Trust in Physicians and Hospitals During the COVID-19 Pandemic in a 50-State Survey of US Adults

作者：Roy H. Perlis, Katherine Ognyanova, Ata Uslu, Kristin Lunz Trujillo, Mauricio Santillana, James Druckman, Matthew Baum, David Lazer · 发表于：JAMA Network Open · 年份：2024 · DOI：10.1001/jamanetworkopen.2024.24984 · 被引用次数：149 · 研究领域：Vaccine Coverage and Hesitancy、COVID-19 and Mental Health、Misinformation and Its Impacts

Importance: Trust in physicians and hospitals has been associated with achieving public health goals, but the increasing politicization of public health policies during the COVID-19 pandemic may have adversely affected such trust. Objective: To characterize changes in US adults' trust in physicians and hospitals over the course of the COVID-19 pandemic and the association between this trust and health-related behaviors. Design, Setting, and Participants: This survey study uses data from 24 waves of a nonprobability internet survey conducted between April 1, 2020, and January 31, 2024, among 443 455 unique respondents aged 18 years or older residing in the US, with state-level representative quotas for race and ethnicity, age, and gender. Main Outcome and Measure: Self-report of trust in physicians and hospitals; self-report of SARS-CoV-2 and influenza vaccination and booster status. Survey-weighted regression models were applied to examine associations between sociodemographic features and trust and between trust and health behaviors. Results: The combined data included 582 634 responses across 24 survey waves, reflecting 443 455 unique respondents. The unweighted mean (SD) age was 43.3 (16.6) years; 288 186 respondents (65.0%) reported female gender; 21 957 (5.0%) identified as Asian American, 49 428 (11.1%) as Black, 38 423 (8.7%) as Hispanic, 3138 (0.7%) as Native American, 5598 (1.3%) as Pacific Islander, 315 278 (71.1%) as White, and 9633 (2.2%) as other race and ethnici...