Mainous Arch G, Sharma Pooja, Yin Lu, Wang Ting, Johannes Bobbie L, Harrell Grant
Department of Community Health and Family Medicine, University of Florida, Gainesville, FL, United States.
Department of Health Services Research Management, and Policy, University of Florida, Gainesville, FL, United States.
Front Med (Lausanne). 2024 Jul 26;11:1430263. doi: 10.3389/fmed.2024.1430263. eCollection 2024.
Public trust in health experts has been decreasing leading to decreased adherence to expert recommendations.
To evaluate public perceptions of conflict and uncertainty among experts in healthcare recommendations and association with decreased trust in health entities for accurate health information.
Analysis of the US nationally representative Health Information National Trends Survey (HINTS 6-2022). Adults aged 18 and older were respondents to the survey (unweighted = 5,842, representing 241 million adults). The main outcome was trust in doctors, scientists and government health agencies for health information. Analyses examined trust in experts with public perceptions of conflict about recommendations and changing recommendations.
There was high trust in doctors for health information (95%) versus 84% in scientists and 70% in government health agencies. Only 18% have high trust in the health information on social media. Respondents who felt expert recommendations change often were less likely to have high trust (65%) in government agencies compared to those who felt that the recommendations did not often change (82%) ( < 0.01). In logistic regressions controlling for age, sex, race, education, income and trust in social media for health information perceptions of low conflict among expert health recommendations is associated with likelihood of high trust in government health agencies (OR 2.86; 95% CI 1.96-4.15).
The public has low trust in government health agencies and perceptions of conflict among experts over recommendations is likely playing a role in the erosion of trust in health experts.
公众对健康专家的信任一直在下降，导致对专家建议的依从性降低。
评估公众对医疗保健建议中专家之间冲突和不确定性的看法，以及与对健康实体获取准确健康信息的信任度降低之间的关联。
对具有全国代表性的美国健康信息国家趋势调查（HINTS 6 - 2022）进行分析。18岁及以上的成年人是该调查的受访者（未加权=5842人，代表2.41亿成年人）。主要结果是对医生、科学家和政府卫生机构提供健康信息的信任度。分析考察了公众对建议冲突的看法以及建议变化时对专家的信任度。
公众对医生提供健康信息的信任度较高（95%），而对科学家的信任度为84%，对政府卫生机构的信任度为7 O%。只有18%的人对社交媒体上的健康信息高度信任。与认为建议不常变化的受访者（82%）相比，认为专家建议经常变化的受访者对政府机构高度信任的可能性较小（65%）（P<0.01）。在控制年龄、性别、种族、教育程度、收入以及对社交媒体上健康信息信任度的逻辑回归分析中，专家健康建议中低冲突的认知与对政府卫生机构高度信任的可能性相关（比值比2.86；95%置信区间1.96 - 4.15）。
公众对政府卫生机构的信任度较低，专家对建议的冲突看法可能在对健康专家信任的侵蚀中起作用。
