Government trust and immunity: understanding seasonal flu vaccination uptake. Insights from a Multi-Year Panel Study in the Netherlands.
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2025-07-08
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en
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The declining vaccination rates regarding seasonal influenza vaccinations in the Netherlands has emerged as a risk for the Dutch public health. Other studies frequently mention government trust as a key factor that influences vaccination decisions and report positive associations between government trust and the likelihood of being vaccinated. Nonetheless, evidence regarding the effect of government trust on the actual uptake of seasonal influenza vaccinations, especially in the Netherlands, remains limited. This thesis aims to investigate this relationship further, firstly by providing a theoretical framework regarding the role of government trust when it comes to vaccination decisions, and then empirically by running a Mixed-Effects Logistic Regression on a panel data sample, which is obtained from multiple surveys that are conducted from 2015 until 2018 by the LISS Panel in the Netherlands. The analysis showed that government trust has no statistically significant effect on seasonal flu vaccination uptake. The absence of a significant effect may be explained by other strong predictors, such as age and health status, or by the well-structured local healthcare environment in the Netherlands. Future research should investigate this relationship further, leading to definite policy recommendations on how to boost seasonal flu vaccination rates.
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Faculteit der Managementwetenschappen