ABSTRACT

Among the most important factors that determine whether public health recommendations receive widespread adherence during pandemics is public trust in the information disseminated by governments, health care providers, and the media. However, there remains uncertainty pertaining to the role of public trust in the acceptance and maintenance of public health recommendations during outbreaks. This systematic review and thematic analysis examined 41 studies on previous pandemics, epidemics, and global outbreaks in the twenty-first century to identify the relationship between public trust in the government, health care providers, and the media, and the acceptance, uptake, and maintenance of health behaviours that contain the spread of infectious disease. We found inconsistency in public trust towards the government and the media across multiple countries, while trust in health care providers was generally reported to be high with a few exceptions. We identified several unintended outcomes of mistrust when communicating public health recommendations such as non-compliance with recommended health measures, seeking information from alternative sources, and vaccine hesitancy. We conclude this paper by discussing the importance of public trust in promoting compliance with public health recommendations and the uptake of protective behaviours, as well as the downstream implications of mistrust that may develop in the COVID-19 pandemic.

摘要

决定公共卫生建议是否在大流行期间得到广泛遵守的最重要因素之一是公众对政府、医疗保健提供者和媒体传播的信息的信任。然而，在疫情暴发期间，公众信任在接受和维持公共卫生建议方面的作用仍然存在不确定性。这项系统回顾和专题分析检查了 41 项关于 21 世纪以前的流行病、流行病和全球爆发的研究，以确定公众对政府、医疗保健提供者和媒体的信任与接受、吸收和传播之间的关系。保持遏制传染病传播的健康行为。我们发现，在多个国家/地区，公众对政府和媒体的信任度不一致，而对医疗保健提供者的信任度普遍较高，但有少数例外。我们在传达公共卫生建议时发现了一些不信任的意外结果，例如不遵守建议的卫生措施、从其他来源寻求信息以及对疫苗犹豫不决。我们通过讨论公众信任在促进遵守公共卫生建议和采取保护行为方面的重要性，以及可能在 COVID-19 大流行中发展的不信任的下游影响来结束本文。我们在传达公共卫生建议时发现了一些不信任的意外结果，例如不遵守建议的卫生措施、从其他来源寻求信息以及对疫苗犹豫不决。我们通过讨论公众信任在促进遵守公共卫生建议和采取保护行为方面的重要性，以及可能在 COVID-19 大流行中发展的不信任的下游影响来结束本文。我们在传达公共卫生建议时发现了一些不信任的意外结果，例如不遵守建议的卫生措施、从其他来源寻求信息以及对疫苗犹豫不决。我们通过讨论公众信任在促进遵守公共卫生建议和采取保护行为方面的重要性，以及可能在 COVID-19 大流行中发展的不信任的下游影响来结束本文。