Change in trust in public health authorities, medical care providers, health scientists, and provincial and federal governments in Canada, from before COVID-19 pandemic to May 2024.

IF 2.6 4区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Canadian Journal of Public Health-Revue Canadienne De Sante Publique Pub Date : 2026-04-24 DOI:10.17269/s41997-026-01203-z

Syed Jafar Raza Rizvi, Sohana Sadique, Daniel A Adeyinka, Khatira Mehdiyeva, Eve Dube, Cory Neudorf, Nazeem Muhajarine

{"title":"Change in trust in public health authorities, medical care providers, health scientists, and provincial and federal governments in Canada, from before COVID-19 pandemic to May 2024.","authors":"Syed Jafar Raza Rizvi, Sohana Sadique, Daniel A Adeyinka, Khatira Mehdiyeva, Eve Dube, Cory Neudorf, Nazeem Muhajarine","doi":"10.17269/s41997-026-01203-z","DOIUrl":null,"url":null,"abstract":"Objective: This quantitative study examines the factors predicting changes in trust in governments (federal and provincial/territorial), public health authorities, health scientists, and medical care providers from before the COVID-19 pandemic to May 2024.Methods: A cross-sectional online survey was conducted among Canadian adults in May 2024. Trust levels before and during the pandemic were assessed using tested and validated items across five domains-provincial and federal governments, public health authorities, health scientists, and medical care providers using Likert scales. A weighted multinomial logistic regression was used to identify factors associated with changes in trust (trust increased, trust decreased). Models were evaluated for goodness-of-fit of predicted versus observed estimates.Results: Adults aged 34-54 were less likely to increase trust in provincial government (RRR = 0.78), and older adults (≥ 55 years) were less likely to increase trust in medical care providers (RRR = 0.36) and more likely to decrease trust in health scientists (RRR = 1.44). Respondents who declared their gender as non-binary or chose not to disclose were less likely to increase trust in provincial governments (RRR = 0.24). However, individuals with a strong interest in science were more likely to report increased trust in public health authorities (RRR = 1.39) and in health scientists (RRR = 1.69). Vaccine-trusting individuals were more likely to report increased trust across all trust domains.Conclusion: The COVID-19 pandemic significantly impacted public trust in health institutions, with disparities across sociodemographic groups and regions. Trust levels were closely tied to vaccination-attitudes, underscoring the need for transparent, science-based communication and targeted interventions to rebuild trust, particularly among vaccine-hesitant populations.","PeriodicalId":51407,"journal":{"name":"Canadian Journal of Public Health-Revue Canadienne De Sante Publique","volume":" ","pages":""},"PeriodicalIF":2.6000,"publicationDate":"2026-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Canadian Journal of Public Health-Revue Canadienne De Sante Publique","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.17269/s41997-026-01203-z","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH","Score":null,"Total":0}

引用次数: 0

Abstract

Objective: This quantitative study examines the factors predicting changes in trust in governments (federal and provincial/territorial), public health authorities, health scientists, and medical care providers from before the COVID-19 pandemic to May 2024.

Methods: A cross-sectional online survey was conducted among Canadian adults in May 2024. Trust levels before and during the pandemic were assessed using tested and validated items across five domains-provincial and federal governments, public health authorities, health scientists, and medical care providers using Likert scales. A weighted multinomial logistic regression was used to identify factors associated with changes in trust (trust increased, trust decreased). Models were evaluated for goodness-of-fit of predicted versus observed estimates.

Results: Adults aged 34-54 were less likely to increase trust in provincial government (RRR = 0.78), and older adults (≥ 55 years) were less likely to increase trust in medical care providers (RRR = 0.36) and more likely to decrease trust in health scientists (RRR = 1.44). Respondents who declared their gender as non-binary or chose not to disclose were less likely to increase trust in provincial governments (RRR = 0.24). However, individuals with a strong interest in science were more likely to report increased trust in public health authorities (RRR = 1.39) and in health scientists (RRR = 1.69). Vaccine-trusting individuals were more likely to report increased trust across all trust domains.

Conclusion: The COVID-19 pandemic significantly impacted public trust in health institutions, with disparities across sociodemographic groups and regions. Trust levels were closely tied to vaccination-attitudes, underscoring the need for transparent, science-based communication and targeted interventions to rebuild trust, particularly among vaccine-hesitant populations.

查看原文本刊更多论文

从2019冠状病毒病大流行之前到2024年5月，加拿大对公共卫生当局、医疗保健提供者、卫生科学家以及省和联邦政府的信任变化。

目的：本定量研究考察了从2019冠状病毒病大流行之前到2024年5月对政府（联邦和省/地区）、公共卫生当局、卫生科学家和医疗保健提供者的信任变化的预测因素。方法：于2024年5月对加拿大成年人进行横断面在线调查。在大流行之前和期间，使用五个领域（省级和联邦政府、公共卫生当局、卫生科学家和医疗保健提供者）的测试和验证项目评估了信任水平。使用加权多项逻辑回归来确定与信任变化相关的因素（信任增加，信任减少）。对模型的预测值与观测值的拟合优度进行了评估。结果：34 ~ 54岁的成年人对省级政府信任增加的倾向较低（RRR = 0.78），老年人（≥55岁）对医疗服务提供者信任增加的倾向较低（RRR = 0.36），对卫生科学家信任降低的倾向较高（RRR = 1.44）。自称非二元性别或选择不公开性别的受访者对省级政府增加信任的可能性较低（rr = 0.24）。然而，对科学有强烈兴趣的个人更有可能报告对公共卫生当局（RRR = 1.39）和卫生科学家（RRR = 1.69）的信任增加。信任疫苗的个体更有可能报告在所有信任领域的信任增加。结论：2019冠状病毒病大流行显著影响了公众对卫生机构的信任，但在不同社会人口群体和地区存在差异。信任水平与疫苗接种态度密切相关，强调需要透明、基于科学的沟通和有针对性的干预措施来重建信任，特别是在疫苗犹豫不决的人群中。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Canadian Journal of Public Health-Revue Canadienne De Sante Publique PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

6.10

自引率

4.70%

发文量

128

期刊介绍： The Canadian Journal of Public Health is dedicated to fostering excellence in public health research, scholarship, policy and practice. The aim of the Journal is to advance public health research and practice in Canada and around the world, thus contributing to the improvement of the health of populations and the reduction of health inequalities. CJPH publishes original research and scholarly articles submitted in either English or French that are relevant to population and public health. CJPH is an independent, peer-reviewed journal owned by the Canadian Public Health Association and published by Springer. Énoncé de mission La Revue canadienne de santé publique se consacre à promouvoir l’excellence dans la recherche, les travaux d’érudition, les politiques et les pratiques de santé publique. Son but est de faire progresser la recherche et les pratiques de santé publique au Canada et dans le monde, contribuant ainsi à l’amélioration de la santé des populations et à la réduction des inégalités de santé. La RCSP publie des articles savants et des travaux inédits, soumis en anglais ou en français, qui sont d’intérêt pour la santé publique et des populations. La RCSP est une revue indépendante avec comité de lecture, propriété de l’Association canadienne de santé publique et publiée par Springer.