Sponsor
Portland State University. Department of Sociology
First Advisor
Hyeyoung Woo
Term of Graduation
Summer 2023
Date of Publication
8-24-2023
Document Type
Thesis
Degree Name
Master of Science (M.S.) in Sociology
Department
Sociology
Language
English
Subjects
Vaccine hesitancy
DOI
10.15760/etd.3638
Physical Description
1 online resource (ii, 36 pages)
Abstract
Vaccine attitudes provide a valuable site for analyzing trust relations on both interpersonal and institutional levels. This study is a content analysis of public comments submitted from August through October 2022 in response to a proposed rule issued by the U.S. Department of Health and Human Services, which sought to strengthen non-discrimination protections in healthcare programs. Specifically, it examines the role of distrust in shaping and reinforcing vaccine hesitant beliefs, experiences, and healthcare decisions. The five themes identified in the study illustrate a breakdown in trust in pharmaceutical companies, government actors, and healthcare providers, reflecting broader social patterns. In the Roots of Rejection theme, commenters describe the concerns about vaccine technology that lead them to vaccine hesitant beliefs. The theme Encounters in Medicine demonstrates how interactions with healthcare workers impact commenters' vaccine-related beliefs and medical decision-making. The Science and Truth theme illuminates a tendency among commenters to position themselves as being in search of the "real" truth and "real" science. The Freedom and Tyranny theme shows how commenters' vaccine stances are often tied up with their identity as Americans. The final theme, Social Consequences, discusses the issues vaccine-hesitant individuals interpersonally and/or encounter outside of healthcare that reinforce their beliefs about vaccines. These results reveal a need for further studies to address ways to mitigate both interpersonal and institutional-level distrust when considering interventions for vaccine hesitancy.
Rights
In Copyright. URI: http://rightsstatements.org/vocab/InC/1.0/ This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. For other uses you need to obtain permission from the rights-holder(s).
Persistent Identifier
https://archives.pdx.edu/ds/psu/40821
Recommended Citation
Vedantham, Hima Bindu Lakshmi, ""We Just Have to Trust the People in White Lab Coats": Analyzing Distrust in Vaccine Hesitant Comments on the HHS Nondiscrimination in Health Programs and Activities Proposed Rule" (2023). Dissertations and Theses. Paper 6502.
https://doi.org/10.15760/etd.3638