Dataset Information

Who Trusts the WHO? Heuristics and Americans' Trust in the World Health Organization During the COVID-19 Pandemic.

ABSTRACT:

Objective

Why do some Americans trust the World Health Organization (WHO) during the COVID-19 pandemic, but others do not? To date, there has been no examination of trust in the WHO. Yet the global nature of the pandemic necessitates expanding our scholarship to international health organizations. We test the effects of partisanship, ideology, the cooperative internationalist foreign policy orientation, and nationalism on trust in the WHO and subsequently examine how this trust relates to preventive health behavior.

Methods

Multivariate analysis of original survey data from a representative sample of Americans.

Results

Democrats, liberals, and those with a strong cooperative internationalist foreign policy orientation are more likely to trust the WHO's competence and integrity in responding to the COVID-19 pandemic while Republicans, conservatives, and nationalists are less likely. Even though trust in the Centers for Disease Control (CDC) has the largest impact on preventive health behaviors, trust in the competence of the WHO is also an important factor. These results remain robust after controlling for other covariates.

Conclusion

Pandemic politics in the United States is polarized along party and ideological lines. However, our results show that a fuller understanding Americans' political trust and health behaviors during COVID-19 requires taking the international dimensions of the pandemic seriously.

SUBMITTER: Bayram AB

PROVIDER: S-EPMC8242889 | biostudies-literature |

REPOSITORIES: biostudies-literature

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Project description:Background: COVID-19 pandemic caused by SARS-CoV2 has seriously impacted the global economy. Medical facilities around the world were not prepared for the enormous challenges posed by the growing number of patients each day, the shortage of personal protective equipment, and insufficient numbers of medical staff. Governments have tried to counteract the impact of the pandemic, but the measures taken have not always been sufficient to maintain access to and quality of health services at the same level as before the pandemic. The disruption of health services has resulted in more and more research reports from different parts of the world on the accessibility of health services during the COVID-19 pandemic. Methodology: This review article presents 21 selected scientific studies on access to health services in different regions of the world. Articles were found in PubMed, GoogleScholar, Medline, and ScienceDirect databases, then grouped, and significant data were extracted from each article. The results were summarized in a table. Results: The range of limited health services included a variety of specialties, including primary care, psychiatry, orthopedics, cardiology, neurosurgery, and more. Methods used in the studies were based on retrospective analysis or on the subjective assessment of patients in the form of a questionnaire or interview. Most authors claimed a decrease in accessibility to health services during the COVID-19 pandemic compared to the pre-pandemic period, including a decrease in planned surgeries, doctor appointments, patient admission to hospital or ER, and access to medicines. Additionally, some authors observed an increase in the mortality rate. One of the few medical services that have expanded rapidly during the pandemic was online appointments. Conclusions: The COVID-19 pandemic has most certainly affected the accessibility of health services worldwide. Lessons should be learned to prevent inaccessibility to medical services, especially as experts predict another wave of COVID-19 cases.