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. 2024 Dec 31;22(1):48.
doi: 10.3390/ijerph22010048.

Exploring the Roles of Trust, Attitudes, and Motivations in COVID-19 Decision-Making and Vaccination Likelihood: Insights from the Louisiana Community Engagement Alliance (LA-CEAL) Community-Academic-Public Health-Practice (CAPP) Partnership

LaKeisha Williams  1 , Leslie S Craig  2 , Erin Peacock  2 , Tynesia Fields  1   3 , Sara Al-Dahir  1 , Frances Hawkins  4 , Christopher Gillard  1 , Brittany Singleton  1 , Katherine Theall  5 , Michelle Wilson  2 , Gene D'Amour  1 , Mai Vu  6 , Christopher Sylvain  7 , Lishunda Franklin  8 , Kathryn Caldwell  9 , Marie Krousel-Wood  2   5 , Daniel Sarpong  1   10
Affiliations

Exploring the Roles of Trust, Attitudes, and Motivations in COVID-19 Decision-Making and Vaccination Likelihood: Insights from the Louisiana Community Engagement Alliance (LA-CEAL) Community-Academic-Public Health-Practice (CAPP) Partnership

LaKeisha Williams et al. Int J Environ Res Public Health. .

Abstract

Given the increasing integration of trusted leaders in public health science, including vaccination programs, context-specific understandings of community perceptions and levels of trust are critical to intervention. This study aimed to understand the perspectives and attitudes of the southeastern Louisiana community and inform the development of a community-engaged action plan. A cross-sectional survey of 555 southeastern Louisianans-including faith-based organization (FBO) members, community pharmacy (CommRx) customers, community-based organization (CBO) contacts, and Louisiana community-dwelling residents-was conducted from November 2020 to March 2021. Multivariable logistic regression was used to explore factors associated with COVID-19 vaccination likelihood. Of the participants, 89.9% were Black and 56.9% were women (mean age = 53.3 years). Doctors/healthcare providers (HCPs) were the most trusted COVID-19 information sources. Vaccination likelihood was associated with increasing age (odds ratio (OR) = 1.47; 95% confidence interval (CI): 1.27-1.72), trust in doctors/HCPs (OR = 2.83; 95% CI: 1.64-4.88), trust in government (OR = 4.26; 95% CI: 2.44-7.43), and motivations to keep one's community safe (OR = 1.52; 95% CI: 1.36-1.70). CommRx customers (OR = 1.93; 95% CI: 1.02-3.65) and CBO contacts (OR = 2.57; 95% CI: 1.37-4.83) were more likely to receive a COVID-19 vaccine than FBO members. Engaging underserved communities and trusted stakeholders through collaborative Community-Academic-Public health-Practice (CAPP) partnerships such as the Louisiana Community Engagement Alliance can promote health and wellness and optimize health interventions.

Keywords: COVID-19; community—academic—public health—practice (CAPP) partnerships; trust; vaccination likelihood.

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Conflict of interest statement

M.V. is an employer of St. Bernard Drugs, C.S. is an employer of Best Life Pharmacy, L.F. is an employer of Crescent City Pharmacy, F.H. is an employer of Baptist Community Ministries, and K.C. is an employer of C & S Family Pharmacy. M. K-W. is a member of the United States Preventive Services Task Force (USPSTF). This article does not necessarily represent the views and policies of the USPSTF. The remaining authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. The views and conclusions contained in this document are those of the authors and should not be interpreted as representing the official policies, either expressed or implied, of the NIH.

Figures

Figure 1
Figure 1
Trusted sources of COVID-19 information.
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