The institutional actors mentioned by the participants and identified during the analysis were political institutions, scientific institutions, civil society institutions and companies. We considered political institutions those organisations—national or international—that create, enforce or apply laws and regulations. We included state-related institutions such as the Government, but also international institutions (UN, OECD, etc.), European institutions or public administration bodies such as the National Health Directorate or the National Environmental Agency in this group. We considered scientific institutions the organisations that perform research like universities or research centres. Civil society institutions are the non-state, not-for-profit or voluntary organisations formed by citizens. So, we included, for example, community-based organisations, as well as non-governmental organisations (NGOs). Last, we considered a fourth group, business—made up of private companies and corporations. Finally, the individual actors identified were politicians (politicians in general or politicians referred to by name), scientists (scientists in general or scientists mentioned by name), public figures (well-known personalities related to the topic) and practitioners (health professionals). For each actor, we considered the main arguments used to justify trust and mistrust and the differences between topics and countries.
Trust in Institutional Actors
Political Institutions
International institutions seem to be more relevant to the participants in the topic of climate change (since they mentioned the United Nations, UNESCO, IPCC and the European Commission) than in the topic of vaccines (where only the World Health Organisation (WHO) and the European Union were mentioned). In general, these international institutions are positively assessed since participants considered them to be credible institutions that do not face the pressures national governments do nor are they subject to a conflict of interest between their mission and private interests. They also valued their expertise and stressed their role on controlling the expansion of anti-science movements.
The WHO has done studies to prove and to, let’s say, take away the credibility of what the [anti-vax] movements, both in the United Kingdom and in the United States, [say]. [PT_VAX_M_45-54_sec].
However, in the case of vaccines in Poland, some participants questioned the authority of the WHO, suggesting it was vulnerable to the lobbying of some companies while also developing unethical tests in developing countries.
In general, the WHO is doing experiments somewhere over there in African countries... It looks bad. [PL_VAX_M_45-54_sec]
In the case of national institutions, opinions were more ambivalent. There is widespread consensus regarding the trustworthiness of technical agencies, such as the Chief Sanitary Inspectorate in Poland (mentioned both in vaccines and climate change) and the National Health Directorate (NHD) in Portugal (mentioned only in the case of vaccines). These institutions were considered trustworthy because they have experts working for them; hence, they provide science-based advice to government representatives without participating in political disputes.
As far as trust in public institutions in our country is concerned, (...) considering that the main one responsible for arranging the vaccination calendars is the Chief Sanitary Inspectorate. It is an institution that I have a lot of trust in as it supervises all the activities in the country, issues appropriate announcements (...). [PL_VAX_F_45-54_he]
I trust the Health Ministry. That they include the necessary vaccines in the national vaccination plan. [PT_VAX_F_65+_sec]
However, there was also one participant that looked at the National Health Directorate’s work as being too oriented to one specific goal, becoming slightly biased in its mission to promote vaccination.
The National Health Directorate is always a bit biased [in favour of vaccines] (...) because it’s their mission. [PT_VAX_F_55-64_he]
Governments in both countries are not as trusted as technical agencies. Although the Ministry of Health is seen as a credible source when it comes to vaccines, it is not visible enough in the public space, according to consultation participants. In addition, the Ministry of the Environment and the Prime Minister in Poland were criticised for their lack of competence when it comes to speaking out on climate change issues. This civic distrust was also influenced by disputes between politicians and unclear appointments of party members to the highest public offices.
It is important for me (...) to feel the difference between state institutions, such as the Office of Weights and Measures, and government institutions, such as the Prime Minister’s Office, because it is obvious that regardless of who is in power, the second ones will be politicised, and the first ones are specialists who know how to weigh and how to measure, regardless of whether they are for this or that party. [PL_CC_F_45-54_he]
In Portugal, in the climate change discussions, national institutions were seldom referred to directly, though the participants occasionally mentioned reports, local plans, local initiatives or conferences made available or organised by public authorities as a trusted source of information (especially by participants who work in education or in local municipalities).
I always use [CC] references (...) The municipalities have the EMAACs, which are the municipal strategies of adaptation to climate change. You also have the ENAC [National Climate Change Strategy], you have... There are so many references... [PT_CC_M_55-64_he]
Moderator: Why those sources?
They are more credible. [PT_CC_M_55-64_he]
Finally, also in the climate change discussions, a few participants referred to the politicisation of this topic. They gave the example of the 2019 general elections in Portugal and how political parties incorporated the climate change narrative only because the electorate finds it relevant. In Poland, a participant stated that politicisation harms the credibility of information because the message needs to match political needs; hence, sometimes, they are a source of disinformation.
I will start with these state institutions (...) they should be associated with something reliable, and unfortunately for me, they are not, because of, e.g., their policy of disinformation on energy or climate in Poland. So it’s definitely not a data source for me [PL_CC_F_35-44_he].
Trust in scientific institutions
When discussing climate change, the participants mainly referred to scientific institutions as trustworthy sources. Interestingly, when discussing this topic, the Polish participants mentioned state-affiliated research institutes rather than universities. They also said that they trust these institutes when they employ professionals (scientists) working in the field and systematically conducting research. At the same time, they emphasised that it is important for these institutes to be independent of external political or economic pressures. However, some participants questioned whether it is possible to speak of independent research when it is always funded in some way, whether from public or private sources. It is important to note that, contrary to what can be found in the literature in this area (Krause et al., 2019; Pechar et al., 2018), for a group of participants, private funding of research was considered to be less of a threat to the independence of researchers than if public funds were allocated to this research. Once again, the participants emphasised that they found the relationship between research and politics troubling.
There are independent scientific institutes not funded by the state because the fact that research is funded by the state does not guarantee its independence. [PL_CC_F_35-45_he]
In Portugal, when discussing climate change, research institutions and universities are mentioned in a very broad way, but always as credible sources of information. Their connection with civil society and schools, in particular, was valued, especially at the local level. One participant, however, also pointed to the risks associated with universities/research engaging with controversial stances on this topic, since this might affect not only their image as trustworthy institutions, but the message they want to convey to the general public. This participant gave the example of a university that hosted a climate denial conference in 2019.
I was outraged at the time, and people said: ‘Ah, no, but the University of Porto only rents the place’. (...) That space has the minimum respectability associated with the title. And as long as you put deniers and scientists, or flat-earthers on the same level of the scale, I mean, we’re not going anywhere. And for the average person who doesn’t understand anything, who has difficulty decoding scientific messages, who can’t even access or understand the statistical issues behind it very well, then they see ‘ah, these guys are scientists too, they went to the University of Science’. This is chaos; this [conference] blows up a year of well-done communication [PT_CC_M_45-54_he]
In the case of vaccines, there were almost no discussions that specifically mentioned research centres or universities. This may be due to the fact that the participants consider vaccines “established knowledge” rather than the result of current scientific research (in pre-COVID days). Nevertheless, the participants talked very broadly of their trust in research information, research papers and scientific sources (on this, see also trust in scientists below), and they also expressed concerns regarding private financing of research centres by pharmaceutical companies (on this, see below trust in companies).
Trust in Civil Society Organisations
Civil society organisations were only mentioned as a source of information on the topic of climate change. The only international NGO named was Greenpeace. In Portugal, Greenpeace was mentioned in four tables but in a very casual way, as an organisation that works on the topic. In one case, a participant asked if it still existed because she had not heard of them recently. In Poland, there were a few statements by participants about Greenpeace, and the evaluation of its activities was ambiguous. On the one hand, the positive impact of the actions undertaken by its activists was emphasised, e.g. shaping citizens’ awareness of the need to protect the planet’s resources. On the other hand, the activists’ intentions were called into question, raising the suspicion that their actions were steered by hidden funders.
I have the same opinion about Greenpeace, for example, which I think also does a lot of bespoke actions. They are financed by certain circles, and they pursue their goals. Of course, there is a lot of money behind it (...). And this, it seems to me, leads to distortion [PL_CC_M_65+_sec]
This ambiguity concerning civil society organisations was not only directed to Greenpeace. The Portuguese participants often referred to NGOs as trustworthy because of their work in the field and commitment to the cause.
I would look for non-governmental organisations. The ones that are more credible, supposedly, the most credible, so it’s in those organisations. Then, also in the international organisations, in the measures that they are taking, implementing, and all the, let’s say, awareness-raising projects for the populations, for the governments themselves. [PT_CC_F_45-54_he]
But some participants cautioned against NGOs’ extremism. In some cases, Greta Thunberg is linked to international organisations, and the criticism directed at her also seems to apply to international environmental movements in general (on this, see also below).
Many times, environmental organisations fall into extremism. For example, I know that what I’m about to say is very controversial, but I still question the issue of the girl Greta, when there is a lot of exposure, there is something that starts to make me feel uncomfortable, I don’t mean that I won’t come to the conclusion that it was the exception, (...) and that it’s all right, but it still impresses me because when they focus, certain the media today (...) I think they manipulate a lot. [PT_CC_F_45-54_he]
Portuguese environmental NGOs were occasionally mentioned by the participants, namely, Quercus (3), Zero (2) and Sociedade Ponto Verde (1). They were always referred to as credible sources on the topic of climate change. Some participants expressed concern regarding the radicalism of some NGOs, but in this case, they talk generically, possibly including international ones in their assessment. There is no mention of distrust regarding specific Portuguese NGOs. In Poland, we found some very general statements concerning Polish NGOs that appeared with other environmental actors. These types of organisations—although not named—are trusted because of the results of their actions. It seems that the participants in the consultation were thinking mainly of small, locally operating foundations or associations whose activity they can observe directly.
I think scientists should work more with NGOs because they are like, for me, the most trusted organisations. [PL_CC_F_55-64_he]
The only mention to civil society organisations in the topic of vaccines came from Polish participants, who stated that they are important at the local level, especially to help disseminate ideas and make campaigns more effective.
Because the role of local governments is less important here, it is more a supporting role. And NGOs, they also have to have some support, of course. At least financially, so that these campaigns are really visible. [PL_VAX_M_45-54_he]
Trust in companies
Companies were more frequently mentioned in the discussions about vaccines than climate change. Pharmaceutical companies were assessed negatively, as they are associated with economic profit, conflictual private interests, and intense lobbying activities.
When we hear pharmaceutical companies talking about it, we might think “they are selling us something”. [PT_VAX_M_45-54_sec]
Like every medical industry (...) maximising profits. That’s all that matters. [PL_VAX_M_45-54_he]
According to the participants, their activities can even create difficulties for doctors to understand the reliability of the information they are disseminating. Additionally, when governments and universities are linked with pharmaceuticals, their perceived trustworthiness is negatively affected.
Some universities have grants from laboratories; don’t forget that is an issue. There is no total innocence of research. [PT_VAX_M_65+_he]
The pharmaceutical industry is often discredited because you can see that there are interests… and then it’s a domino effect. And we distrust everything, because laboratory x is supporting the research of this or that university. [PT_VAX_F_45-54_he]
Although in Portugal participants expressed a consensual negative assessment regarding pharmaceutical companies, in Poland, a few participants who were more familiar with the sector mentioned that they made positive contributions by developing vaccines through intense research investment, even if they benefit from it in the end.
I work in the clinical research industry currently. And it is absolutely not the case that if big pharma funds a study, it has to be done the way they want it done. The clinical trials market is very simple. Whoever invents it wins for ten years. [PL_VAX_F_25-34_he]
Companies were perceived as trustworthy by some participants in the climate change discussions in Poland, since they believed that there are companies engaged in environmental protection and thus willing to introduce solutions to mitigate climate change. Yet, one participant also stated that these pro-environmental activities of private companies were a way to meet the expectations of pro-environmental customers who would later buy their products or use their services—in what is usually known as greenwashing (Laufer, 2003).
More and more organisations or even private companies are focusing on this and looking for it, because they know that the customers (…) are more and more eco-conscious; we want it to be natural and biodegradable. [PL_CC_F_25-34_he]
In Portugal, the participants in the climate change discussions perceived companies as a source of distrustful information, even if they were only seldom mentioned. Two types of criticism were made: private financing of studies that should be independent, hence raising doubts on the findings of these studies, and greenwashing.
But I see that behind it, there is a dishonest exploitation by many companies that take advantage of this fact to sell what does not exist. The fact that I have photovoltaic panels is an example. If I have photovoltaic panels and don’t use my appliances during the day when my panels are producing energy, it is of no use. (...) So, does it make sense for me to invest that amount? From my point of view, it is dishonest. Some years ago, I saw the figures, the Prius was Toyota’s car; it was the most ecological car. They compared it to a Ford car, and because the Prius had so many components, just the transportation of those components until it was assembled, it was like buying a Ford with 40,000 kilometres. [PT_CC_M_25-34_he]
Trust in individual actors
Politicians
During the climate change discussions, the participants mentioned politicians as important social actors who influence trust-building in scientific information. Both internationally known politicians and those with a national or even local reach were mentioned. In Portugal, there were negative statements about international politicians like Donald Trump (US President 2017–2021) and Jair Bolsonaro (the current President of Brazil). They were accused of ignorance on the subject, of actively promoting disinformation, and of being irresponsible because they disregard the consequences of their words and actions. The participants criticised the fact that these politicians cast doubt on the scientific fact of the anthropogenic causes of climate change and spread false information about the Amazon forest.
I’ll give an example of what struck me negatively… it was Bolsonaro who said that it is the environmentalists who cause the environmental problems. Speaking of Trump, and specifically about the Amazon… they are the ones saying things like this… the so-called disinformation. [PT_CC_F_45-54_he]
In Poland, no international politician was mentioned by name, but participants contrasted Polish politicians with those from other countries. Thus, international politicians appeared as positively evaluated and trustworthy figures. Although this was not the dominant stance in the consultation, several participants said that politicians in other countries were more likely to listen to the arguments of experts and scientists, to refrain from using the topic of climate change in political disputes, and even (giving the example of France and Iceland) to use scientific findings as the basis for making decisions and implementing changes.
There are countries where the government listens more directly to the experts and does not process the information in terms of the current political fight, but they fight by implementing these expert indications. That is why, for example, in Iceland or France, there is very intensive reforestation. [PL_VAX_M_55-64_he]
Regarding politicians’ roles as communicators and sources of trust/mistrust in climate change, there is a difference between the international and national spheres. In the Polish consultation, local politicians were mentioned quite often: in total, there were about forty statements related to politics, elections, pre-election campaigns and political parties. Yet, not all these statements were directly related to specific individuals or members of particular political groups.
Now, unfortunately, the subject of climate change is being politicised, and I do not know why. Some people from the right (…) believe that climate change does not even exist. [PL_CC_M_55-64_sec]
Participants affirmed that politicians rarely made use of expert knowledge and that they consider climate change only as a tool in the struggle for power and not as an important problem. Therefore, in the perception of the participants in the Polish consultation, national politicians are not trusted when discussing climate change issues.
Politicians do not want to do it; they do not ask specialists. By the way, the cult of the scientist and the cult of knowledge have ceased to exist in Poland. He does not need the help of anything, he does not need to have an advisor who knows. (...) Additionally, our leading politicians speak about coal and air in such an insulting and authoritarian way. [PL_CC_M_55-64_he]
In contrast with the Polish consultation, there was no mention of national politicians in either topic in Portugal.
Scientists
Scientists were mentioned by participants in the Portuguese consultation as trustworthy, especially when compared to other professional groups, such as journalists. This high degree of trust was mainly due to the fact that the opinions and positions communicated by scientists are based on scientific knowledge, so they are a reliable source of information on climate change or vaccines.
I pay attention, normally; if it is a specialist, I pay more attention; if it is a journalist, I pay much less attention, because there are those economic interests behind it and I never know when the news is biased and, therefore, I give some privilege to specialists and scientists. [PT_CC_F_65+_he]
Scientists are trusted because they are able not only to convey trustworthy information but also to justify their positions using their knowledge and the results of their research. Sustaining information in research results—their own or those of others—increases the credibility of the statements made since research is based on scientific methods that are subjected to verification and control.
Starting from the basis that the scientific method is the closest thing we have to trust, that’s it. It’s the most reliable thing we have. I think science and the scientific method cannot have several opinions. It’s not like certain subjects where we have several opinions; science is usually very objective, and there’s not much room for other opinions. [PT_VAX_M_18-24_sec]
In the Polish consultation on vaccines, the participants unanimously expressed confidence in the scientists directly working on the subject and publishing scientific papers.
It is important that the article is written by someone with a scientific reputation who conducts clinical trials and so on. For example, among Polish doctors, there seems to be Professor M., who conducted clinical trials right there in the children’s clinic (...) on the effects of vaccines on health. And for me, this person is credible. [PL_VAX_M_35-44_sec]
One participant pointed to epidemiologists as a reliable source of trust on information about vaccines.
The authorities on this matter are mainly epidemiologists. They deal with it on a daily basis, and as far as I am able to verify, the results of research in this field, well, their scientific papers, are also quite a good source... and they are definitely the greatest authority for me. [PL_VAX_M_25-34_he]
During the discussion, there was also an interesting point raised by one participant regarding the opinions of scientists. She stated that it is not the views of scientists that are important—if they are against vaccination, for example—it is the body of research on the topic, the scientific evidence that contributes to the general level of trust in science.
Well, that is the thing with science as a whole and scientists, that it doesn’t matter what they think (…) That’s not important. Only the research results matter. The results of studies, preferably such meta-analyses, of course, well there are such certain criteria. [PL_VAX_F_25-34_he]
Besides recognising the research work carried out by scientists, other trust-inducing activities were highlighted: the dissemination of scientific output through conferences, educational campaigns, science festivals or science picnics. However, some concerns were raised about the independence of scientists. Participants in the Polish consultation questioned the results of the research financed either from public funds (granted by bodies with a particular political affiliation) or from private funds (directly financed by companies). In addition, they stressed that scientists could be forced to shape the conclusions of their research in line with the party’s political agenda or to increase profit for company owners.
What scientific sources? If there is such a monopoly and all research is financed from state grants and all research financed by the industry sector says only one thing, then if it puzzles us, if we would question it, we would look somehow else, in some think-tanks, there are such independent scientific institutes, not financed by the state, because the fact that research is financed by the state does not guarantee its independence. [PL_CC_F_35-44_he]
Finally, some scientists were also identified by name during the discussions. This was most frequent in the case of active popularizers of science: in Poland, Szymon Malinowski, responsible for running the Science on Climate website; in Portugal, Luisa Schmidt, a sociologist who has been covering environmental issues in the media for several decades, and Filipe Duarte Santos, a (retired) climatologist and also a frequent presence in the media.
Public figures
In both countries, public figures were mentioned almost exclusively on the climate change topic, and the public figure that most stood out was Greta Thunberg. The young Swedish environmentalist is a polarising figure, and this is reflected in public perceptions about her. She is the main reason why participants said they heard about the topic on the news. In Portugal, however, some participants criticised her approach, saying that she overstated the problem, creating too much confusion. Her critics referred to the way she behaves and her style of communication:
As much as we may want to, when she spoke aggressively to the people she was talking to, she wasn’t talking to just anyone, she was speaking in a very uncomplimentary way, with an aggressiveness that is not typical of a girl of that age, (…) she was being extremely overbearing to a group of very important people in there. [PT_CC_M_45-54_he]
Participants also pointed out the contradictions between her assertive message and her practices (lack of preparation, contradictory actions), which made her an object of mistrust, even when they agreed with the core message. Conversely, supporters of Greta Thunberg argued that she is a social phenomenon, a new format that reaches new audiences and moves people into action.
I want to clarify that Greta is not my source of scientific and reliable information. It is from the point of view of having a public impact and what it can do in terms of public opinion. There are a number of sources and scientists, and so on, that I read. (...) And Greta’s follow-up, then Greta is in contact with politicians and scientists as well. So, that’s the aspect. Now, as a social phenomenon, it has made some change from the point of view of awareness, not the scientific, academic, etc., absorption, but it moves people. [PT_CC_M_55-64_he]
In Poland, on the other hand, the image of Greta Thunberg was less contentious, thus more positive. The participants affirmed not only that they trust her message, but also her motives in relation to the topic.
Greta Thunberg, I think nobody has done that much so far. Of course, it’s a very indirect influence, but if these topics are already in the news every day, whether you talk about this Greta, good or bad, it’s no longer important. [PL_CC_F_34-44_he]
In the case of show business celebrities, the participants made quite positive statements. Their role in science communication was considered important because they draw attention to the issue and amplify important messages. Since celebrities have a large group of followers, they capture the public attention and can reach new audiences.
I think that it is important that they do this work since they are public figures and, therefore, put their image, let’s say, at the service of others. It’s not just the fame of the films and whatnot, but I think that if they’re the ones communicating something or broadcasting something, they probably also attract other audiences. [PT_VAX_F_45-54_he]
Leonardo DiCaprio, for example, was mentioned in both countries as someone who is considered personally engaged in climate change and that has worked on the topic for a long time. Consistency and coherence come from the fact that, unlike other influencers, he has been raising awareness about the subject since he was young, so he is considered particularly credible.
(...) there are many influencers who are paid to spread a certain message, regardless of the product. In this case, Leonardo di Caprio, as far as I know, has something innate in him, to be an environmentalist, to promote actions that improve the environment. I don’t know if there is any coercion for him to spread these messages, or not, if he is associated with some NGO or not. But I do know that, from an early age, he shares these ideals of his on social networks, and so it reaches us very easily. [PT_CC_F_18-24_sec]
A similar justification was associated with Al Gore. The former vice-president of the US was often mentioned by the participants in Portugal but not as a politician but more as someone who talked about this topic earlier than everyone else. Many remember his 2006 documentary “An Inconvenient Truth” as the moment when they heard about this subject for the first time. He is considered a reliable source, even if one participant questioned the motive for the farming industry not being mentioned in his documentary.
I give all credit to Al Gore because he had the courage; after leaving the vice presidency of the United States, instead of retiring to Haiti or the Caribbean to smoke cigars and drink whisky, he embarked on a very complicated fight against the whole world. Because he was one of the first public figures that I have in my memory who went on television and came out with his chest to the bullets and said, “Guys, pay attention.” (...) Greenpeace existed long before Al Gore, and there are other people, but the impact he had, because of what he had been before, probably stirred things up in a way that opened the eyes of many other people. [PT_CC_F_35-44_he]
In contrast to international names, in Portugal, only one national celebrity was mentioned in one discussion as having a pro-environmental message (the TV host João Manzarra). In Poland, the national opinion leaders who were more often mentioned were Marcin Dorociński (an actor involved in the activities of the WWF) and Marcin Popkiewicz (co-editor of the “Science on Climate” website). Wojciech Cejrowski (a traveller) was mentioned in relation to the fires in the Amazon forest, and Katarzyna Bosacka (a journalist) was mentioned because her programs were considered a reliable source of information that showed the tangible effects of climate change from the perspective of the individual.
Some participants in Poland also named science popularizers who have their own YouTube channels. The participants emphasised that they are interesting people who are able to create interest in the subject. In this case, what is praised is their style and their appeal to different audiences.
I also like Polish YouTubers, popularizers of science, who, of course, may not be doing research themselves, but at least are honest about it. And that would be Mr Rożek or just SciFan, “Scientific babble”. Yes, those are cool programmes. There are also a lot of interesting niche blogs related to climate, like the “Arctic blog”, where every day, this scientist analyses the ice caps, the changes, and publishes everything. [PL_CC_F_35-44_he]
One of the participants, however, pointed out the inverse phenomenon – a very well-known popularizer of pseudo-scientific content in the Polish media.
How about this example? On YouTube, there is the channel of Mr Zięba. This is a person who propagates pseudo-scientific content. He sits down in front of the camera and does a story, often an hour and a half long, where he speaks calmly, convincingly. [PL_VAX_F_25-34_he]
There was barely any reference to public figures in relation to the topic of vaccines in the consultations in both countries.
Practitioners
Conversely, health practitioners are a source of scientific information only mentioned in relation to vaccines. The importance of health professionals—doctors and nurses, but more often the former—as a source of reliable information was frequently highlighted by the participants. Other professionals, like pharmacists, were mentioned a few times, but without assessing their reliability. Trust in doctors was justified by an interpersonal relationship that relies on empathy. Several participants in Portugal mentioned they did not question the doctors’ recommendations since they already trusted prior information from that same doctor.
So, I think that I would only have doubts if I was actually recommended to take the vaccine or not. If it was recommended directly by the doctor, then, I would have the same opinion; I wouldn’t question what the doctor said, I would believe him. [PT_VAX_F_25-34_he]
In Poland, participants underlined the fact that doctors studied for a long period and had to swear an oath. Also, they often have many years of experience in treating patients, so if they recommend a vaccination, it was because it was needed. Additionally, one participant emphasized the close relationship established with the family doctor or paediatrician as a driver for trust.
When it comes to my children, it’s from the doctor. First of all, from the family doctor. And the paediatrician who took care of my children from the beginning... [PL_VAX_M_45-54_he]
Though this is the general trend, in Portugal, a small number of participants stated they did not trust the doctor—especially in cases where different doctors make different recommendations. One participant suggested that trust could not be blind. In fact, a few participants noted a change in the approach as citizens increasingly question the information provided by doctors.
For a long time the idea that, if the doctor says, ‘it’s because it’s like this, it’s because it’s good’, that was enough. And now, with more access to information and misinformation, people are starting to question these things much more. So, this reliable information, easy to access, is missing. That is the way people can say, ok, I do this because of A, B and C. And not just because the doctor told me, and apparently it’s very good. [PT_VAX_F_25-34_he]
In Poland, the participants also identified a generational shift. Widespread access to information, increasingly popular anti-vaccination debates, and media questioning the necessity of vaccines have had an impact on attitudes. The customary acceptance of doctors’ recommendations, without discussion and without seeking additional information, is no longer the rule.