Trust influences response to public health messages during a bioterrorist event
Trust influences response to public health messages during a bioterrorist event
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DOI：
10.1080/10810730701265978
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发表时间：
2007-01-01
影响因子：
4.4
通讯作者：
Long, Anna
中科院分区：
文献类型：
--
作者：
Meredith, Lisa S.;Eisenman, David P.;Long, Anna
这项研究建立在最近描述非裔美国人在恐怖主义准备方面对公共卫生的低信任的工作基础上，通过确定可能影响社区对生物恐怖袭击的反应的信任的具体组成部分(受托责任、诚实、能力、一致性、信念)。我们对居住在洛杉矶县的75名参加焦点小组讨论的非洲裔美国成年人的数据进行了定性分析。根据社会经济地位(社会经济地位；高达联邦贫困标准的200%以上)和年龄(18-39岁对40-65岁)对群体进行分层。讨论引起了对生物恐怖主义情景不断升级阶段提供的信息的反应。该情景模拟了在这种情景下可能发生的事件和公共卫生决策。来自公共卫生官员的诚实和信息的一致性是最常被认为是决定信任或不信任的因素。信任模式因情景阶段而异；在最初听到公共卫生危机时，诚实是最重要的，而在确认天花暴发和随后的公共卫生应对措施时，受托责任和一致性很重要。这些发现可以帮助公共卫生官员设计沟通，在生物恐怖事件期间解决不信任问题并增强信任。
This study builds on recent work describing African Americans' low trust in public health regarding terrorism preparedness by identifying the specific components of trust ( fiduciary responsibility, honesty, competency, consistency, faith) that may influence community response to a bioterrorist attack. We used qualitative analysis of data from 75 African American adults living in Los Angeles County who participated in focus group discussions. Groups were stratified by socioeconomic status ( SES; up to vs. above 200% of federal poverty guidelines) and age ( 18 - 39 years old vs. 40 - 65 years old). Discussions elicited reactions to information presented in escalating stages of a bioterrorism scenario. The scenario mimicked the events and public health decisions that might occur under such a scenario. Honesty and consistency of information from public health officials were the components most frequently identified as determining trust or distrust. Patterns of trust varied according to the scenario stage; honesty was most important upon initially hearing of a public health crisis, whereas fiduciary responsibility and consistency were important upon confirmation of a smallpox outbreak and the ensuing public health response. Findings can help public health officials design communications that address distrust and enhance trust during a bioterrorist event.