Trust in US physicians and hospitals dropped significantly during COVID-19, affecting vaccination rates across all demographics. Restoring trust is crucial for future public health efforts.
By Vijay Kumar MalesuReviewed by Susha Cheriyedath, M.Sc.Aug 1 2024 In a recent study published in the JAMA Network Open, researchers examined changes in United States adults' trust in physicians and hospitals during the coronavirus disease 2019 pandemic and its association with health-related behaviors.
About the study Data were collected from 24 waves of a nonprobability internet survey using PureSpectrum, aggregating participants from multiple national panels and incentivizing respondents with rewards such as gift cards, cash, and airline miles. The COVID States Project conducted the survey from April 1, 2020, to January 31, 2024, targeting individuals aged 18 and older across all 50 states and the District of Columbia.
An open-ended question in one survey wave gathered reasons for varying trust levels. Using Generative Pre-trained Transformer 4 , major themes from responses were identified and categorized, revealing factors contributing to trust disparities and their broader implications during the COVID-19 pandemic.
Higher trust levels were significantly linked to a greater likelihood of being vaccinated for COVID-19. Unadjusted models indicated that any amount of trust increased the odds of vaccination compared to no trust, with adjusted ORs showing significant increases: 1.38 for a little trust, 2.48 for some trust, and 4.94 for a lot of trust. Including political affiliation did not alter these associations. Similar patterns emerged when examining COVID-19 booster shots.
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