Trust or money? Barriers to health and healthcare behavior during the COVID-19 pandemic

This study aimed to examine how trust in institutions and changes in household finances were associated with healthcare utilization and preventive behaviors during and immediately after the COVID-19 pandemic. The COVID-19 pandemic worsened health disparities, ignited distrust in healthcare systems,...

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Veröffentlicht in:PloS one Jg. 20; H. 9; S. e0331600
Hauptverfasser: Rudisill, Caroline, Linvill, Katie, Chupak, Anna, Costa-Font, Joan, Harrison, Sayward, Hung, Peiyin, Li, Xiaoming
Format: Journal Article
Sprache:Englisch
Veröffentlicht: United States Public Library of Science 10.09.2025
Public Library of Science (PLoS)
Schlagworte:
Adolescent
Adult
Aged
COVID-19
COVID-19 - economics
COVID-19 - epidemiology
COVID-19 - psychology
COVID-19 diagnostic tests
COVID-19 vaccines
Cross-Sectional Studies
Delivery of Health Care
Disease transmission
Eating
Eating behavior
Epidemics
Exercise
Family income
Federal government
Female
Forecasts and trends
Gender
Health Behavior
Health care
Health services utilization
Households
Humans
Immunization
Influence
Influenza
Male
Medical personnel
Middle Aged
Pandemics
Patient Acceptance of Health Care - psychology
Patient Acceptance of Health Care - statistics & numerical data
Pharmacy
Physical fitness
Polls & surveys
Public health
Reimbursement
SARS-CoV-2
Surveys and Questionnaires
Telemedicine
Trust - psychology
Trustworthiness
United States
United States - epidemiology
Utilization
Vaccination
Vaccines
Young Adult
United States
United States > US
ISSN:1932-6203, 1932-6203
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Beschreibung
Zusammenfassung:This study aimed to examine how trust in institutions and changes in household finances were associated with healthcare utilization and preventive behaviors during and immediately after the COVID-19 pandemic. The COVID-19 pandemic worsened health disparities, ignited distrust in healthcare systems, and contributed to household economic shifts for many United States (US) residents. To examine these issues, we surveyed a nationally representative sample of US residents in July 2020 (n = 1,085) and May 2023 (n = 2,189). These repeated cross-sectional surveys enabled investigation of how trust in key stakeholders (e.g., federal government, the healthcare system) and household finances were linked with various types of healthcare utilization (e.g., annual preventive visits, receipt of pharmacy-based healthcare), preventive health care (e.g., influenza vaccination), and preventive behaviors (e.g., exercise, healthy eating). In 2023, the likelihoods of using some types of healthcare (annual health check and pharmacy-based healthcare) and engaging in preventive health behaviors increased relative to 2020. Improved household finances were associated with greater odds of healthy eating, exercising, and receiving annual preventive visits. Trust in the healthcare system was positively associated with all healthcare use types examined including preventive care such as influenza immunization and the individual prevention behavior of healthy eating but not exercise. Findings highlight the important role healthcare systems can have as trusted entities in potentially supporting healthcare utilization and prevention in the post-pandemic environment. Policy implications of these findings include increased efforts by payers and healthcare systems to facilitate positive health behaviors for US residents via specific strategies, such as making annual preventive health checks more accessible. At the same time, it is critical to support maintaining and building trust in healthcare systems to promote appropriate healthcare utilization.
Bibliographie:ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
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ISSN:1932-6203
1932-6203
DOI:10.1371/journal.pone.0331600