Triad of trust : vaccine decision-making by pregnant people during the COVID-19 pandemic in British Columbia and Ontario
department or school: Medicine, Faculty of
department or school: Population and Public Health (SPPH), School of
data provider: DSpace
degree campus: UBCV
creator: Krug-Mushey, Alex
issued: 2025-04-25T08:35:39Z
issued: 2025
related degree: Master of Science - MSc
degree grantor: University of British Columbia
description: Background: While challenges surrounding vaccine acceptance in pregnancy were prevalent prior to the COVID-19 pandemic, this pandemic introduced a different context for pregnant people – including concerns about COVID-19 infection during pregnancy, changes to the format of perinatal care and social support, and the introduction of new vaccines. This thesis aims to examine these new influences on vaccine decision-making during pregnancy. Methods: Using data from a mixed-methods project headed by the University of British Columbia and McMaster University, this research seeks to answer the question, “How does trust influence the decision-making process of pregnant people around vaccination during pregnancy in the context of the COVID-19 pandemic?” Data from semi-structured interviews with 74 participants who gave birth in Ontario or British Columbia from May 1st, 2020 to December 1st, 2021 were analyzed. This process of reflexive thematic analysis was initially conducted with sensitizing constructs from the Theory of Reasoned Action, Theory of Planned Behaviour, and Health Belief Model but came to incorporate Maya J. Goldenberg’s “Crisis of Trust” framework following preliminary analysis. Results: With the role of trust as central to this analysis, an extended “Crisis of Trust” model was created, with three related, overlapping facets identified – trust in prenatal care providers, trust in institutions, and trust in networks. Trust in prenatal care providers was shaped by participants’ goals of alleviating their mental load, differential cultural norms influencing degrees of trust in healthcare providers, and perceived transparency of providers. Trust in institutions focused on overall trust in the government and healthcare system, trust in the goodwill of the pharmaceutical industry (or lack thereof) and perceptions of relationships between these institutions. Finally, trust in networks included social networks as a potent site of (dis)trust, lived experience forming …
aggregated CHO: https://circle.library.ubc.ca/rest/handle/2429/90783
note: TRIAD OF TRUST: VACCINE DECISION-MAKING BY PREGNANT PEOPLE DURING THE COVID-19 PANDEMIC IN BRITISH COLUMBIA AND ONTARIO by Alex Krug-Mushey B.Sc., Queen’s University, 2023 A THESIS SUBMITTED IN PARTIAL FULFILLMENT OF THE REQUIREMENTS FOR THE DEGREE OF MASTER OF SCIENCE in THE FACULTY OF GRADUATE AND POSTDOCTORAL STUDIES (Population and Public Health) THE UNIVERSITY OF BRITISH COLUMBIA (Vancouver) April 2025 © Alex Krug-Mushey, 2025 ii The following individuals certify that they have read, and recommend to the Faculty of Graduate and Postdoctoral Studies for acceptance, the thesis entitled: Triad of Trust: Vaccine Decision-Making by Pregnant People During the COVID-19 Pandemic in British Columbia and Ontario submitted by Alex Krug-Mushey in partial fulfilment of the requirements for the degree of Master of Science in Population and Public Health Examining Committee: Dr. Devon Greyson, Assistant Professor, Population and Public Health, UBC Supervisor Dr. Monika Naus, Professor, Population and Public Health, UBC Supervisory Committee Member Dr. Meredith Vanstone, Associate Professor, Family Medicine, McMaster University Supervisory Committee Member Dr. Daniel Steel, Associate Professor, Population and Public Health, UBC Additional Examiner iii Abstract Background: While challenges surrounding vaccine acceptance in pregnancy were prevalent prior to the COVID-19 pandemic, this pandemic introduced a different context for pregnant people – including concerns about COVID-19 infection during pregnancy, changes to the format of perinatal care and social support, and the introduction of new vaccines. This thesis aims to examine these new influences on vaccine decision-making during pregnancy. Methods: Using data from a mixed-methods project headed by the University of British Columbia and McMaster University, this research seeks to answer the question, “How does trust influence the decision-making process of pregnant people around vaccination during pregnancy in the context of…
has type: Thesis/Dissertation
date issued: 2025-05
is shown at: 10.14288/1.0448546
language: eng
degree discipline: Population and Public Health
provider: Vancouver : University of British Columbia Library
publisher: University of British Columbia
rights: Attribution-NonCommercial-NoDerivatives 4.0 International
rights URI: http://creativecommons.org/licenses/by-nc-nd/4.0/
scholar level: Graduate
contributor: Greyson, Devon
type: Text
identifier URI: http://hdl.handle.net/2429/90783