  {"id":161600,"date":"2022-07-06T08:00:19","date_gmt":"2022-07-06T18:00:19","guid":{"rendered":"https:\/\/www.hawaii.edu\/news\/?p=161600"},"modified":"2022-07-05T14:50:24","modified_gmt":"2022-07-06T00:50:24","slug":"nhpi-vaccination-rates-affected-by-trust","status":"publish","type":"post","link":"https:\/\/www.hawaii.edu\/news\/2022\/07\/06\/nhpi-vaccination-rates-affected-by-trust\/","title":{"rendered":"Native Hawaiian, Pacific Islander vaccination rates affected by trust levels"},"content":{"rendered":"<span class=\"span-reading-time rt-reading-time\" style=\"display: block;\"><span class=\"rt-label rt-prefix\">Reading time: <\/span> <span class=\"rt-time\"> 2<\/span> <span class=\"rt-label rt-postfix\">minutes<\/span><\/span><p><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.hawaii.edu\/news\/wp-content\/uploads\/2020\/09\/manoa-uhero-covidpau.jpg\" alt=\"view of Manoa Valley overlooking Diamond Head\" width=\"676\" height=\"381\" class=\"alignleft size-full wp-image-126753\" srcset=\"https:\/\/www.hawaii.edu\/news\/wp-content\/uploads\/2020\/09\/manoa-uhero-covidpau.jpg 676w, https:\/\/www.hawaii.edu\/news\/wp-content\/uploads\/2020\/09\/manoa-uhero-covidpau-300x169.jpg 300w, https:\/\/www.hawaii.edu\/news\/wp-content\/uploads\/2020\/09\/manoa-uhero-covidpau-130x73.jpg 130w\" sizes=\"auto, (max-width: 676px) 100vw, 676px\" \/><\/p>\n<p>The reasons behind vaccine hesitancy among Native Hawaiians and other Pacific Islanders (<abbr>NHPI<\/abbr>s) in <span aria-label=\"Hawaii\">Âé¶¹´«Ã½<\/span> at the start of the COVID-19 pandemic are explained in a new University of <span aria-label=\"Hawaii\">Âé¶¹´«Ã½<\/span> at M\u0101noa study. Researchers said the findings could provide a foundation for communication strategies for other health policies beyond the pandemic.<\/p>\n<p>Until last fall, <abbr>NHPIs<\/abbr> remained significantly under-vaccinated compared to ethnic groups in <span aria-label=\"Hawaii\">Âé¶¹´«Ã½<\/span>. A team of University of <span aria-label=\"Hawaii\">Âé¶¹´«Ã½<\/span> at M\u0101noa researchers surveyed <span aria-label=\"Hawaii\">Âé¶¹´«Ã½<\/span> residents between March and August 2021 and their findings, <a href=\"https:\/\/doi.org\/10.3390\/vaccines10060968\">published in <em>Vaccines<\/em><\/a> in June 2022, describes how racial\/ethnic differences in trust between sources of COVID-19 information, coupled with the level of consumption of such information, corresponded to divergence in vaccine uptake.<\/p>\n<p>&ldquo;The study revealed for the first time an opposing role of trust in vaccine uptake that we were able to quantify,&rdquo; said <strong>Ruben Juarez<\/strong>, economics professor in <abbr title=\"University of Hawaii\">UH<\/abbr> M\u0101noa\u2019s <a href=\"https:\/\/socialsciences.manoa.hawaii.edu\/\">College of Social Sciences<\/a> (<abbr>CSS<\/abbr>) and <abbr title=\"Hawaii Medical Service Association\">HMSA<\/abbr> Endowed Professor of Health Economics at <a href=\"https:\/\/uhero.hawaii.edu\/\"><abbr title=\"University of Hawaii Economic Research Organization\">UHERO<\/abbr><\/a>. &ldquo;The levels of trust individuals expressed were highly dependent on the source of information they relied on to make decisions regarding their health.&rdquo;<\/p>\n<p>Working in collaboration with the <a href=\"http:\/\/www.paac.info\/\">Pacific Alliance Against COVID-19<\/a> (<abbr>PAAC<\/abbr>), researchers surveyed 1,124 <span aria-label=\"Hawaii\">Âé¶¹´«Ã½<\/span> residents during the group\u2019s COVID-19 testing events. Of the respondents, 61.7&#37; self-identified as Native Hawaiian and Pacific Islander. Researchers observed that:<\/p>\n<ul>\n<li>Respondents exhibiting a higher degree of trust in <em><strong>official<\/strong><\/em> sources of COVID-19 information were 20.68&#37; more likely to get vaccinated.<\/li>\n<li>Respondents exhibiting a higher degree of trust in <em><strong>unofficial<\/strong><\/em> sources were 12.49&#37; less likely to get vaccinated.<\/li>\n<li>Trust in unofficial sources, along with consumption of COVID-19 information from such sources, explained vaccine hesitancy, specifically among <abbr>NHPIs<\/abbr>.<\/li>\n<\/ul>\n<p>These findings are particularly relevant as Indigenous communities across the nation, including <abbr>NHPIs<\/abbr>, have experienced vaccine hesitancy at unprecedented levels due to historically derived sentiments of distrust in government and widespread use of social media as an information source.<\/p>\n<p>In <span aria-label=\"Hawaii\">Âé¶¹´«Ã½<\/span>, vaccine hesitancy among <abbr>NHPIs<\/abbr> is especially concerning. This population is at disproportionately higher risk for severe complications and mortality from COVID-19 due to long-standing social inequities associated with the higher prevalence of chronic diseases including obesity and diabetes.<\/p>\n<p>Related <em><abbr>UH<\/abbr> News<\/em> stories:<\/p>\n<ul>\n<li><a href=\"https:\/\/www.hawaii.edu\/news\/2021\/08\/10\/nhpi-type-2-diabetes-study\/\">$3.3M for game-changing type-2 diabetes study in <span aria-label=\"Hawaii\">Âé¶¹´«Ã½<\/span>&#8216;s <abbr>NHPI<\/abbr> communities<\/a>, August 10, 2021<\/li>\n<li><a href=\"https:\/\/www.hawaii.edu\/news\/2020\/05\/01\/nhpi-hardest-hit-by-covid19\/\">Native Hawaiian and Pacific Islander communities hardest hit by COVID-19<\/a>, May 1, 2020<\/li>\n<\/ul>\n<p>&ldquo;Results from our study implicate that public health strategies which nurture trust and health science literacy may augment COVID-19 mitigation efforts, an approach we are evaluating with a community and culturally relevant educational program we developed with our school-based partnerships that are coupled with supporting on-site COVID-19 testing,&rdquo; said <strong>Alika Maunakea<\/strong>, John <abbr>A<\/abbr>. Burns School of Medicine (<abbr>JABSOM<\/abbr>) associate professor.<\/p>\n<p>Added <strong>May Okihiro<\/strong>, <abbr>JABSOM<\/abbr> associate professor and pediatrician at the <span aria-label=\"Waianae\">Wai&#699;anae<\/span> Coast Comprehensive Health Center, &ldquo;This data provides critical information for our community of health centers to act on the development of strategies to address health disparities more systematically.&rdquo;<\/p>\n<p>This survey is part of a <abbr>UH<\/abbr> M\u0101noa-<abbr>PAAC<\/abbr> partnership to increase COVID-19 testing capacity and vaccination in underserved communities, while collecting meaningful data to address these problems systematically. <abbr>PAAC<\/abbr>, funded by the National Institutes of Health <abbr>RADx-UP<\/abbr>, is a collaboration involving <abbr>UH<\/abbr> M\u0101noa\u2019s <abbr>CSS<\/abbr>, <abbr>JABSOM<\/abbr> and College of Education, and the Accountable Healthcare Alliance of Rural <span aria-label=\"Oahu\">O&#699;ahu<\/span>.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Of the 1,124 <span aria-label=\"Hawaii\">Âé¶¹´«Ã½<\/span> residents surveyed last fall, 61.7&#37; self-identified as Native Hawaiian and Pacific Islander.<\/p>\n","protected":false},"author":16,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[30],"tags":[95,301,1411,1417,197,204,31,1465,1363,242,158,1026,9,343],"class_list":["post-161600","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-research","tag-college-of-education","tag-college-of-social-sciences","tag-covid-19","tag-covid-19-research","tag-economics","tag-education","tag-john-a-burns-school-of-medicine","tag-manoa-native-hawaiian-place-of-learning","tag-manoa-research","tag-native-hawaiian-health","tag-publication","tag-social-science","tag-uh-manoa","tag-uhero","entry","has-media"],"aioseo_notices":[],"jetpack_featured_media_url":"","_links":{"self":[{"href":"https:\/\/www.hawaii.edu\/news\/wp-json\/wp\/v2\/posts\/161600","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.hawaii.edu\/news\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.hawaii.edu\/news\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.hawaii.edu\/news\/wp-json\/wp\/v2\/users\/16"}],"replies":[{"embeddable":true,"href":"https:\/\/www.hawaii.edu\/news\/wp-json\/wp\/v2\/comments?post=161600"}],"version-history":[{"count":7,"href":"https:\/\/www.hawaii.edu\/news\/wp-json\/wp\/v2\/posts\/161600\/revisions"}],"predecessor-version":[{"id":161618,"href":"https:\/\/www.hawaii.edu\/news\/wp-json\/wp\/v2\/posts\/161600\/revisions\/161618"}],"wp:attachment":[{"href":"https:\/\/www.hawaii.edu\/news\/wp-json\/wp\/v2\/media?parent=161600"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.hawaii.edu\/news\/wp-json\/wp\/v2\/categories?post=161600"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.hawaii.edu\/news\/wp-json\/wp\/v2\/tags?post=161600"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}