The role of institutional trust in preventive practices and treatment-seeking intention during the coronavirus disease 2019 outbreak among residents in Hubei, China

作者：Wong, Li Ping^*; Wu, Qunhong; Hao, Yanhua; Chen, Xi; Chen, Zhuo; Alias, Haridah; Shen, Mingwang; Hu, Jingcen; Duan, Shiwei; Zhang, Jinjie; Han, Liyuan^*

来源：International Health, 2022, 14(2): 161-169.

DOI：10.1093/inthealth/ihab023

• China
• COVID-19
• Hubei
• institutional trust
• preventive
• treatment-seeking behaviour

Background We aimed to investigate the association between institution trust and public responses to the coronavirus disease 2019 (COVID-19) outbreak. Methods An Internet-based, cross-sectional survey was administered on 29 January 2020. A total of 4393 adults >= 18 y of age and residing or working in the province of Hubei, central China were included in the study. Results The majority of the participants expressed a great degree of trust in the information and preventive instructions provided by the central government compared with the local government. Being under quarantine (adjusted odds ratio [OR] 2.35 [95% confidence interval {CI} 1.80 to 3.08]) and having a high institutional trust score (OR 2.23 [95% CI 1.96 to 2.53]) were both strong and significant determinants of higher preventive practices scores. The majority of study participants (n=3640 [85.7%]) reported that they would seek hospital treatment if they suspected themselves to have been infected with COVID-19. Few of the participants from Wuhan (n=475 [16.6%]) and those participants who were under quarantine (n=550 [13.8%]) expressed an unwillingness to seek hospital treatment. Conclusions Institutional trust is an important factor influencing adequate preventive behaviour and seeking formal medical care during an outbreak.

• 单位
  哈尔滨医科大学; 西安交通大学; 中国科学院研究生院