Peter O'Donnell Jr. School of Public Health, University of Texas Southwestern Medical Center, 5323 Harry Hines Blvd, Dallas, TX, 75390, USA.
Department of Health Policy and Management, Korea University, Seoul, Republic of Korea.
Cancer Causes Control. 2024 Jan;35(1):177-184. doi: 10.1007/s10552-023-01786-9. Epub 2023 Aug 31.
This study investigated how trusting information on cancer varies by the source of information and political viewpoint.
This study used cross-sectional survey data from the 2020 Health Information National Trends Survey (HINTS). The study comprised a sample of 2949 adults 18 years and older. The outcome variable was measured by assessing respondents' trust in cancer-related information from various sources, including religious organizations and leaders, government health agencies, charitable organizations, family or friends, and doctors. Political viewpoint was measured as liberal, moderate, and conservative. Multivariate linear probability models were estimated and adjusted for individual-level characteristics.
Multivariate analysis found that conservatives (73%, 95% CI = 68-78%) were significantly less likely to trust information on cancer from government health agencies compared to liberals (84%, 95% CI = 80-88%). There was no statistically significant difference in trusting government health agencies between liberals and moderates (80%, 95% CI = 76-84%). Both moderates (27%, 95% CI = 21-34%) and conservatives (34%, 95% CI = 29-39%) were more likely to trust information on cancer from religious organizations and leaders compared to liberals (19%, 95% CI = 13-24%). The relationship between political viewpoint and trust of doctors, family or friends, and charitable organizations were not statistically significant.
Compared to liberals, conservatives are more likely to trust information on cancer from religious organizations and leaders and less likely to trust government health agencies when adjusting for other covariates. This finding emphasizes the role of political viewpoint in shaping individuals' perceptions of information sources and cancer-related information.
本研究旨在探讨人们对癌症相关信息的信任程度因信息来源和政治观点的不同而有所差异。
本研究使用了 2020 年健康信息国家趋势调查（HINTS）的横断面调查数据。研究对象为 2949 名 18 岁及以上的成年人。因变量通过评估受访者对来自不同来源（包括宗教组织和领袖、政府卫生机构、慈善组织、家人或朋友以及医生）的癌症相关信息的信任程度来衡量。政治观点则分为自由派、温和派和保守派。采用多元线性概率模型进行估计，并对个体特征进行了调整。
多变量分析发现，与自由派（84%，95%置信区间[CI] = 80-88%）相比，保守派（73%，95%CI = 68-78%）对政府卫生机构提供的癌症信息的信任程度明显较低。自由派和温和派之间对政府卫生机构的信任程度没有统计学上的显著差异（80%，95%CI = 76-84%）。温和派（27%，95%CI = 21-34%）和保守派（34%，95%CI = 29-39%）对宗教组织和领袖提供的癌症信息的信任程度均高于自由派（19%，95%CI = 13-24%）。政治观点与对医生、家人或朋友以及慈善组织的信任之间的关系没有统计学意义。
在调整其他协变量后，与自由派相比，保守派更有可能信任宗教组织和领袖提供的癌症相关信息，而不太信任政府卫生机构。这一发现强调了政治观点在塑造个体对信息来源和癌症相关信息的看法方面的作用。
