ArticleBMC public health2022
Social factors associated with trust in the health system in northern Sweden: a cross-sectional study.
Article in BMC public health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.
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Who cites it
17 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Why do people trust (or mistrust) health organizations? A systematic review.International journal for equity in health · 2026Pooled it
- Trusting the Psychotherapist, Trusting the Governmental System and Perhaps Trusting the Neighbor Next Door: Exploring the Institutional Nature of Trust in Psychotherapists and Examining Different Groups of Trusters in a Large German Patient Sample.Clinical psychology in Europe · 2026Article
- E-health literacy and health system distrust: exploring a nonlinear association in a cross-sectional study.Revista da Associacao Medica Brasileira (1992) · 2026Article
- Factors associated with self-isolating and completing a contact follow-up program: a retrospective analysis of Ontario, Canada's COVID-19 contact tracing initiative.BMC public health · 2025Article
- Factors Influencing Online Mental Health Forum Use for People from Ethnic Minority Backgrounds in the United Kingdom: A Mixed Methods Study.International journal of environmental research and public health · 2025Article
- Disentangling trust of patients with rare cancer in their healthcare professionals and the healthcare system: a qualitative interview study.Journal of cancer survivorship : research and practice · 2025Article
- Language as a barrier to colorectal cancer screening in flanders: an ecological study.Archives of public health = Archives belges de sante publique · 2025Article
- Navigating diabetes care inequities: an observational study linking chronic care model's structural elements to process and outcomes of type 2 diabetes care in Belgium.International journal for equity in health · 2025Observational
- Role of Social Determinants of Health in COVID-19 Recovery: A Qualitative Study.JAMA network open · 2025Article
- The long arm of repression: determinants of psychotherapy use among East Germans and its relevance for today's institutional trust-psychotherapeutic implications of political repression in the former German Democratic Republic.Frontiers in public health · 2025Article
- Trust in healthcare and perceived discrimination in Sweden: a fixed effects analysis of individual heterogeneity and discriminatory accuracy.Frontiers in public health · 2025Article
- Encompassing trust in medical AI from the perspective of medical students: a quantitative comparative study.BMC medical ethics · 2024Article
- Prevalence of perceived discrimination, determinants and associations with self-rated general and sexual health, healthcare utilization and self-perceived integration: a cross-sectional survey of migrants in Sweden.BMC public health · 2024Article
- Beyond supply and demand: a new ecological framework for understanding the access of young migrants to sexual and reproductive health services in Sweden.Global health action · 2023Article
- Article
- Impacts of Internet Use on Chinese Patients' Trust-Related Primary Healthcare Utilization.Healthcare (Basel, Switzerland) · 2022Article
- Article
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundDespite the importance of having trust in the health system, there is a paucity of research in this field in Sweden. The aim of this study was to estimate the level of trust in the health system and to assess the factors associated with it in northern Sweden.
methodsA cross-sectional survey was conducted in 2014 in the four northern regions of Sweden. A total of 24 795 participants (48% response rate) aged 18 to 84 years were involved in the study. A log-binomial regression was used to measure the association between sociodemographic factors and trust in the health system.
resultsTwo thirds of the participants (68.5%) reported high trust in the health system i.e. had very much or quite a lot confidence in the health system. Women had lower prevalence of trust compared to men (PR = 0.96; 95% CI = 0.94-0.98) while older participants had a higher trust compared to youth (PR = 1.11; 95% CI = 1.06-1.16). Participants with lower level of education, those who experienced economic stress, those who were born outside Sweden and those living in small municipalities also had lower prevalence of trust in the health system. Conversely, lower income was associated with higher trust (PR = 1.08; 95% CI = 1.04-1.12). Finally, a strong relationship between higher social capital (having emotional and instrumental support, horizontal trust, and higher social participation) and trust in the health system was also found.
conclusionsTrust in the health system was moderately high in northern Sweden and strongly associated with sociodemographic and social capital factors. Trust is a complex phenomenon and a deeper exploration of the relation between trust in the health system and sociodemographic factors is needed.
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