Longitudinal investigation of public trust in institutions relative to the 2009 H1N1 pandemic in Switzerland.
Longitudinal investigation of public trust in institutions relative to the 2009 H1N1 pandemic in Switzerland.
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DOI：
10.1371/journal.pone.0049806
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发表时间：
2012
期刊：
影响因子：
3.7
通讯作者：
Clémence A
中科院分区：
文献类型：
--
作者：
Bangerter A;Krings F;Mouton A;Gilles I;Green EG;Clémence A
2009年H1N1大流行给公众留下了关于如何管理新发传染病暴发的不信任。为了为未来的暴发做好准备，至关重要的是探索公众对负责管理疾病暴发的机构的信任现象。我们调查了2009年瑞士大流行期间和之后公众对机构信任的演变。我们还调查了受访者对预防运动以及政府和媒体的角色的看法。一项为期两波的纵向调查被邮寄给2400名瑞士公众。第一波发生在2009年春季。第二波发生在2010年春季。602名参与者在两波调查中都做出了回应。与会者表示，他们对医疗机构、世界卫生组织、瑞士政府、制药业和欧盟有中等到高度的信任。另一方面，人们对媒体的信任度很低。此外，随着时间的推移，几乎所有机构的信任度都在下降。参与者对收到的信息量感到满意，并表示遵循了官方建议，但对疫苗的广泛担忧是显而易见的。绝大多数参与者同意疫苗可能有未知或不受欢迎的副作用。人们对政府和媒体在应对疫情中所扮演角色的看法存在很大程度的怀疑和不信任。调查结果表明，公众对各种机构及其行动持怀疑和不信任态度。结果强调了系统调查公众对流行病的信任的重要性。此外，调查公众对未来几年大流行记忆演变的研究，对于了解对未来大流行的反应可能很重要。关于信任的系统研究计划可以为公共卫生传播活动提供信息，使定制的传播倡议成为可能。
The 2009 H1N1 pandemic left a legacy of mistrust in the public relative to how outbreaks of emerging infectious diseases are managed. To prepare for future outbreaks, it is crucial to explore the phenomenon of public trust in the institutions responsible for managing disease outbreaks. We investigated the evolution of public trust in institutions during and after the 2009 pandemic in Switzerland. We also explored respondents’ perceptions of the prevention campaign and the roles of the government and media. A two-wave longitudinal survey was mailed to 2,400 members of the Swiss public. Wave 1 was in Spring 2009. Wave 2 was in Spring 2010. Six hundred and two participants responded in both waves. Participants indicated moderate to high levels of trust in medical organizations, the WHO, the Swiss government, the pharmaceutical industry, and the EU. On the other hand, trust in the media was low. Moreover, trust in almost all institutions decreased over time. Participants were satisfied with the amount of information received and indicated having followed official recommendations, but widespread concerns about the vaccine were evident. A large majority of participants agreed the vaccine might have unknown or undesirable side effects. Perceptions of the government’s and the media’s role in handling the outbreak were characterized by a substantial degree of skepticism and mistrust. Results show clear patterns of skepticism and mistrust on the part of the public relative to various institutions and their actions. Results underscore the importance of systematically investigating trust of the public relative to epidemics. Moreover, studies investigating the evolution of the public’s memories of the pandemic over the coming years may be important to understand reactions to future pandemics. A systematic research program on trust can inform public health communication campaigns, enabling tailored communication initiatives.
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影响因子：
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