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Change in confidence in public health entities among US adults between 2020–2024

Bibliographic Data

ID19591065
AuthorsHannah Melchinger (0000-0003-3919-1871, Southwestern Medical Center), Saad B Omer (0000-0002-5383-3474, Southwestern Medical Center), Amyn A Malik (0000-0003-4875-9916, Southwestern Medical Center)
EditorsNafis Faizi (0000-0002-4634-6790)
Year2025
Volume5
Issue6
Pagese0004747
Publication date2025-06-26
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenuePLOS Global Public Health (JOURNAL)
Journal identifiersISSN: 2767-3375 • E-ISSN: 2767-3375
PublisherPublic Library of Science (PLoS) (PUBLISHER)
DOI10.1371/journal.pgph.0004747
PMID40569895
OpenAlexW4411689975
LanguageEN
Citations received3
References cited5

The COVID-19 pandemic introduced significant uncertainty among Americans, and eroded trust in US health entities and institutions. This study describes a longitudinal assessment of Americans’ change in confidence in these public health entities from 2020 to 2024. We conducted four surveys assessing confidence in public health entities among US adults conducted between February 2020 and October 2024. Surveys were hosted by CloudResearch and administered to a representative sample of US adults (18+). Data was weighted using age, gender, and race estimations sourced from the American Community Survey (ACS) 2022. From February 2020 to June 2022, Americans’ confidence declined for all entities asked about, most notably the Centers for Disease Control and Prevention (CDC, 26%). Despite slight increases between 2022 and 2024, levels of confidence have not recovered to pre-pandemic values. In contrast, Americans’ confidence in their own doctor and their local health department increased from 2022 to 2024 (5% and 19%, respectively), as did confidence in the White House (7%). Our study saw a marked decrease in confidence in public health institutions among US adults, a finding which has implications for the effectiveness of public health communication. Our results highlight the potential for local entities, including personal doctors and local health departments, to leverage the existing trust between them and their public to provide essential public health information and address low confidence in national entities

Confidence interval · Disease · Environmental health · Family medicine · Health equity · Low Confidence · Pandemic · Public health · Medicine · Misinformation and Its Impacts · Nursing · Psychology · Psychology of Moral and Emotional Judgment · Social Psychology · Vaccine Coverage and Hesitancy · Gerontology

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    Open Access•Jessica Jaiswal, Marybec Griffin et al.•AIDS and Behavior•2025

  • Can Money Buy Trust? Social Transfers and Trust During the Covid‐19 Pandemic

    Open Access•Hyesang Noh, Arthur M Fox•Policy Studies Journal•2026

  • Determinants of Covid-19 vaccine acceptance in the US

    Open Access•Amyn A Malik, SarahAnn M McFadden et al.•EClinicalMedicine•2020

  • Behavioral interventions for vaccination uptake

    Open Access•Amyn A Malik, Noureen Ahmed et al.•Health Policy•2023

Unique citing works3
Citations per year3
Citation span2025 - 2026 (2)
Citation velocitycurrent
Highly citedNo
Citation typesNeutral: 3
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