Trust in the healthcare system declines after exposure to information about the harms and benefits of breast cancer screening.

IF 2.2 3区心理学 Q2 PSYCHOLOGY, CLINICAL Journal of Health Psychology Pub Date : 2025-11-01 Epub Date: 2025-02-07 DOI:10.1177/13591053251315383

Tamar Parmet, Grant Yoder, Brad Morse, Joseph Cappella, Marilyn Schapira, Carmen Lewis, Kirsten McCaffery, Heather Smyth, Jolyn Hersch, Laura D Scherer

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Abstract

Conflicting health messages negatively impact trust. Breast cancer screening (BCS) is one area of healthcare where conflicting messages are common. We examined whether women's healthcare system trust was impacted after exposure to information about harms and benefits of BCS. We enrolled 497 women into this study. Participants were administered a decision aid (DA) containing information about the harms and benefits of BCS and reported their healthcare system trust pre- and post-DA exposure. We observed a significant decrease in healthcare system trust from pre- to post-DA. This decrease in trust was associated with participants' perception that the message conflicted with their previously held beliefs and not the reactions it elicited. When people receive information about BCS that conflicts with past health messages, they may lose trust in the healthcare system. This underscores the importance of adopting consistent messages about BCS.

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在了解了乳腺癌筛查的利弊后，人们对医疗保健系统的信任度下降了。

相互冲突的健康信息对信任产生负面影响。乳腺癌筛查（BCS）是医疗保健的一个领域，其中相互矛盾的信息是常见的。我们研究了女性对医疗保健系统的信任是否在接触到有关BCS的危害和益处的信息后受到影响。我们招募了497名女性参与这项研究。参与者被给予决策辅助（DA），其中包含有关BCS的危害和益处的信息，并报告他们在DA暴露前后的医疗保健系统信任。我们观察到从da前到da后，医疗保健系统信任度显著下降。这种信任度的下降与参与者认为信息与他们之前的信念相冲突有关，而不是与它所引起的反应有关。当人们收到与过去的健康信息相冲突的BCS信息时，他们可能会对医疗保健系统失去信任。这强调了就BCS采取一致信息的重要性。

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来源期刊

Journal of Health Psychology PSYCHOLOGY, CLINICAL-

CiteScore

7.50

自引率

3.10%

发文量

期刊介绍： ournal of Health Psychology is an international peer-reviewed journal that aims to support and help shape research in health psychology from around the world. It provides a platform for traditional empirical analyses as well as more qualitative and/or critically oriented approaches. It also addresses the social contexts in which psychological and health processes are embedded. Studies published in this journal are required to obtain ethical approval from an Institutional Review Board. Such approval must include informed, signed consent by all research participants. Any manuscript not containing an explicit statement concerning ethical approval and informed consent will not be considered.