J Health Care Poor Underserved. 2020;31(3):1471-1487. doi: 10.1353/hpu.2020.0106.
The purpose of this study was to examine trust in health information sources among underserved and vulnerable populations. Data (N=8,759) were from the Health Information National Trends Survey. Differences were assessed across the following subgroups: ethnoracial minorities, immigrants, rural residence, people with limited English proficiency, and sexual minorities. Trust was highest for doctors, followed by government, family/friends, charities, and religious organizations. In adjusted regression models, trusting health information from charitable and religious organizations was higher in ethnoracial minorities and immigrants. Individuals with limited English proficiency also had higher trust in religious organizations compared with those fluent in English. Trusting health information from doctors was lower among individuals with limited English proficiency. There was evidence in support of additive and multiplicative intersectional frameworks for understanding trust in vulnerable and underserved populations; however, the extent to which differences in trust explain disparities in health behaviors and outcomes should be examined.
本研究旨在探讨服务不足和弱势群体对健康信息来源的信任。数据（N=8759）来自国家健康信息趋势调查。研究评估了以下亚组之间的差异：少数民族、移民、农村居民、英语水平有限和性少数群体。最受信任的健康信息来源是医生，其次是政府、家庭/朋友、慈善机构和宗教组织。在调整后的回归模型中，少数民族和移民更信任慈善和宗教组织提供的健康信息。与英语流利的人相比，英语水平有限的个体对宗教组织的信任度更高。英语水平有限的个体对医生提供的健康信息的信任度较低。有证据支持使用附加和乘法交叉框架来理解弱势群体和服务不足人群的信任，但应检查信任差异在多大程度上解释了健康行为和结果方面的差异。
