The role of institutional trust in preventive practices and treatment-seeking intention during the coronavirus disease 2019 outbreak among residents in Hubei, China

Wong, Li Ping and Wu, Qunhong and Hao, Yanhua and Chen, Xi and Chen, Zhuo and Alias, Haridah and Shen, Mingwang and Hu, Jingcen and Duan, Shiwei and Zhang, Jinjie and Han, Liyuan (2022) The role of institutional trust in preventive practices and treatment-seeking intention during the coronavirus disease 2019 outbreak among residents in Hubei, China. International Health, 14 (2). pp. 161-169. ISSN 1876-3413, DOI https://doi.org/10.1093/inthealth/ihab023.

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Abstract

Background We aimed to investigate the association between institution trust and public responses to the coronavirus disease 2019 (COVID-19) outbreak. Methods An Internet-based, cross-sectional survey was administered on 29 January 2020. A total of 4393 adults >= 18 y of age and residing or working in the province of Hubei, central China were included in the study. Results The majority of the participants expressed a great degree of trust in the information and preventive instructions provided by the central government compared with the local government. Being under quarantine (adjusted odds ratio OR] 2.35 95% confidence interval {CI} 1.80 to 3.08]) and having a high institutional trust score (OR 2.23 95% CI 1.96 to 2.53]) were both strong and significant determinants of higher preventive practices scores. The majority of study participants (n=3640 85.7%]) reported that they would seek hospital treatment if they suspected themselves to have been infected with COVID-19. Few of the participants from Wuhan (n=475 16.6%]) and those participants who were under quarantine (n=550 13.8%]) expressed an unwillingness to seek hospital treatment. Conclusions Institutional trust is an important factor influencing adequate preventive behaviour and seeking formal medical care during an outbreak.

Item Type: Article
Funders: National Key R&D Program of China [2017YFC1310902] [2018YFC1315305], Ningbo Health Branding Subject Fund [PPXK2018-02], Sanming Project of Medicine in Shenzhen [SZSM201803080], K.C. Wong Magna Fund in Ningbo University
Uncontrolled Keywords: China; COVID-19; Hubei; Institutional trust; Preventive; treatment-seeking behaviour
Subjects: H Social Sciences > HD Industries. Land use. Labor
R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine
Divisions: Faculty of Medicine
Depositing User: Ms. Juhaida Abd Rahim
Date Deposited: 25 Apr 2022 07:53
Last Modified: 25 Apr 2022 07:53
URI: http://eprints.um.edu.my/id/eprint/33830

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