ArticleBehavioral sciences (Basel, Switzerland)2026
Social Trust Profile Transitions and Health-Seeking Behavior: A Latent Transition Analysis of Three-Wave Panel Data from China.
Article in Behavioral sciences (Basel, Switzerland), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Social trust is increasingly recognized as a psychosocial determinant of health service utilization, yet most studies treat trust as a unidimensional, static variable. This study examines how multidimensional trust configurations evolve over time and whether distinct profiles are associated with subsequent health-seeking behavior. Data were drawn from three waves (2018, 2020, 2022) of the China Family Panel Studies (N = 12,216). Latent profile analysis identified trust configurations based on four indicators (trust in neighbors, strangers, government officials, and doctors), and a three-wave latent transition analysis with partial measurement invariance modeled profile stability and change. Time-lagged logistic regressions and stayer-mover analyses examined associations with care-seeking. Three profiles emerged: Low Trust (31%), Higher Generalized Trust (36-42%), and Selective Institutional Trust (27-33%). All profiles showed moderate-to-high stability. Selective Institutional Trust was consistently associated with higher odds of care-seeking at the subsequent wave (adjusted OR = 1.30-1.35,
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