{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T08:28:06Z","timestamp":1782980886584,"version":"3.54.5"},"reference-count":36,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2024,6,7]],"date-time":"2024-06-07T00:00:00Z","timestamp":1717718400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000030","name":"Centers for Disease Control and Prevention","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000030","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000016","name":"U.S. Department of Health and Human Services","doi-asserted-by":"publisher","award":["G19.1238B"],"award-info":[{"award-number":["G19.1238B"]}],"id":[{"id":"10.13039\/100000016","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["anthrosource.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Med Anthropol Q"],"published-print":{"date-parts":[[2024,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>In November 2020, North Dakota reported a higher number of cases and deaths per capita from COVID\u201019 than any other state in the United States. Several months later, it reported one of the country's highest rates of vaccine hesitancy, leading to the development and implementation of the state\u2010funded and physician\u2010led \u201cVaccine Champion\u201d (\u201cVaxChamp\u201d) program. Glossing the primary problem as one of \u201cprovider confidence,\u201d the VaxChamp program emphasized a standardized, scalable intervention that targeted healthcare providers directly, and patients only indirectly. Although the program hit its quantitative benchmarks, a qualitative inquiry into the program's history and context reveals multiple crises of confidence, many beyond the bioscientific domain of the program's focus. Drawing from work in medical and linguistic anthropology, we describe and analyze the \u201cmultiple levers of vaccine confidence\u201d at play in the intervention and its surrounding context, as well as how these crises of confidence emerged.<\/jats:p>","DOI":"10.1111\/maq.12873","type":"journal-article","created":{"date-parts":[[2024,6,7]],"date-time":"2024-06-07T11:49:31Z","timestamp":1717760971000},"page":"298-312","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["A crisis of confidence? Intervening in vaccine hesitancy in North Dakota"],"prefix":"10.1111","volume":"38","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4299-021X","authenticated-orcid":false,"given":"Ellen B.","family":"Rubinstein","sequence":"first","affiliation":[{"name":"Department of Sociology and Anthropology North Dakota State University  Fargo North Dakota USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laura L.","family":"Heinemann","sequence":"additional","affiliation":[{"name":"Department of Cultural and Social Studies Creighton University  Omaha Nebraska USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,6,7]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1080\/01459740.2013.858335"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1468\u20100009.2012.00663.x"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.vaccine.2020.12.019"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/aman.13917"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.4324\/9781315658049"},{"key":"e_1_2_9_7_1","unstructured":"Centers for Disease Control and Prevention (CDC).2021. \u201cCOVID\u201019 Vaccination Supplemental Funding.\u201d January 13 2021.https:\/\/www.cdc.gov\/vaccines\/covid\u201019\/downloads\/vaccination\u2010supplemental\u2010funding.pdf."},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamahealthforum.2021.0434"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1353\/anq.2017.0060"},{"key":"e_1_2_9_10_1","article-title":"Some Health Care Workers Still Resist Getting the COVID\u201019 Vaccine. Essentia and Sanford Aim to Change That","author":"Forum News Service","year":"2021","journal-title":"The Forum"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.2307\/j.ctv1ghv4s4"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1057\/biosoc.2015.30"},{"key":"e_1_2_9_13_1","volume-title":"Confidence Men and Painted Women: A Study of Middle\u2010Class Culture in America, 1830\u2010187","author":"Halttunen Karen.","year":"1982"},{"key":"e_1_2_9_14_1","article-title":"Faith, Freedom, Fear: Rural America's COVID Vaccine Skeptics","author":"Hoffman Jan","year":"2021","journal-title":"The New York Times"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.vaccine.2023.11.046"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2009.01.038"},{"key":"e_1_2_9_17_1","volume-title":"Stuck: How Vaccine Rumors Start\u2013and Why They Don't Go Away","author":"Larson Heidi.","year":"2020"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMra2106441"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.1371\/currents.outbreaks.ce0f6177bc97332602a8e3fe7d7f7cc4"},{"key":"e_1_2_9_20_1","volume-title":"Vaccine Anxieties: Global Science, Child Health and Society","author":"Leach Melissa","year":"2007"},{"key":"e_1_2_9_21_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11524\u2010021\u201000588\u20101"},{"key":"e_1_2_9_22_1","doi-asserted-by":"publisher","DOI":"10.1177\/160940690200100202"},{"key":"e_1_2_9_23_1","doi-asserted-by":"publisher","DOI":"10.1111\/padm.12843"},{"key":"e_1_2_9_24_1","doi-asserted-by":"publisher","DOI":"10.1177\/0891243214532711"},{"key":"e_1_2_9_25_1","doi-asserted-by":"publisher","DOI":"10.1111\/maq.12764"},{"key":"e_1_2_9_26_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.acap.2017.10.007"},{"key":"e_1_2_9_27_1","doi-asserted-by":"publisher","DOI":"10.1111\/maq.12214"},{"key":"e_1_2_9_28_1","doi-asserted-by":"publisher","DOI":"10.14506\/ca31.3.04"},{"key":"e_1_2_9_29_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2022.115096"},{"key":"e_1_2_9_30_1","doi-asserted-by":"publisher","DOI":"10.1177\/160940690900800107"},{"key":"e_1_2_9_31_1","doi-asserted-by":"publisher","DOI":"10.1093\/sw\/46.2.125"},{"key":"e_1_2_9_32_1","doi-asserted-by":"publisher","DOI":"10.1016\/0167\u20104870(94)00032\u20106"},{"key":"e_1_2_9_33_1","article-title":"The 61st Faculty Lectureship Award: Two Years on a Pandemic Frontline","author":"Thronson Donna.","year":"2022","journal-title":"North Dakota Physician"},{"key":"e_1_2_9_34_1","article-title":"How Did North Dakota's COVID\u201019 Outbreak Become the Worst in the Country?","author":"Turley Jeremy","year":"2020","journal-title":"The Forum"},{"key":"e_1_2_9_35_1","unstructured":"University of North Dakota School of Medicine and Health Sciences (UND SMHS).2023.Seventh Biennial Report on Health Issues for the State of North Dakota.UND SMHS.https:\/\/med.und.edu\/about\/publications\/biennial\u2010report\/_files\/docs\/seventh\u2010biennial\u2010report.pdf."},{"key":"e_1_2_9_36_1","doi-asserted-by":"publisher","DOI":"10.23987\/sts.70247"},{"key":"e_1_2_9_37_1","doi-asserted-by":"publisher","DOI":"10.1093\/bjps\/axs007"}],"container-title":["Medical Anthropology Quarterly"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/anthrosource.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/maq.12873","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,10,1]],"date-time":"2024-10-01T13:35:57Z","timestamp":1727789757000},"score":1,"resource":{"primary":{"URL":"https:\/\/anthrosource.onlinelibrary.wiley.com\/doi\/10.1111\/maq.12873"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,6,7]]},"references-count":36,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2024,9]]}},"alternative-id":["10.1111\/maq.12873"],"URL":"https:\/\/doi.org\/10.1111\/maq.12873","archive":["Portico"],"relation":{},"ISSN":["0745-5194","1548-1387"],"issn-type":[{"value":"0745-5194","type":"print"},{"value":"1548-1387","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,6,7]]},"assertion":[{"value":"2023-01-02","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-05-03","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-06-07","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}