Evidence map›Paper›PMID 42057018›Full record

ArticleBMC public health2026

Authority, trust, and healthcare communication in a religious minority: the case of the Haredi community in Israel during COVID-19.

Sara Zalcberg, Yanyan Chen, Sima Zalcberg-Block

Abstract read
In one paragraph

Article in BMC public health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

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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

3 authors.

Sara ZalcbergDepartment of Psychology, Jerusalem Multidisciplinary College, Jerusalem, Israel.ORCID 0009-0001-0354-5503
Yanyan ChenThe Center for Judaic and Inter-religious Studies, The School of Philosophy and Social Development, Shandong University, Shandong, China. yanyanisrael@163.com.ORCID 0009-0002-8404-8185
Sima Zalcberg-BlockSchool of Social Work, Ariel University, Ariel, Israel.ORCID 0000-0001-6551-1096

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundReligious minority communities face distinctive healthcare barriers during public health crises, yet the communicative mechanisms underlying these barriers remain underexplored. Applying Communication Ecology Theory, this study examines barriers to healthcare access in Israel's Haredi (ultra-Orthodox) community during the COVID-19 pandemic, conceptualizing healthcare inequality as a function of bounded communication ecologies rather than individual non-compliance, with implications for health equity in culturally and religiously diverse societies.

methodsA qualitative study was conducted using semi-structured interviews with 30 Haredi community members and analysis of 20 pashkevils (religious street posters) circulated during the pandemic. The Haredi community experienced infection and mortality rates substantially higher than the national average during COVID-19. Both data sources were analyzed thematically, guided by Communication Ecology Theory.

resultsThree interconnected barriers emerged: (1) internal versus external-secular communication-reliance on community channels that conveyed partial or misleading health information; (2) rabbinic versus professional authority-prioritization of rabbinic rulings over medical guidance; and (3) religious versus scientific interpretation-viewing the pandemic as divine punishment requiring spiritual rather than medical responses.

conclusionsHealthcare barriers in the Haredi community reflect bounded communication ecologies where information legitimacy depends on alignment with religious authority and theological worldviews. Effective public health engagement requires culturally adapted strategies that operate within existing communication systems, collaborate with rabbinic leadership, and address both informational and structural barriers, thereby advancing health equity in religious minority populations. These findings are relevant for understanding healthcare barriers among religious minorities worldwide.

Indexed as

COVID-19Health CommunicationHealth Services AccessibilityMinority GroupsTrustAdultFemaleHealthcare DisparitiesHumansInterviews as TopicIsraelMaleMiddle AgedPandemicsQualitative ResearchSARS-CoV-2Communication ecologyCOVID-19Haredi communityHealthcare barriersHealth communicationHealth equityReligious minoritiesTrust

Identifiers

PMID42057018
PMCPMC13321643

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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.