Awareness and trust of the FDA and CDC: Results from a national sample of US adults and adolescents.

Awareness and trust of the FDA and CDC: Results from a national sample of US adults and adolescents.
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DOI:
10.1371/journal.pone.0177546
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发表时间:
2017
期刊:
影响因子:
3.7
通讯作者:
Goldstein AO
Goldstein AO
中科院分区:
综合性期刊3区
文献类型:
--
作者:
Kowitt SD;Schmidt AM;Hannan A;Goldstein AO

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对政府机构的信任在推进这些组织的议程、影响行为和有效实施政策方面发挥着关键作用。然而,很少有研究调查个人对致力于保护公众健康的美国主要机构的了解和信任程度。使用两个国家的青少年(N = 1125)和成年人(N = 5014)的样本,我们检查了人口统计学因素,重点关注弱势群体,作为对疾病控制和预防中心(CDC)、食品和药物管理局(FDA)和联邦政府的认识和信任的相关因素。从9个不同的加权和调整后的逻辑回归模型中,我们发现对FDA和CDC存在的认知度较高(青少年对CDC的认知度为55.7%,成年人对FDA的认知度为94.3%),信任程度中等(成年人对联邦政府的信任度低至41.8%,青少年对FDA的信任度高至78.8%)。在青少年和成人样本中,非西班牙裔黑人和计算能力较低的受访者的意识较高。在信任方面,几乎没有出现一致的人口差异。我们的研究结果提供了关于对联邦政府和特定美国公共卫生机构的认识和信任的新颖见解。我们的研究结果表明,这些机构可能希望有选择地与之沟通,以增强信任,从而促进他们的沟通和监管议程。
Trust in government agencies plays a key role in advancing these organizations' agendas, influencing behaviors, and effectively implementing policies. However, few studies have examined the extent to which individuals are aware of and trust the leading United States agencies devoted to protecting the public’s health. Using two national samples of adolescents (N = 1,125) and adults (N = 5,014), we examined demographic factors, with a focus on vulnerable groups, as correlates of awareness of and trust in the Centers for Disease Control and Prevention (CDC), Food and Drug Administration (FDA), and the federal government. From nine different weighted and adjusted logistic regression models, we found high levels of awareness of the existence of the FDA and CDC (ranging from 55.7% for adolescents’ awareness of the CDC to 94.3% for adults’ awareness of the FDA) and moderate levels of trust (ranging from a low of 41.8% for adults’ trust in the federal government and a high of 78.8% for adolescents’ trust of the FDA). In the adolescent and adult samples, awareness was higher among non-Hispanic Blacks and respondents with low numeracy. With respect to trust, few consistent demographic differences emerged. Our findings provide novel insights regarding awareness and trust in the federal government and specific United States public health agencies. Our findings suggest groups to whom these agencies may want to selectively communicate to enhance trust and thus facilitate their communication and regulatory agendas.