Bleich Sara, Blendon Robert, Adams Alyce
Program in Health Policy, Harvard University, MA, USA.
Obesity (Silver Spring). 2007 Aug;15(8):2145-56. doi: 10.1038/oby.2007.255.
To explore the relationship between public trust in scientific experts on obesity and public attention to nutrition recommendations, to investigate trust as a predictor of weight-related behaviors, and to identify the sociodemographic characteristics associated with high and low trust in scientific experts on obesity.
This analysis used survey data from two sources: 1) a 2005 Harvard School of Public Health Obesity Survey (N = 2033), and 2) the 2004 General Social Survey (N = 2812). Five outcome measures were used. Three were used to explore trust as a predictor of attention and weight-related behaviors. Two were used to identify the sociodemographic predictors of trust. Logistic regression analysis was used to model the outcome variables.
Trust in scientific experts was the strongest predictor of public attention to nutritional recommendations from scientific experts, but it was not directly related to weight-related behaviors. Public attention was significantly associated with two weight-related behaviors: tracking fruit and vegetable intake and exercise. Women and more educated individuals had significantly higher odds of trusting scientific experts. Characteristics associated with distrust in scientific experts included Hispanic race and older age (over 50).
Public health experts should work toward building trust as an important step in stemming the obesity epidemic. Further, more research is necessary to better understand the factors driving trust in scientific experts on obesity. A deeper insight in this area will certainly be of great benefit to obesity-related risk communication and potentially lead to positive behavior change.
探讨公众对肥胖领域科学专家的信任与公众对营养建议的关注之间的关系,调查信任作为体重相关行为预测因素的情况,并确定与对肥胖领域科学专家的高信任度和低信任度相关的社会人口学特征。
本分析使用了来自两个来源的调查数据:1)2005年哈佛公共卫生学院肥胖调查(N = 2033),以及2)2004年综合社会调查(N = 2812)。使用了五项结果指标。三项用于探讨信任作为关注和体重相关行为预测因素的情况。两项用于确定信任的社会人口学预测因素。采用逻辑回归分析对结果变量进行建模。
对科学专家的信任是公众对科学专家营养建议关注度的最强预测因素,但它与体重相关行为没有直接关系。公众关注度与两项体重相关行为显著相关:追踪水果和蔬菜摄入量以及运动。女性和受教育程度较高的人对科学专家的信任几率显著更高。与不信任科学专家相关的特征包括西班牙裔种族和年龄较大(50岁以上)。
公共卫生专家应致力于建立信任,将其作为遏制肥胖流行的重要一步。此外,有必要进行更多研究,以更好地了解影响对肥胖领域科学专家信任的因素。对这一领域的更深入洞察肯定会对与肥胖相关的风险沟通大有裨益,并可能导致积极的行为改变。