Social factors associated with trust in the health system in northern Sweden: a cross-sectional study
BACKGROUND: Despite the importance of having trust in the health system, there is a paucity of research in this field in Sweden. The aim of this study was to estimate the level of trust in the health system and to assess the factors associated with it in northern Sweden. METHODS: A cross-sectional s...
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ftpubmed:oai:pubmedcentral.nih.gov:9065232 2023-05-15T17:44:22+02:00 Social factors associated with trust in the health system in northern Sweden: a cross-sectional study Baroudi, Mazen Goicolea, Isabel Hurtig, Anna-Karin San-Sebastian, Miguel 2022-05-04 http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9065232/ https://doi.org/10.1186/s12889-022-13332-4 en eng BioMed Central http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9065232/ http://dx.doi.org/10.1186/s12889-022-13332-4 © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data. CC0 PDM CC-BY BMC Public Health Research Text 2022 ftpubmed https://doi.org/10.1186/s12889-022-13332-4 2022-05-08T01:14:06Z BACKGROUND: Despite the importance of having trust in the health system, there is a paucity of research in this field in Sweden. The aim of this study was to estimate the level of trust in the health system and to assess the factors associated with it in northern Sweden. METHODS: A cross-sectional survey was conducted in 2014 in the four northern regions of Sweden. A total of 24 795 participants (48% response rate) aged 18 to 84 years were involved in the study. A log-binomial regression was used to measure the association between sociodemographic factors and trust in the health system. RESULTS: Two thirds of the participants (68.5%) reported high trust in the health system i.e. had very much or quite a lot confidence in the health system. Women had lower prevalence of trust compared to men (PR = 0.96; 95% CI = 0.94–0.98) while older participants had a higher trust compared to youth (PR = 1.11; 95% CI = 1.06–1.16). Participants with lower level of education, those who experienced economic stress, those who were born outside Sweden and those living in small municipalities also had lower prevalence of trust in the health system. Conversely, lower income was associated with higher trust (PR = 1.08; 95% CI = 1.04–1.12). Finally, a strong relationship between higher social capital (having emotional and instrumental support, horizontal trust, and higher social participation) and trust in the health system was also found. CONCLUSIONS: Trust in the health system was moderately high in northern Sweden and strongly associated with sociodemographic and social capital factors. Trust is a complex phenomenon and a deeper exploration of the relation between trust in the health system and sociodemographic factors is needed. Text Northern Sweden PubMed Central (PMC) BMC Public Health 22 1 |
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Research Baroudi, Mazen Goicolea, Isabel Hurtig, Anna-Karin San-Sebastian, Miguel Social factors associated with trust in the health system in northern Sweden: a cross-sectional study |
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Research |
description |
BACKGROUND: Despite the importance of having trust in the health system, there is a paucity of research in this field in Sweden. The aim of this study was to estimate the level of trust in the health system and to assess the factors associated with it in northern Sweden. METHODS: A cross-sectional survey was conducted in 2014 in the four northern regions of Sweden. A total of 24 795 participants (48% response rate) aged 18 to 84 years were involved in the study. A log-binomial regression was used to measure the association between sociodemographic factors and trust in the health system. RESULTS: Two thirds of the participants (68.5%) reported high trust in the health system i.e. had very much or quite a lot confidence in the health system. Women had lower prevalence of trust compared to men (PR = 0.96; 95% CI = 0.94–0.98) while older participants had a higher trust compared to youth (PR = 1.11; 95% CI = 1.06–1.16). Participants with lower level of education, those who experienced economic stress, those who were born outside Sweden and those living in small municipalities also had lower prevalence of trust in the health system. Conversely, lower income was associated with higher trust (PR = 1.08; 95% CI = 1.04–1.12). Finally, a strong relationship between higher social capital (having emotional and instrumental support, horizontal trust, and higher social participation) and trust in the health system was also found. CONCLUSIONS: Trust in the health system was moderately high in northern Sweden and strongly associated with sociodemographic and social capital factors. Trust is a complex phenomenon and a deeper exploration of the relation between trust in the health system and sociodemographic factors is needed. |
format |
Text |
author |
Baroudi, Mazen Goicolea, Isabel Hurtig, Anna-Karin San-Sebastian, Miguel |
author_facet |
Baroudi, Mazen Goicolea, Isabel Hurtig, Anna-Karin San-Sebastian, Miguel |
author_sort |
Baroudi, Mazen |
title |
Social factors associated with trust in the health system in northern Sweden: a cross-sectional study |
title_short |
Social factors associated with trust in the health system in northern Sweden: a cross-sectional study |
title_full |
Social factors associated with trust in the health system in northern Sweden: a cross-sectional study |
title_fullStr |
Social factors associated with trust in the health system in northern Sweden: a cross-sectional study |
title_full_unstemmed |
Social factors associated with trust in the health system in northern Sweden: a cross-sectional study |
title_sort |
social factors associated with trust in the health system in northern sweden: a cross-sectional study |
publisher |
BioMed Central |
publishDate |
2022 |
url |
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9065232/ https://doi.org/10.1186/s12889-022-13332-4 |
genre |
Northern Sweden |
genre_facet |
Northern Sweden |
op_source |
BMC Public Health |
op_relation |
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9065232/ http://dx.doi.org/10.1186/s12889-022-13332-4 |
op_rights |
© The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
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CC0 PDM CC-BY |
op_doi |
https://doi.org/10.1186/s12889-022-13332-4 |
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BMC Public Health |
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22 |
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1 |
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