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Level of Trust of the Population in the Unified Health System in the Midst of the COVID-19 Crisis in Brazil
Objective: to assess the level of trust in health services during the COVID-19 pandemic in Brazil. Methods: A cross-sectional study, carried out between 2020 and 2021, among Brazilians over 18. Nonprobabilistic sampling was used. Descriptive and inferential statistics were applied, using the local b...
Autores principales: | , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9690632/ https://www.ncbi.nlm.nih.gov/pubmed/36429718 http://dx.doi.org/10.3390/ijerph192214999 |
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author | de Araújo, Juliana Soares Tenório Delpino, Felipe Mendes Berra, Thaís Zamboni Moura, Heriederson Sávio Dias Ramos, Antônio Carlos Vieira do Nascimento, Murilo César Alonso, Jonas Bodini Silva, Ruan Víctor dos Santos de Freitas, Giselle Lima Teibo, Titilade Kehinde Ayandeyi Gonzales, Roxana Isabel Cardozo Arcêncio, Ricardo Alexandre |
author_facet | de Araújo, Juliana Soares Tenório Delpino, Felipe Mendes Berra, Thaís Zamboni Moura, Heriederson Sávio Dias Ramos, Antônio Carlos Vieira do Nascimento, Murilo César Alonso, Jonas Bodini Silva, Ruan Víctor dos Santos de Freitas, Giselle Lima Teibo, Titilade Kehinde Ayandeyi Gonzales, Roxana Isabel Cardozo Arcêncio, Ricardo Alexandre |
author_sort | de Araújo, Juliana Soares Tenório |
collection | PubMed |
description | Objective: to assess the level of trust in health services during the COVID-19 pandemic in Brazil. Methods: A cross-sectional study, carried out between 2020 and 2021, among Brazilians over 18. Nonprobabilistic sampling was used. Descriptive and inferential statistics were applied, using the local bivariate Moran’s technique to verify the existence of spatial dependence between the incidence and mortality of COVID-19 and trust in health services. Furthermore, multinomial regression was also used to analyze the factors associated with the confidence level, with the calculation of the odds ratio and with a confidence interval of 95%. Results: A total of 50.6% reported trust in hospital services, while 41.4% did not trust primary health care services. With the application of the local bivariate Moran, both for the incidence and mortality of COVID-19, the trust in tertiary care and primary care services showed a statistically significant spatial association predominant in the Midwest (high–low) and North (low–high) regions of Brazil. The level of trust was associated with education, religion, region of the country and income. Conclusions: The level of trust in hospital services, more than primary health care services, may be related to the population’s culture of prioritizing the search for hospital care at the detriment of health promotion and disease prevention. |
format | Online Article Text |
id | pubmed-9690632 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-96906322022-11-25 Level of Trust of the Population in the Unified Health System in the Midst of the COVID-19 Crisis in Brazil de Araújo, Juliana Soares Tenório Delpino, Felipe Mendes Berra, Thaís Zamboni Moura, Heriederson Sávio Dias Ramos, Antônio Carlos Vieira do Nascimento, Murilo César Alonso, Jonas Bodini Silva, Ruan Víctor dos Santos de Freitas, Giselle Lima Teibo, Titilade Kehinde Ayandeyi Gonzales, Roxana Isabel Cardozo Arcêncio, Ricardo Alexandre Int J Environ Res Public Health Article Objective: to assess the level of trust in health services during the COVID-19 pandemic in Brazil. Methods: A cross-sectional study, carried out between 2020 and 2021, among Brazilians over 18. Nonprobabilistic sampling was used. Descriptive and inferential statistics were applied, using the local bivariate Moran’s technique to verify the existence of spatial dependence between the incidence and mortality of COVID-19 and trust in health services. Furthermore, multinomial regression was also used to analyze the factors associated with the confidence level, with the calculation of the odds ratio and with a confidence interval of 95%. Results: A total of 50.6% reported trust in hospital services, while 41.4% did not trust primary health care services. With the application of the local bivariate Moran, both for the incidence and mortality of COVID-19, the trust in tertiary care and primary care services showed a statistically significant spatial association predominant in the Midwest (high–low) and North (low–high) regions of Brazil. The level of trust was associated with education, religion, region of the country and income. Conclusions: The level of trust in hospital services, more than primary health care services, may be related to the population’s culture of prioritizing the search for hospital care at the detriment of health promotion and disease prevention. MDPI 2022-11-15 /pmc/articles/PMC9690632/ /pubmed/36429718 http://dx.doi.org/10.3390/ijerph192214999 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article de Araújo, Juliana Soares Tenório Delpino, Felipe Mendes Berra, Thaís Zamboni Moura, Heriederson Sávio Dias Ramos, Antônio Carlos Vieira do Nascimento, Murilo César Alonso, Jonas Bodini Silva, Ruan Víctor dos Santos de Freitas, Giselle Lima Teibo, Titilade Kehinde Ayandeyi Gonzales, Roxana Isabel Cardozo Arcêncio, Ricardo Alexandre Level of Trust of the Population in the Unified Health System in the Midst of the COVID-19 Crisis in Brazil |
title | Level of Trust of the Population in the Unified Health System in the Midst of the COVID-19 Crisis in Brazil |
title_full | Level of Trust of the Population in the Unified Health System in the Midst of the COVID-19 Crisis in Brazil |
title_fullStr | Level of Trust of the Population in the Unified Health System in the Midst of the COVID-19 Crisis in Brazil |
title_full_unstemmed | Level of Trust of the Population in the Unified Health System in the Midst of the COVID-19 Crisis in Brazil |
title_short | Level of Trust of the Population in the Unified Health System in the Midst of the COVID-19 Crisis in Brazil |
title_sort | level of trust of the population in the unified health system in the midst of the covid-19 crisis in brazil |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9690632/ https://www.ncbi.nlm.nih.gov/pubmed/36429718 http://dx.doi.org/10.3390/ijerph192214999 |
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