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The objective of this study is to validate the Institutional Medical Mistrust Scale (IMMS) using a large, national population to better understand issues of public trust in healthcare and government organizations. The aims of this study are: (1) conduct a national population survey using the IMMS; (1a) examine the influence that healthcare organizations and governing institutions at the local, state, and federal level have on medical mistrust during the COVID-19 pandemic in the United States; (1b) test the psychometrics of the IMMS in a large national survey; (2) test the IMMS in a national population with intentional oversampling of African American/Black, Latinx, and chronic disease respondents in the United States.

The endpoints for this study are divided into psychosocial measures as well as physical measures including: (1) measurement of institutional medical mistrust among health care and local/state and federal government organizations; (2) mental and physical health; (3) vaccine uptake or hesitation; (4) factors associated with vaccine uptake or hesitation.

This study examines how significant disruptions to children's health, education, and overall well-being during the COVID-19 pandemic created lasting influence on health, development, and social trajectories through the lifecourse, and the risk for long-term health outcomes. The research leverages the New York City (NYC) Student Population Health Registry (SPHR), a uniquely inclusive, longitudinal database of all NYC public school students created jointly by the NYC Department of Health and Mental Hygiene and NYC Department of Education, along with other publicly available data sources.

Research to date has focused on racial and geographic disparities in school-level vaccination rates, and on racial and ethnic group differences in New York City schoolchildren becoming fully vaccinated (two doses) within 6 months of vaccine eligibility. Future research is expected to focus on outcomes such as increased incidence and exacerbation of chronic diseases like obesity, asthma, and diabetes; stress and anxiety; and educational consequences such as declines in academic achievement (test scores), increases in chronic absenteeism, repeating grades, or high school dropout. Also of interest are the mitigating effects of child-, classroom-, and school-level vaccination rates, and neighborhood and school characteristics such as income, vaccination sites, emergency food resources, and open space.

The ICPSR provides variable-level metadata for the data associated with this study. The actual data may only be available from the Principal Investigator directly. The variable descriptions available through ICPSR also include information regarding the source of each variable listed, as does the Data Source field of these metadata.