Evidence map›Paper›PMID 40565412›Full record

ArticleHealthcare (Basel, Switzerland)2025

Health Information Mistrust Is Directly Associated with Poor Sleep Quality: Evidence from a Population-Based Study.

Dietmar Ausserhofer, Christian J Wiedermann, Verena Barbieri, Stefano Lombardo, Timon Gärtner, Klaus Eisendle, Giuliano Piccoliori, Adolf Engl

Abstract read
In one paragraph

Article in Healthcare (Basel, Switzerland), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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

2 citing papers in PubMed.

  1. Article
  2. Review
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

8 authors.

Dietmar AusserhoferInstitute of General Practice and Public Health, Claudiana-College of Health Professions, 39100 Bolzano, Italy.
Christian J WiedermannInstitute of General Practice and Public Health, Claudiana-College of Health Professions, 39100 Bolzano, Italy.ORCID 0000-0002-4639-8195
Verena BarbieriInstitute of General Practice and Public Health, Claudiana-College of Health Professions, 39100 Bolzano, Italy.ORCID 0000-0002-5934-9472
Stefano LombardoProvincial Institute for Statistics of the Autonomous Province of Bolzano-South Tyrol (ASTAT), 39100 Bolzano, Italy.ORCID 0009-0009-8034-8480
Timon GärtnerProvincial Institute for Statistics of the Autonomous Province of Bolzano-South Tyrol (ASTAT), 39100 Bolzano, Italy.ORCID 0000-0001-6187-5159
Klaus EisendleDirectorate, Claudiana-College of Health Professions, 39100 Bolzano, Italy.ORCID 0000-0002-8234-9964
Giuliano PiccolioriInstitute of General Practice and Public Health, Claudiana-College of Health Professions, 39100 Bolzano, Italy.ORCID 0000-0003-1974-4184
Adolf EnglInstitute of General Practice and Public Health, Claudiana-College of Health Professions, 39100 Bolzano, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMistrust in professional health information may undermine population health by reducing engagement in preventive care and contributing to poorer health outcomes. Although sleep quality is a sensitive indicator of both psychosocial stress and health behavior, little is known about how mistrust influences sleep at the population level, and whether preventive health behavior mediates this relationship.

methodsA weighted cross-sectional analysis of a representative adult sample (

resultsSociodemographic characteristics were not significantly associated with mistrust when weighted data were applied. Higher mistrust was associated with poorer sleep quality (β = 0.09,

conclusionsMistrust in professional health information is independently associated with poorer sleep quality and lower engagement in preventive behaviors. However, preventive behavior does not appear to mediate this relationship. These findings highlight mistrust as a direct and potentially modifiable risk factor for sleep disturbance at the population level.

Indexed as

health informationmistrustpreventive health behaviorpublic healthsleep quality

Identifiers

PMID40565412
PMCPMC12193538

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Registered trials

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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.