之间的关系中的作用。在两项研究中(研究1 n = 235,研究2 n = 273,总n = 508),我们发现在COVID-19疫苗接种背景下,TPB得到了一些支持,态度和禁令规范显著预测疫苗接种意愿。然而,感知行为控制并不是COVID-19疫苗接种意向的显著预测因子。扩大TPB,我们发现对他人的信任对描述性规范与COVID-19疫苗接种态度之间的关系具有放大效应。然而,信任削弱了禁令规范与对COVID-19疫苗接种的态度之间的联系。讨论了这些发现的意义。
期刊介绍:
As an outlet for scholarly intercourse between medical and social sciences, this noteworthy journal seeks to improve practical communication between caregivers and patients and between institutions and the public. Outstanding editorial board members and contributors from both medical and social science arenas collaborate to meet the challenges inherent in this goal. Although most inclusions are data-based, the journal also publishes pedagogical, methodological, theoretical, and applied articles using both quantitative or qualitative methods.