Association Between Trust in Health Care Professionals and Health Care Access: Insights From an Online Survey Across 21 Countries
ObjectivesThis study evaluates the association between trust in health care professionals and health care delays across 21 countries.MethodsWe apply logistic regression models to survey data of over 621,000 individuals collected in Spring 2023.ResultsResults show 44.5% of respondents with medical co...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2025-04-01
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| Series: | International Journal of Public Health |
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| Online Access: | https://www.ssph-journal.org/articles/10.3389/ijph.2025.1607884/full |
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| author | Louisa Ewald John Bellettiere Tamer H. Farag Kristina M. Lee Sidhartha Palani Emma Castro Amanda Deen Catherine W. Gillespie Bethany M. Huntley Alison Tracy Anna-Carolina Haensch Frauke Kreuter Frauke Kreuter Wiebke Weber Stefan Zins Stefan Zins Wichada La Motte-Kerr Wichada La Motte-Kerr Yao Li Kathleen Stewart Emmanuela Gakidou Emmanuela Gakidou Ali H. Mokdad Ali H. Mokdad |
| author_facet | Louisa Ewald John Bellettiere Tamer H. Farag Kristina M. Lee Sidhartha Palani Emma Castro Amanda Deen Catherine W. Gillespie Bethany M. Huntley Alison Tracy Anna-Carolina Haensch Frauke Kreuter Frauke Kreuter Wiebke Weber Stefan Zins Stefan Zins Wichada La Motte-Kerr Wichada La Motte-Kerr Yao Li Kathleen Stewart Emmanuela Gakidou Emmanuela Gakidou Ali H. Mokdad Ali H. Mokdad |
| author_sort | Louisa Ewald |
| collection | DOAJ |
| description | ObjectivesThis study evaluates the association between trust in health care professionals and health care delays across 21 countries.MethodsWe apply logistic regression models to survey data of over 621,000 individuals collected in Spring 2023.ResultsResults show 44.5% of respondents with medical conditions experienced delays in accessing health care and 44.1% reported lack of trust in health care professionals. Those who trusted health care professionals had significantly lower odds of delaying medical care. Trust was most strongly associated with delays in the United Kingdom (OR = 0.373, 95% CI = 0.273–0.510), while South Africa had the smallest association (OR = 0.762, 95% CI = 0.582–0.997).ConclusionTrust is important in influencing health care-seeking behaviors, though the causal direction warrants further research. There is a need for targeted strategies to build and sustain trust in health care relationships as well as enhancing health care access. |
| format | Article |
| id | doaj-art-278d5dbd997c46b4828d9d68d678a79c |
| institution | OA Journals |
| issn | 1661-8564 |
| language | English |
| publishDate | 2025-04-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | International Journal of Public Health |
| spelling | doaj-art-278d5dbd997c46b4828d9d68d678a79c2025-08-20T02:11:34ZengFrontiers Media S.A.International Journal of Public Health1661-85642025-04-017010.3389/ijph.2025.16078841607884Association Between Trust in Health Care Professionals and Health Care Access: Insights From an Online Survey Across 21 CountriesLouisa Ewald0John Bellettiere1Tamer H. Farag2Kristina M. Lee3Sidhartha Palani4Emma Castro5Amanda Deen6Catherine W. Gillespie7Bethany M. Huntley8Alison Tracy9Anna-Carolina Haensch10Frauke Kreuter11Frauke Kreuter12Wiebke Weber13Stefan Zins14Stefan Zins15Wichada La Motte-Kerr16Wichada La Motte-Kerr17Yao Li18Kathleen Stewart19Emmanuela Gakidou20Emmanuela Gakidou21Ali H. Mokdad22Ali H. Mokdad23Institute for Health Metrics and Evaluation, University of Washington, Seattle, WA, United StatesMeta, Menlo Park, CA, United StatesMeta, Menlo Park, CA, United StatesMeta, Menlo Park, CA, United StatesMeta, Menlo Park, CA, United StatesInstitute for Health Metrics and Evaluation, University of Washington, Seattle, WA, United StatesInstitute for Health Metrics and Evaluation, University of Washington, Seattle, WA, United StatesInstitute for Health Metrics and Evaluation, University of Washington, Seattle, WA, United StatesInstitute for Health Metrics and Evaluation, University of Washington, Seattle, WA, United StatesInstitute for Health Metrics and Evaluation, University of Washington, Seattle, WA, United StatesInstitute for Statistics, Ludwig-Maximilian Universitat, Munich, GermanyInstitute for Statistics, Ludwig-Maximilian Universitat, Munich, GermanyDepartment of Geographical Sciences, University of Maryland, College Park, MD, United StatesInstitute for Statistics, Ludwig-Maximilian Universitat, Munich, GermanyInstitute for Statistics, Ludwig-Maximilian Universitat, Munich, GermanyInstitute for Employment Research of the German Federal Employment Agency, Nuremberg, GermanyInstitute for Health Metrics and Evaluation, University of Washington, Seattle, WA, United StatesDepartment of Geographical Sciences, University of Maryland, College Park, MD, United StatesDepartment of Geographical Sciences, University of Maryland, College Park, MD, United StatesDepartment of Geographical Sciences, University of Maryland, College Park, MD, United StatesInstitute for Health Metrics and Evaluation, University of Washington, Seattle, WA, United StatesDepartment of Health Metrics Sciences, University of Washington, Seattle, WA, United StatesInstitute for Health Metrics and Evaluation, University of Washington, Seattle, WA, United StatesDepartment of Health Metrics Sciences, University of Washington, Seattle, WA, United StatesObjectivesThis study evaluates the association between trust in health care professionals and health care delays across 21 countries.MethodsWe apply logistic regression models to survey data of over 621,000 individuals collected in Spring 2023.ResultsResults show 44.5% of respondents with medical conditions experienced delays in accessing health care and 44.1% reported lack of trust in health care professionals. Those who trusted health care professionals had significantly lower odds of delaying medical care. Trust was most strongly associated with delays in the United Kingdom (OR = 0.373, 95% CI = 0.273–0.510), while South Africa had the smallest association (OR = 0.762, 95% CI = 0.582–0.997).ConclusionTrust is important in influencing health care-seeking behaviors, though the causal direction warrants further research. There is a need for targeted strategies to build and sustain trust in health care relationships as well as enhancing health care access.https://www.ssph-journal.org/articles/10.3389/ijph.2025.1607884/fulltrust in health care providershealth care accesshealth care delaysCOVID-19 pandemichealth systemshealth care utilization |
| spellingShingle | Louisa Ewald John Bellettiere Tamer H. Farag Kristina M. Lee Sidhartha Palani Emma Castro Amanda Deen Catherine W. Gillespie Bethany M. Huntley Alison Tracy Anna-Carolina Haensch Frauke Kreuter Frauke Kreuter Wiebke Weber Stefan Zins Stefan Zins Wichada La Motte-Kerr Wichada La Motte-Kerr Yao Li Kathleen Stewart Emmanuela Gakidou Emmanuela Gakidou Ali H. Mokdad Ali H. Mokdad Association Between Trust in Health Care Professionals and Health Care Access: Insights From an Online Survey Across 21 Countries International Journal of Public Health trust in health care providers health care access health care delays COVID-19 pandemic health systems health care utilization |
| title | Association Between Trust in Health Care Professionals and Health Care Access: Insights From an Online Survey Across 21 Countries |
| title_full | Association Between Trust in Health Care Professionals and Health Care Access: Insights From an Online Survey Across 21 Countries |
| title_fullStr | Association Between Trust in Health Care Professionals and Health Care Access: Insights From an Online Survey Across 21 Countries |
| title_full_unstemmed | Association Between Trust in Health Care Professionals and Health Care Access: Insights From an Online Survey Across 21 Countries |
| title_short | Association Between Trust in Health Care Professionals and Health Care Access: Insights From an Online Survey Across 21 Countries |
| title_sort | association between trust in health care professionals and health care access insights from an online survey across 21 countries |
| topic | trust in health care providers health care access health care delays COVID-19 pandemic health systems health care utilization |
| url | https://www.ssph-journal.org/articles/10.3389/ijph.2025.1607884/full |
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