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Social factors associated with trust in the health system in northern Sweden: a cross-sectional study
Umeå universitet, Medicinska fakulteten, Institutionen för epidemiologi och global hälsa.ORCID-id: 0000-0002-0609-8745
Umeå universitet, Medicinska fakulteten, Institutionen för epidemiologi och global hälsa.ORCID-id: 0000-0002-8114-4705
Umeå universitet, Medicinska fakulteten, Institutionen för epidemiologi och global hälsa.ORCID-id: 0000-0001-7087-1467
Umeå universitet, Medicinska fakulteten, Institutionen för epidemiologi och global hälsa.ORCID-id: 0000-0001-7234-3510
2022 (Engelska)Ingår i: BMC Public Health, E-ISSN 1471-2458, Vol. 22, nr 1, artikel-id 881Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

Background: Despite the importance of having trust in the health system, there is a paucity of research in this feldin Sweden. The aim of this study was to estimate the level of trust in the health system and to assess the factors asso‑ciated 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 usedto 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 quitea lot confdence 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 Swedenand those living in small municipalities also had lower prevalence of trust in the health system. Conversely, lowerincome was associated with higher trust (PR=1.08; 95% CI=1.04–1.12). Finally, a strong relationship between highersocial capital (having emotional and instrumental support, horizontal trust, and higher social participation) and trustin the health system was also found.

Conclusions: Trust in the health system was moderately high in northern Sweden and strongly associated withsociodemographic and social capital factors. Trust is a complex phenomenon and a deeper exploration of the relationbetween trust in the health system and sociodemographic factors is needed.

Ort, förlag, år, upplaga, sidor
BioMed Central, 2022. Vol. 22, nr 1, artikel-id 881
Nyckelord [en]
Trust, Health system, Inequalities, Sweden
Nationell ämneskategori
Hälso- och sjukvårdsorganisation, hälsopolitik och hälsoekonomi Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi
Identifikatorer
URN: urn:nbn:se:umu:diva-194456DOI: 10.1186/s12889-022-13332-4ISI: 000790782100005PubMedID: 35509072Scopus ID: 2-s2.0-85129359703OAI: oai:DiVA.org:umu-194456DiVA, id: diva2:1656289
Tillgänglig från: 2022-05-05 Skapad: 2022-05-05 Senast uppdaterad: 2023-09-05Bibliografiskt granskad

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Baroudi, MazenGoicolea, IsabelHurtig, Anna-KarinSan Sebastian, Miguel

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Hälso- och sjukvårdsorganisation, hälsopolitik och hälsoekonomiFolkhälsovetenskap, global hälsa, socialmedicin och epidemiologi

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