Evidence map›Paper›PMID 36877902›Full record

ArticleHealth affairs (Project Hope)2023

Trust In US Federal, State, And Local Public Health Agencies During COVID-19: Responses And Policy Implications.

Gillian K SteelFisher, Mary G Findling, Hannah L Caporello, Keri M Lubell, Kathleen G Vidoloff Melville, Lindsay Lane, Alyssa A Boyea, Thomas J Schafer, Eran N Ben-Porath

Abstract read
In one paragraph

Article in Health affairs (Project Hope), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 48 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
48citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

48 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Local Responses to Limits on U.S. Public Health Authority During the COVID-19 Emergency.The International journal of health planning and management · 2026
    Article
  5. Article
  6. Article
  7. Contesting state expertise after COVID-19.Public understanding of science (Bristol, England) · 2026
    Article
  8. Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. The effects of social media criticism against public health institutions on trust, emotions, and social media engagement.Proceedings of the National Academy of Sciences of the United States of America · 2025
    Article
  17. Article
  18. Article
  19. Vaccine Messaging by the FDA: A National Randomized Survey Study.Journal of general internal medicine · 2025
    Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Gillian K SteelFisherGillian K. SteelFisher, Harvard University, Boston, Massachusetts.
Mary G FindlingMary G. Findling (mgorski@mail.harvard.edu), Harvard University.
Hannah L CaporelloHannah L. Caporello, Harvard University.
Keri M LubellKeri M. Lubell, Centers for Disease Control and Prevention, Atlanta, Georgia.
Kathleen G Vidoloff MelvilleKathleen G. Vidoloff Melville, General Dynamics Information Technology, Falls Church, Virginia.
Lindsay LaneLindsay Lane, Centers for Disease Control and Prevention.
Alyssa A BoyeaAlyssa A. Boyea, Association of State and Territorial Health Officials, Arlington, Virginia.
Thomas J SchaferThomas J. Schafer, National Public Health Information Coalition, Niles, Michigan.
Eran N Ben-PorathEran N. Ben-Porath, SSRS, Glen Mills, Pennsylvania.

Funding

Intramural CDC HHS CC999999
6 · The paper itself

Abstract

Public health agencies' ability to protect health in the wake of COVID-19 largely depends on public trust. In February 2022 we conducted a first-of-its-kind nationally representative survey of 4,208 US adults to learn the public's reported reasons for trust in federal, state, and local public health agencies. Among respondents who expressed a "great deal" of trust, that trust was not related primarily to agencies' ability to control the spread of COVID-19 but, rather, to beliefs that those agencies made clear, science-based recommendations and provided protective resources. Scientific expertise was a more commonly reported reason for "a great deal" of trust at the federal level, whereas perceptions of hard work, compassionate policy, and direct services were emphasized more at the state and local levels. Although trust in public health agencies was not especially high, few respondents indicated that they had no trust. Lower trust was related primarily to respondents' beliefs that health recommendations were politically influenced and inconsistent. The least trusting respondents also endorsed concerns about private-sector influence and excessive restrictions and had low trust in government overall. Our findings suggest the need to support a robust federal, state, and local public health communications infrastructure; ensure agencies' authority to make science-based recommendations; and develop strategies for engaging different segments of the public.

Indexed as

COVID-19AdultCommunicationHumansPolicyPublic HealthTrust

Identifiers

PMID36877902
PMCPMC11318038

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.