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Objective <p>This quantitative study examines the factors predicting changes in trust in governments (federal and provincial/territorial), public health authorities, health scientists, and medical care providers from before the COVID-19 pandemic to May 2024.</p> Methods <p>A cross-sectional online survey was conducted among Canadian adults in May 2024. Trust levels before and during the pandemic were assessed using tested and validated items across five domains—provincial and federal governments, public health authorities, health scientists, and medical care providers using Likert scales. A weighted multinomial logistic regression was used to identify factors associated with changes in trust (trust increased, trust decreased). Models were evaluated for goodness-of-fit of predicted versus observed estimates.</p> Results <p>Adults aged 34–54 were less likely to increase trust in provincial government (RRR = 0.78), and older adults (≥ 55&#xa0;years) were less likely to increase trust in medical care providers (RRR = 0.36) and more likely to decrease trust in health scientists (RRR = 1.44). Respondents who declared their gender as non-binary or chose not to disclose&#xa0; were less likely to increase trust in provincial governments (RRR = 0.24). However, individuals with a strong interest in science were more likely to report increased trust in public health authorities (RRR = 1.39) and in&#xa0;health scientists (RRR = 1.69). Vaccine-trusting individuals were more likely to report increased trust across all trust&#xa0;domains.</p> Conclusion <p>The COVID-19 pandemic significantly impacted public trust in health institutions, with disparities across sociodemographic groups and regions. Trust levels were closely tied to vaccination-attitudes, underscoring the need for transparent, science-based communication and targeted interventions to rebuild trust, particularly among vaccine-hesitant populations.</p>

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Change in trust in public health authorities, medical care providers, health scientists, and provincial and federal governments in Canada, from before COVID-19 pandemic to May 2024

  • 期刊论文

  • 发表日期：

    2026年4月24日

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  • Syed Jafar Raza Rizvi,
  • Sohana Sadique,
  • Daniel A. Adeyinka,
  • Khatira Mehdiyeva,
  • Eve Dube,
  • Cory Neudorf,
  • Nazeem Muhajarine

摘要

Objective

This quantitative study examines the factors predicting changes in trust in governments (federal and provincial/territorial), public health authorities, health scientists, and medical care providers from before the COVID-19 pandemic to May 2024.

Methods

A cross-sectional online survey was conducted among Canadian adults in May 2024. Trust levels before and during the pandemic were assessed using tested and validated items across five domains—provincial and federal governments, public health authorities, health scientists, and medical care providers using Likert scales. A weighted multinomial logistic regression was used to identify factors associated with changes in trust (trust increased, trust decreased). Models were evaluated for goodness-of-fit of predicted versus observed estimates.

Results

Adults aged 34–54 were less likely to increase trust in provincial government (RRR = 0.78), and older adults (≥ 55 years) were less likely to increase trust in medical care providers (RRR = 0.36) and more likely to decrease trust in health scientists (RRR = 1.44). Respondents who declared their gender as non-binary or chose not to disclose  were less likely to increase trust in provincial governments (RRR = 0.24). However, individuals with a strong interest in science were more likely to report increased trust in public health authorities (RRR = 1.39) and in health scientists (RRR = 1.69). Vaccine-trusting individuals were more likely to report increased trust across all trust domains.

Conclusion

The COVID-19 pandemic significantly impacted public trust in health institutions, with disparities across sociodemographic groups and regions. Trust levels were closely tied to vaccination-attitudes, underscoring the need for transparent, science-based communication and targeted interventions to rebuild trust, particularly among vaccine-hesitant populations.