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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...

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Autores principales: 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
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
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.
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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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