Stimpson Jim P, Park Sungchul, Adhikari Emily H, Nelson David B, Ortega Alexander N
Department of Health Economics, Systems, and Policy, University of Texas Southwestern Medical Center, Dallas, TX.
Harold C. Simmons Comprehensive Cancer Center, University of Texas Southwestern Medical Center, Dallas, TX.
Med Care. 2025 Sep 1;63(9):686-693. doi: 10.1097/MLR.0000000000002180. Epub 2025 Jun 27.
Investigate the association between perceptions of health misinformation on social media and trust in the health care system among US adults, and to assess whether this association varies by frequency of health care visits, perceived health care quality and experiences of medical care discrimination.
Cross-sectional survey study using data from the 2022 Health Information National Trends Survey 6 (HINTS 6). Analysis was conducted on data collected from March to November 2022. Participants included 3805 adults who reported using social media and had at least one health care visit in the past year. Survey-weighted, multivariable logistic regression models were used to assess associations.
Among those who reported high trust in the health care system, 65.1% perceived less than substantial health misinformation on social media, whereas 34.9% perceived substantial misinformation. In multivariable models, participants who perceived substantial health misinformation on social media had higher odds of reporting low trust in the health care system (OR: 1.66; 95% CI: 1.11-2.48). This association between misinformation and trust varied by perceived health care quality and experiences of discrimination. Among those perceiving less than substantial misinformation, the probability of low trust was 11% (95% CI: 9-13) for individuals without medical care discrimination and 33% (95% CI: 20-45) for those reporting discrimination. The interactions between misinformation and health care visit frequency and quality were not statistically significant.
Perceptions of substantial social media health misinformation were associated with lower trust in the US health care system, particularly among individuals reporting experiences of medical care discrimination.
调查美国成年人对社交媒体上健康错误信息的认知与对医疗保健系统的信任之间的关联，并评估这种关联是否因医疗保健就诊频率、感知的医疗保健质量和医疗保健歧视经历而有所不同。
采用2022年健康信息国家趋势调查6（HINTS 6）的数据进行横断面调查研究。对2022年3月至11月收集的数据进行分析。参与者包括3805名报告使用社交媒体且在过去一年中至少有一次医疗保健就诊的成年人。使用调查加权的多变量逻辑回归模型来评估关联。
在那些报告对医疗保健系统高度信任的人中，65.1%的人认为社交媒体上的健康错误信息不太严重，而34.9%的人认为存在严重错误信息。在多变量模型中，在社交媒体上认为存在大量健康错误信息的参与者报告对医疗保健系统信任度低的几率更高（OR：1.66；95% CI：1.11 - 2.48）。错误信息与信任之间的这种关联因感知的医疗保健质量和歧视经历而有所不同。在那些认为错误信息不太严重的人中，没有医疗保健歧视的个体信任度低的概率为11%（95% CI：9 - 13），而报告有歧视的个体为33%（95% CI：20 - 45）。错误信息与医疗保健就诊频率和质量之间的交互作用无统计学意义。
对社交媒体上大量健康错误信息的认知与对美国医疗保健系统的较低信任度相关，特别是在报告有医疗保健歧视经历的个体中。
