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dc.creatorChen, Dongjin
dc.creatorZhou, Qian
dc.creatorPratt, Cornelius B.
dc.creatorSu, Zhenhua
dc.creatorGu, Zheng
dc.identifier.citationChen D, Zhou Q, Pratt CB, Su Z and Gu Z (2021) Investigating the Relationships Between Public Health Literacy and Public Trust in Physicians in China's Control of COVID-19: A Cross-Sectional Study. Front. Public Health 9:758529. doi: 10.3389/fpubh.2021.758529
dc.description.abstractObjective: Public trust in physicians and public health literacy (HL) are important factors that ensure the effectiveness of health-care delivery, particularly that provided during the SARS-CoV-2 pandemic. This study investigates HL as a predictor of public trust in physicians in China's ongoing efforts to control COVID-19. Methods: Data were gathered in February 2020 during the peak of the disease in China. Based on Nutbeam's conceptualization of HL, we measure HL vis-à-vis COVID-19 by using a six-item scale that includes two items each for functional, interactive, and critical HL. Trust in physicians was measured by assessing physicians' capability to diagnose COVID-19. A rank-sum test and ordinal logit regression modeling were used to analyze the data. Results: Two key findings: (a) trust in physician handling of treatment for COVID-19 is reported by about 74% of respondents; and (b) five of the six HL measures are positive predictors of public trust in physician treatment of the disease, with functional HL1 having the highest level of such association (coefficient 0.285, odds ratio 1.33%, p < 0.01). Conclusions: Improving public HL is important for better public-physician relationships, as well as for nations' efforts to contain the pandemic, serving as a possible behavioral, non-clinical antidote to COVID-19. Being confronted with the unprecedented virus, humans need trust. Health education and risk communication can improve public compliance with physicians' requirements and build a solid foundation for collective responses.
dc.format.extent14 pages
dc.relation.ispartofCOVID-19 Research
dc.relation.haspartFrontiers in Public Health, Vol. 9
dc.relation.isreferencedbyFrontiers Media
dc.rightsAttribution CC BY
dc.subjectHealth literacy
dc.subjectTrust in physicians
dc.subjectAgency theory
dc.titleInvestigating the Relationships Between Public Health Literacy and Public Trust in Physicians in China's Control of COVID-19: A Cross-Sectional Study
dc.type.genreJournal article
dc.description.departmentStrategic Communication
dc.ada.noteFor Americans with Disabilities Act (ADA) accommodation, including help with reading this content, please contact
dc.description.schoolcollegeKlein College of Media and Communication
dc.temple.creatorPratt, Cornelius B.

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