Does Relationship Matter during a Health Crisis: Examining the Role of Local Government- Public Relationship in the Public Acceptance of COVID-19 Vaccines

Abstract

ABSTRACT Viewing government-public relationships as important antecedents of individuals’ health protection behaviors, this study uses a relationship management approach to examine COVID-19 vaccine promotion among local government agencies. The study hypothesizes that the quality of local government-public relationships is positively associated with pro-vaccine outcomes, including more frequent risk information seeking, pro-vaccine attitudes, and greater vaccination intention. In addition, an important pathway through which the government-public relationship promotes vaccination acceptance is by enhancing the public’s risk perceptions. Using a representative community sample, findings support the positive roles of certain but not all relationship quality variables in predicting vaccine acceptance. Meanwhile, risk perceptions consistently predict risk information seeking, pro-vaccine attitudes, and vaccination intention.