COVID-19 Stigma and Resource Loss: Predicting Post-Traumatic Stress and Vaccine Support in Vietnam

Public health officials reported increases in stigma, discrimination, and verbal and physical abuse during the coronavirus (COVID-19) pandemic. This study, conducted in Vietnam, examined how stigma, fear of the virus, self-protective behaviors, and threats to and loss of resources during the pandemic were associated with post-traumatic stress and belief in vaccine effectiveness. Participants were 380 persons (237 women, 129 men, 14 unreported) who completed measures assessing demographics, stigma experienced during the pandemic, resource loss, fear about becoming infected with the virus, self-protective actions to avoid illness, post-traumatic stress, and belief in COVID-19 vaccination effectiveness. Hierarchical multiple regression showed post-traumatic stress was positively associated with COVID-19 stigma personal experience, minimizing the COVID-19 threat, personal characteristic and support resource loss, perceived susceptibility to illness, and fear of COVID-19. Vaccine support was positively associated with age, COVID-19 stigma personal experience, and self-protective behaviors to avoid illness, and negatively associated with number of people known who died due to the virus. The findings support the hypotheses and extend conservation of resources stress theory. The findings underscore the importance of promptly addressing stigma, enhancing public education, and addressing barriers to receiving the vaccine.