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Abstract What is the relationship between trust in religious leaders and compliance with policies that are costly to the individual? Religious leaders often have the moral authority to affect individuals’ willingness to adopt prosocial behaviors. Yet, that influence can be either positive or negative because religious leaders face mixed incentives to encourage compliance and their leadership is often decentralized. We argue that greater trust in religious leaders will increase compliance in countries with a dominant religion and centralized religious authority because religious leaders will offer a coherent message that aligns with state directives. We test our hypotheses using data from surveys fielded in Kazakhstan and Kyrgyzstan during the COVID‐19 pandemic. We find a positive and significant relationship between trust and voluntary compliance only in Kazakhstan, where religious leaders reduced the costs of compliance by enabling adherents to practice their faith while social distancing. We thus identify an alternative mechanism whereby trust promotes compliance. 

What influences the adoption of SARS-CoV-2 mitigation behaviors–both personal, such as mask wearing and frequent handwashing, and social, such as avoiding large gatherings and physical contact–across countries? Understanding why some individuals are more willing to change their behavior to mitigate the spread of a pandemic will not only help us to address the current SARS-CoV-2 pandemic but also to respond to future ones. Researchers have pointed to a variety of factors that may influence individual adoption of personal and social mitigation behaviors, including social inequality, risk perception, personality traits, and government policies. While not denying the importance of these factors, we argue that the role of trust and confidence has received insufficient attention to date. Our study explores whether there is a difference in the way trust and confidence in particular leaders and organizations affect individual compliance and whether this effect is consistent across different types of mitigation behaviors. Specifically, we utilize an original cross-national survey conducted during the first wave of the SARS-CoV-2 pandemic (May-June 2020) to investigate how trust in scientists, medical professionals, politicians, and religious leaders and confidence in global, national, and local health organizations affects individual compliance in 16 countries/territories across five world regions. Our analyses, which control for the aforementioned factors as well as several others, suggest that trust in politicians and confidence in national health ministries have the most consistent influence on whether individuals adopt both personal and social mitigation behaviors. Across our sample, we find that greater trust in politicians is associated with lower levels of individual compliance with public health directives, whereas greater confidence in the national health ministry is associated with higher levels of individual compliance. Our findings suggest the need to understand trust and confidence as among the most important individual level characteristics driving compliance when developing and delivering messaging about the adoption of mitigation behaviors. The content of the message, it seems, will be most effective when citizens across countries trust its source. Trusted sources, such as politicians and the national health ministry, should thus consider working closely together when determining and communicating recommended health behaviors to avoid contradicting one another. 

The Trump administration sought to erode confidence in the international system, which it regarded as an affront to national sovereignty. The COVID-19 pandemic, by raising collective awareness of the need for global cooperation, may help to restore that confidence and encourage renewed commitment to multilateralism. Public opinion polls show that people around the world have greater confidence in global institutions like the World Health Organization than in national leaders like Donald Trump or Xi Jinping. The United States will continue to be an indispensable partner after Trump, but the international order will rest on a stronger footing if Washington is no longer expected to be the prime mover and contributes instead as one among equals. 

Objectives: An effective vaccine to SARS-CoV-2 cannot be successfully deployed if a significant number of people worldwide are unwilling to accept it. We investigated the relationship between trust in scientists and medical professionals and perceptions of vaccine safety and effectiveness. We also build on past studies by exploring the relationship between confidence in global health organizations and vaccine hesitancy. Methods: We conducted an online survey in seventeen countries/territories across five world regions between May -June 2020. We assessed the relationship between COVID19 vaccine hesitancy, confidence in public health organizations, and trust in key experts and leaders. Results: Our findings strongly suggest that confidence in the World Health Organization combined with trust in domestic scientists and healthcare professionals is a strong driver of vaccine acceptance across multiple countries/territories. Conclusion: We find that hesitancy is widespread, and uptake would be insufficient to achieve herd immunity. There is widespread confidence in how public health organizations have responded to the current pandemic and this is related to vaccine acceptance. Our results also highlight the important role of trust in health care providers and scientists in reducing COVID19 vaccine hesitancy.