Trust In Health Information Research Articles

Traditional and Online Health Information Seeking Among Individuals With Limited English Proficiency in the United States: Cross-Sectional Study.

We investigate how individuals with Limited English Proficiency (LEP) seek, access, and evaluate traditional and online sources they rely on for health information. Retrospective cross-sectional survey analysis from the United States. Pooled Health Information National Trends Survey surveys (2013-2019). The sample was comprised 15,316 respondents; 236/15,316 (1.54%) completed the survey in Spanish and 1727/14,734 (11.72%) had LEP (did not speak English "very well"). The sample was nationally representative across demographic categories. Independent and dependent variables were self-reported using validated measures. Multivariable logistic regression models using jackknife replicate weights for population estimates. Adults with LEP were less confident in their capacity to access health information (aOR = 0.59, CI: 0.47-0.75) and had less trust in health information from medical professionals (aOR = 0.57,CI: 0.46-0.72) than English proficient (EP) adults. Although LEP and EP adults were both most likely to use the internet as their first source of information, LEP adults were more likely than EP adults to consult health professionals, print sources like books, news or brochures, family and friends, television and radio. Spanish language survey respondents were more likely to trust health information from government agencies (aOR = 1.99, CI: 1.09-3.62) and watch health-related videos on the internet than respondents who took the survey in English (aOR = 2.51, CI: 1.23-5.12). Our results show how language barriers may contribute to health disparities experienced by linguistic minorities. Government agencies and health care organizations need to promote health information dissemination in underserved communities and may need to embrace the use of alternative information sources such as television, radio, and the internet to reach LEP populations.

Digital Literacy Among Migrants in Portugal: Access, Usage, and Trust in Health Information

Abstract Background Digital literacy is crucial for effective utilization of health-related services and information. This study evaluates digital literacy among migrants in Portugal, focusing on three key components: access to digital services, usage of these services for health information, and trust in online health resources. Methods A cross-sectional survey was conducted to assess migrants’ access to digital devices such as smartphones and computers, their ability to use these devices for health-related purposes, and their perceptions of the credibility of online health information. Data were analyzed across various sociodemographic and migration-related factors. Results 1,048 migrants were included, of which 90.3% had access to digital services, and 64.9% reported ease in using these services to obtain health information. Despite widespread access and usability, about 45.6% of migrants doubted the reliability of online health information. Access and usage varied significantly with age, education, income, employment status, and region of origin. Older, less educated, lower-income, and African migrants faced more significant challenges in access and usage. Additionally, trust issues were predominantly reported by females, those with lower education levels, recent arrivals, and non-Portuguese speakers. Conclusions The study highlights significant disparities in digital literacy among migrants, influenced by socio-economic and demographic factors. While access to digital tools is high, challenges in usage and trust present barriers to effective health communication. Key messages • High access to digital services among migrants, yet significant disparities affect older, less educated, and lower-income groups. • Usage difficulties combined with low trust in online health info highlight the need for targeted digital literacy interventions.

Evaluating barriers to reaching women with public health information in remote communities in Mali

Telecommunications offers an alternative or supplement to community-based interventions as a means of extending healthcare services and improving health outcomes in remote settings but can fail to reach target communities and achieve the desired impact if barriers to access are not overcome. We conducted seven focus group discussions and 26 interviews with community health workers, community leaders, and female members of the public who declared that they had or had not previously accessed free audio health messages provided via a mobile platform in two rural communities of Mali, Koulikoro and Bougouni. A content analysis showed that participants accessed and trusted health information from a range of sources, including radio, telephone and television, as well as town criers, local relays and community health centres. Barriers to access faced by women included economic factors, lack of network or electricity, and social factors such as illiteracy, cultural restrictions and being unaware of mobile communication. Through analysis and interpretation of the participants’ responses, we have made recommendations for future campaigns for the dissemination of health-related information for women in remote settings.

What Encourages Patients to Recommend Their Doctor After an Online Medical Consultation? The Influence of Patient-Centered Communication, Trust, and Negative Health Information Seeking Experiences

ABSTRACT The doctor-patient relationship in China has become increasingly tense, with patients lacking trust in doctors. Meanwhile, online healthcare flourished, accelerated by the COVID-19 pandemic. This study utilized the direct and indirect pathway model of clinician-patient communication to health outcomes and online trust theory to examine the associations between online patient-centered communication (OPCC), benevolence and ability trust in doctors, negative online health information seeking experiences, and willingness to recommend doctors. The findings revealed that benevolence and ability trust mediated the relationship between OPCC and willingness to recommend doctors. Additionally, when participants had a high level of negative online health information seeking experiences, OPCC had a stronger effect on ability trust; meanwhile, the mediation effect of ability trust between the relationship of OPCC and willingness to recommend was stronger. This study also discussed theoretical and practical implications.

Bridging Research, Accurate Information and Dialogue (BRAID): A Novel Strategy to Build Community Trust

Abstract: Background: Efforts to promote COVID-19 vaccination uncovered the effects of longstanding structural racism and perpetuated the erosion of community trust in science and public health institutions. Rebuilding trust is a priority to overcome barriers to vaccine uptake. Bridging Research, Accurate Information and Dialogue (BRAID) is a model that combines several evidence-based approaches to nurture trusting relationships with community experts, leading to the dissemination of accurate, timely, and acceptable COVID-19 vaccine messages. Objective: To describe an innovative community-engaged participatory research model with the potential to build trust and spread accurate health information through social networks. Methods: BRAID provided safe spaces for a series of facilitated conversation circles involving trusted community experts and invited clinicians and scientists. Community experts were encouraged to share their experiences, raise concerns, and ask pandemic-related questions in an informal setting. Community experts were empowered to codesign and coproduce accurate health messages acceptable to their communities. To gain insight into the process of building trust, dialogues involving 22 community experts were transcribed and coded, and post survey data from 21 participants were analyzed. Conclusions: BRAID is a manualized community engagement model that aims to build the trust needed to improve COVID-19 vaccine uptake in historically marginalized communities. Through BRAID, participants developed increased trust in health systems and research. By empowering community experts to share information through their established social networks, BRAID has the potential to amplify the reach and impact of communications regarding health topics that are controversial and divisive, such as COVID-19 vaccination.

Towards more trusted virtual physicians: the combinative effects of healthcare chatbot design cues and threat perception on health information trust

ABSTRACT Although virtual healthcare assistants have been extensively adopted in the healthcare industry, users still question their reliability. Based on the Computers are Social Actor (CASA) paradigm, the current study conducted an experiment to examine how different chatbot design cues (Chatbot vs. Layperson vs. Doctor) affect users’ trust towards virtual healthcare assistants. Results indicate that the doctor-like design cues and bot-like design cues (vs. layperson-like design cues) elicited significantly greater perceived chatbot expertise, which enhanced users’ trust in health information. This study further found the significant moderating effects of users’ perceived threat on chatbot expertise and privacy concerns. Positive effects of the doctor-like design cue and the bot-like design cue on perceived expertise were found to be significant only for those whose perceived threat was high. Interestingly, the doctor-like design cues led to greater (less) privacy concerns when the perceived threat level was low (high). The findings provide human–computer interaction researchers and chatbot UX/UI designers with important theoretical and practical implications.

THE ROLE OF MEDIA IN DISEASE PREVENTION IN UGANDA: A CASE STUDY OF NBS TELEVISION

Scholars have extensively studied the effectiveness of different health communication strategies employed by television networks in disseminating disease prevention information. These strategies include health campaigns, public service announcements, and educational programming aimed at raising awareness about infectious diseases and promoting preventive behaviors. Understanding how audiences perceive and engage with health messages broadcasted by the media is crucial for evaluating the impact of disease prevention efforts. This study sought to evaluate the role of media in disease prevention in Uganda using NBS Television as a case study. A cross-sectional survey design was utilized to collect data from a sample of viewers who have been exposed to televised health messages. The total sample size was 85 respondents. Data was collected through structured questionnaires administered to the selected study participants. Quantitative data collected from the surveys were analyzed using statistical software such as MS Excel. Descriptive statistics, including frequencies, percentages, means, and standard deviations, were used to summarize demographic characteristics, audience exposure to health programming, and responses to survey items. The study found that respondents had varying knowledge about disease prevention measures, with gaps in understanding vaccination schedules, early warning signs, and nutrition’s role. However, they generally held positive attitudes towards disease prevention, believing in its importance for overall health and trusting health information from television programs. They expressed motivation to adopt preventive behaviors and confidence in their ability to maintain positive changes. The findings underscore the potential of televised health communication initiatives in shaping attitudes and behaviors related to disease prevention, emphasizing the role of television in promoting public health awareness. Keywords: Disease, NBS Television, Media, Information

The impact of health beliefs and trust in health information sources on SARS-CoV-2 vaccine uptake.

Health beliefs may mediate the relationship between trust and vaccination decisions, as confidence in online health information has expanded quickly. However, little is known about how health attitudes and trust in health information affect COVID-19 vaccine intention. This study aimed to assess the effect of health beliefs and trust in information sources on the willingness to receive a COVID-19 vaccine among the general public in Saudi Arabia. This study was designed and carried out at the Faculty of Medicine, King Abdulaziz University, Jeddah, Saudi Arabia. Selected items were extracted from the Saudi Residents' Intention to Get Vaccinated Against COVID-19 (SRIGVAC) survey. They were categorized and validated into constructs of a health belief model (the perceived threat of COVID-19, vaccine-related benefits, barriers, and safety concerns) and trust in health information (from online platforms and health authorities/providers). Regression analysis and parallel mediation were used to assess the predictors of vaccination intentions. Based on the responses of 3,091 participants, vaccine-related barriers and safety concerns negatively influenced vaccination intention, whereas vaccine benefits and the perceived threat of COVID-19 were positively correlated with vaccination intention. Trust in online health information had a direct relationship with intentions (β = 0.09, p < 0.0001) as well as indirect relationships through the perceived benefits (β = 0.095), the perceived barriers (β = -0.029), and the perceived safety concerns toward the vaccine (β = -0.010). The relationship between the willingness to vaccinate and trust in authentic information was fully mediated by all domains of health beliefs, with indirect coefficients of 0.004, 0.310, -0.134, and -0.031 for the perceived threat, vaccine benefits, barriers, and safety concerns, respectively. The relationship between the willingness to vaccinate and trust in authentic information was fully mediated by all domains of health beliefs. Vaccine coverage in Saudi Arabia can be optimized by targeting the health beliefs of the general public.

Outreach for Young Adult African Americans with Risk Factors for Stroke.

Research suggests that younger adult African American people (age 18-35 years) have more than double the risk of having a stroke than White people. Stroke risk education is lacking for this cohort; there is a dearth of materials that are targeted and focused for young adult African Americans. There is also little research on developing and testing age and culturally appropriate health literate materials that may help this population better understand personal risk factors for stroke. The aim of this study was to understand factors to guide creating and disseminating plain language health messages about stroke risk awareness among young adult African Americans. African American participants age 18 years and older completed an online survey (N = 413). Descriptive statistics, one-way analysis of variance, and two-step cluster analyses were used to evaluate stroke risk awareness, perceived risk of stroke, message creation factors, and online health information seeking behavior. Open-ended survey items described modifiable and non-modifiable reasons for perceived risk of stroke. Participants reported differences on overall stroke risk factor awareness by perceived risk of stroke was significant (F[2, 409] = 4.91, p = .008) with the very low/low group (M = 1.66, p < .01), showing significantly lower overall stroke risk factor awareness compared to the moderate and high/very high groups. Both respondents who thought their stroke risk was very low/low and moderate/high/very high commented about family history (54.1% and 45.9%, respectively) as the reason and 88.2% of very low/low commented that they did not have risk factors for stroke because they were young. Cluster analysis indicated the Mostly Clear Preferences cluster was more likely to select mostly/very on positive, informational, and long-term messages and medical authority sources. The largest of three clusters reported medical sources as the highest rated source for both finding and trusting health information (47.2%, n = 195). Young adult African Americans have a scarce understanding of modifiable stroke risk factors; health education materials should focus on positive information messaging that shows a long-term result and is presented by a medical authority. We did not observe any age or sex differences among the data, which suggests different message modalities may not be needed. [HLRP: Health Literacy Research and Practice. 2024;8(1):e38-e46.].

Racial and Ethnic Differences in Openness to Communication From Local Faith-Based Congregations During Public Health Emergencies.

During public health emergencies, people at risk of exposure or illness will likely be presented with extensive information about an unfamiliar topic and be asked to make decisions quickly. In difficult situations, people often turn to trusted leaders, including from their local faith-based congregation (FBC). We examined how people receive, interpret, and respond to health communication information from clergy and lay leaders from their local FBC during public health emergencies. We analyzed responses to 10 questions from a 2021 nationally representative US survey. Porter Novelli designed the survey and administered it to 4510 US adults aged ≥18 years, of whom 3553 people completed the survey. We examined sociodemographic characteristics, trust of health information from clergy and lay leaders, and willingness to engage in health behaviors recommended by their FBC and receive health services through their local FBC. All estimates were weighted. We conducted bivariate analysis with contrast t tests for proportions at α = .05. More than half of adults (55.4%), including 65.8% of non-Hispanic Black and 58.8% of Hispanic or Latino adults, were members of an FBC. Among FBC members, a higher percentage of Hispanic or Latino (29.1%) and non-Hispanic Black (36.3%) adults than non-Hispanic White adults (20.4%) reported trust in their FBC for health information (P < .05). This trust translated into greater intent to engage in health behaviors promoted by the local FBC among non-Hispanic Black respondents (31.4%) compared with non-Hispanic White respondents (22.5%) (P < .05). Public health officials can consider ways to better understand how the cultures and practices of populations being served influence people's health perceptions and behaviors. Collaboration between federal, state, and local public health officials and FBCs can promote health equity during public health emergencies.

Public perception of common cancer misconceptions: A nationwide cross-sectional survey and analysis of over 3500 participants in Saudi Arabia.

Patients and healthcare providers use online health information and social media (SM) platforms to seek medical information. As the incidence of cancer rises, the popularity of SM platforms has yielded widespread dissemination of incorrect or misleading information about it. In this study, we aimed to assess public knowledge about incorrect cancer information and how they perceive such information in Saudi Arabia. A nationwide survey was distributed in Saudi Arabia. The survey included questions on demographics, SM platform usage, and common misleading and incorrect cancer information. The sample (N = 3509, mean age 28.7 years) consisted of 70% females and 92.6% Saudi nationals. Most participants had no chronic illness. One-third were college graduates and less than one-quarter were unemployed. Differences in level of knowledge about cancer emerged in association with different demographic factors. Public trust in health information on SM also led to being misinformed about cancer, independent from educational level and other factors. Efforts should be made to rapidly correct this misinformation.

A Conversation with Rose Hoban, Executive Editor of North Carolina Health News.

The recent pandemic highlighted a critical lack of trust in health information and the need for better ways to communicate health and safety news and recommendations to the general public. Rose Hoban, executive editor of the nonprofit online publication North Carolina Health News, discusses her experience and recommendations.

The Association Between Receiving the Flu and COVID-19 Vaccines and Related Factors, Data from the StopFlu Campaign in Eight States and the District of Columbia, 2022.

Given the evolving nature of the COVID-19 pandemic and the importance of vaccines, it is imperative to understand the relationships between receiving the COVID-19 vaccine and other vaccines, such as the flu vaccine. Data were obtained from a survey as part of an evaluation of the StopFlu Kaiser Permanente media campaign, promoting the flu and COVID-19 vaccines in communities of color across eight states and the District of Columbia. The outcome considered was receiving the COVID-19 vaccine. The exposure considered was receiving the flu vaccine. Covariates included demographic factors, and sources of trusted health information. Overall, 4,185 participants had complete data and were included the analysis. Logistic regression was used to assess the relationship between receiving the flu vaccine and COVID-19 vaccine. Among participants, 77.8% reported receiving the COVID-19 vaccine and 55.4% received the flu vaccine. After adjusting for demographics and sources of trusted health information, participants reporting receiving the flu vaccine had 5.18 times the odds of also receiving the COVID-19 vaccine [Adjusted Odds Ratio (AOR): 5.18 95% Confidence Interval (CI): 4.24-6.32]. Trusting advice from a doctor and healthcare organization also had increased odds of receiving the COVID-19 vaccine. (AOR: 1.84 95%CI: 1.45-2.33, AOR: 2.08 95%CI: 1.64-2.63). This study demonstrates that promotion of one vaccine may influence uptake of other vaccines, which is important given the highly politicized nature of the COVID-19 vaccine. Further research could provide more insight into how promotion of a vaccine could impact behavior with regards to another.

How Trust in Cancer Information Has Changed in the Era of COVID-19: Patterns by Race and Ethnicity

COVID-19 emerged during an era of heightened attention to systemic racism and the spread of misinformation. This context may have impacted public trust in health information about chronic diseases like cancer. Here, we examine data from the 2018 and 2020 Health Information National Trends Survey (N = 7,369) to describe how trust in cancer information from government health agencies, doctors, family and friends, charitable organizations, and religious organizations changed after COVID-19 became a pandemic, and whether that change varied by race/ethnicity. Statistical methods included chi-square tests and multiple logistic regression modeling. Overall, the proportion of respondents who reported a high degree of trust in cancer information from doctors increased (73.65% vs. 77.34%, p = .04). Trends for trust in information from government health agencies and family and friends varied significantly by race/ethnicity, with substantial declines observed among non-Hispanic Blacks (NHB) only. The odds of reporting a high degree of trust in cancer information from government health agencies and friends and family decreased by 53% (OR = 0.47, 95% CI = 0.24–0.93) and 73% (OR = 0.27, 95% CI = 0.09–0.82), respectively, among NHB, but were stable for other groups. Future studies should monitor whether recent declines in trust among NHB persist and unfavorably impact participation in preventive care.

Associations between Health Literacy, Trust, and COVID-19 Vaccine Hesitancy: The Case of Hong Kong.

This study investigates how health literacy (HL) and trust in health information affected COVID-19 vaccine hesitancy among Chinese Hong Kong adults. A cross-sectional study was conducted in August 2022. A total of 401 participants completed the study. Participants completed a newly developed Hong Kong HL scale and self-reported their trust levels in health information from different resources. The proportions of early uptake of the first dose and booster dose of COVID-19 vaccine were 69.1% and 71.8%, respectively. The risk of delaying the first dose was higher among participants with inadequate functional HL (OR = 0.58, p = 0.015), adequate levels of two subdomains of critical HL (OR = 1.82, p = 0.013; OR = 1.91, p < 0.01), and low-level trust in health information from the government (OR = 0.57, p = 0.019). Respondents with adequate interactive HL (OR = 0.52, p = 0.014) and inadequate level of one subdomain of critical HL (OR =1.71, p = 0.039) were more likely to delay the booster dose. This negative association between critical HL and vaccination was suppressed by trust in health information from the government. This study shows that HL and trust in health information from the government are associated with COVID-19 vaccine hesitancy. Efforts should be directed at providing tailored communication strategies with regard to people's HL and increasing public confidence in health authorities to decrease vaccine hesitancy.

Assessing the availability of trusted health information in a rural Appalachia community using social network analysis

The purpose of this study was to investigate how trusted health information is transmitted within a rural Appalachian community. Egocentric social network methods were used to identify and characterize influential community members (“alters”) that participants (“egos”) go to for trusted health advice. Friends and “other health professionals” were named most frequently as health advice alters, and health advice was described as frequent and helpful. Participants could count on their health advice network for multiple forms of social support. Understanding trusted sources of health advice will allow us to identify community members to serve as change agents for rural T2DM interventions.

What are health professionals' perceptions of conducting routine growth assessments and lifestyle interventions? A qualitative study involving allied health professionals, nurses and doctors in rural and regional New South Wales.

Allied health professionals, nurses and doctors within the New South Wales (NSW) public health system provide trusted health information to a large proportion of families across the state. This means they are well positioned to opportunistically assess and discuss child weight status with families. Prior to 2016, weight status was not routinely addressed in most NSW public health settings, however recent policy changes promote quarterly growth assessments for all children aged under 16years who attend these facilities. The Ministry of Health recommend health professionals use the 5 As framework, a consultation approach to encourage behaviour change, to identify and manage children with overweight or obesity. This study aimed to explore allied health professionals', nurses' and doctors' perceptions of conducting routine growth assessments and providing lifestyle support to families in a local health district in rural and regional NSW, Australia. This descriptive, qualitative study involved online focus groups and semi-structured interviews with health professionals. Audio recordings were transcribed and coded for thematic analysis, with rounds of data consolidation between research team members. Allied health professionals, nurses and doctors who work in a variety of settings within a local health district of NSW participated in one of four focus groups (n=18 participants) or semi-structured interviews (n=4). The predominant themes related to: (1) health professionals' professional identity and their perceived scope of practice; (2) interpersonal qualities of health professionals; (3) the service delivery ecosystem in which health professionals worked. Diversity in attitudes and beliefs about routine growth assessments were not necessarily specific to discipline or setting. Allied health professionals, nurses and doctors recognise the complexities involved in conducting routine growth assessments and providing lifestyle support to families. The 5 As framework used in NSW public health facilities to encourage behaviour change may not allow clinicians to address these complexities in a patient centred way. The findings of this research will be used to inform future strategies aimed at embedding preventive health discussions into routine clinical practice, and to support health professionals to identify and manage children with overweight or obesity.

“I Do Not Trust Health Information Shared by My Parents”: Credibility Judgement of Health (Mis)information on Social Media in China

ABSTRACT The surge of health misinformation on social media poses a threat to public health. This qualitative study reports how users process health misinformation from the dominant strong-tie social media, WeChat, in China. We conducted ten on-site focus groups involving 76 adult participants. Drawing on the apomediation theory and the dual processing model of credibility assessment, we found the heuristic approach to processing health information was the dominant route of engagement. We identified four categories of credibility assessment cues, including (1) expertise, authority, and commercial intent of original sources, (2) expertise of apomediaries (i.e. social media information sharers) and generational bias, (3) clickbait and sensational content versus objective scientific style, and (4) disconfirmation versus confirmation bias. We highlight that apomediaries are playing an increasingly important role in informing credibility judgment. Specifically, younger adults have formed a generational bias of deeming older apomediaries as cues of lower credibility.

Healthcare workers’ attitudes on mandates, incentives, and strategies to improve COVID-19 vaccine uptake: A mixed methods study

ABSTRACT Healthcare workers are a trusted health information source and are uniquely positioned to reduce the burden of the COVID-19 pandemic. The purpose of this sequential exploratory mixed methods study was to understand attitudes of healthcare workers working in Massachusetts during the COVID-19 pandemic regarding strategies to improve COVID-19 vaccine utilization, including vaccine mandates and incentives. Fifty-two individuals completed one-on-one interviews between April 22nd and September 7th, 2021. The survey was developed based on findings from the interviews; 209 individuals completed the online survey between February 17th and March 23rd, 2022. Both the interview and survey asked about attitudes toward COVID-19 vaccine and booster mandates, incentives, and strategies to improve vaccination rates. Most participants were female (79%-interview, 81%-survey), Caucasian (56%, 73%), and worked as physicians (37%, 34%) or nurses (10%, 18%). Overall, nuanced attitudes regarding vaccine and booster mandates were expressed; many supported mandates to protect their patients’ health, others emphasized personal autonomy, while some were against mandates if job termination was the consequence of declining vaccines. Similarly, views regarding vaccine incentives differed; some considered incentives helpful, yet many viewed them as coercive. Strategies believed to be most effective to encourage vaccination included improving accessibility to vaccination sites, addressing misinformation, discussing vaccine safety, tailored community outreach via trusted messengers, and one-on-one conversations between patients and healthcare workers. Healthcare workers’ experiences with strategies to improve utilization of COVID-19 vaccines and boosters have implications for public health policies. Generally, efforts to improve access and education were viewed more favorably than incentives and mandates.

Parent’s Willingness, Trust, Cues Health Literacies and Socioeconomic Factors to Vaccinate Their Children Aged 5 to 11 Years Old with the COVID-19 Vaccine in Selangor

A novel human coronavirus (SARS-CoV2) which caused the COVID-19 was first identified in December 2019, in Wuhan, China. Within months, the virus infection was declared as a pandemic on March 11th, 2020, by the World Health Organisation [1]. The initial Malaysian National COVID-19 Immunisation Program (NIP) was scheduled into few phases to administer vaccine to adults and adolescence aged from 12 to 17. In view of the fourth COVID-19 wave, NIP was also introduced to children aged 5 to 11 on 3rd February 2022. However, on 9th March of the same year, the health minister claimed that only 30% of children aged 5 to 11 years old have received at least of one dose of the vaccine [2]. Therefore, this study aimed to assess the willingness to immunise children against COVID-19 and identify the indicators of immunisation willingness among the parents.&#x0D; &#x0D; A cross- sectional study via convenience sampling was conducted amongst the adult population residing in the Shah Alam, Selangor using sets of questionnaires adapted from previous validated sources [3]. Descriptive analysis was used to express the variables while the correlation between the variables were assessed using Spearman correlation analysis.&#x0D; &#x0D; There was a total of 323 parents participated in this study where more than half of them were willing to vaccinate their children with the compulsory doses and booster doses of COVID-19 vaccine. The degree of willingness varies with 72 (22.3%) were somewhat likely, 64 (19.8%) were likely, and 96 (29.7%) were very likely to allow their children aged 5 to 11 years old to get COVID-19 vaccination (Table 1). Based on Spearman correlation analysis, the level of willingness to vaccinate the children among the respondents were significantly correlated with the health condition of the child, religious perspective, law and order compliance, financial incentive, insurance coverage and their level of trust in health information on COVID-19 (Table 2).&#x0D; A study conducted in China suggested that higher digital health literacy with the use of data regarding the COVID-19 immunisation greatly associated with a higher acceptance for children immunisation [4]. Regarding this statement, health proficiency alongside education levels does play a significant part for parents to look for assistance from healthcare personnel’ with respect to their children's immunity status as well as the entitlement to obtain immunisation. On the other hand, cues such as law and religious beliefs appear to be associated with parents' acceptance rate to immunise their children [5]. Studies on trust in government for the most part discovered a significant positive affiliation between level of trust and vaccine acceptance [6]. Aside from financial remuneration, providing health insurance coverage also among the factor for vaccine acceptance as studies have showed that the vaccine hesitancy is closely related to the concern of vaccine safety, effectiveness, and its side effects [7].&#x0D; &#x0D; The present study indicates majority of the parents in Selangor were willing to vaccinate their children aged 5 to 11 years old where this trend is associated with certain cues and the level of trust in health information on COVID-19. The findings from this study may contribute to promote the advancement of public resilient to the pandemic.