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Trust in regional politicians and mortality : A population-based prospective cohort study

Lindström, Martin LU and Pirouzifard, Mirnabi LU (2023) In Preventive Medicine Reports 33.
Abstract

The aim was to study associations between trust in regional politicians responsible for the healthcare system and mortality in survival analyses. A public health survey in southern Sweden with a 54.1% response rate based on a postal questionnaire and three postal reminders was conducted in 2008. The baseline survey was linked to 8.3-year follow-up all-cause, cardiovascular (CVD), cancer and other causes mortality register data. The present prospective cohort study includes 24,699 respondents. Relevant covariates/confounders from the baseline questionnaire were included in the multi-adjusted models. Hazard rate ratios (HRRs) of all-cause mortality were consistently lower for the rather high trust and not particularly high trust... (More)

The aim was to study associations between trust in regional politicians responsible for the healthcare system and mortality in survival analyses. A public health survey in southern Sweden with a 54.1% response rate based on a postal questionnaire and three postal reminders was conducted in 2008. The baseline survey was linked to 8.3-year follow-up all-cause, cardiovascular (CVD), cancer and other causes mortality register data. The present prospective cohort study includes 24,699 respondents. Relevant covariates/confounders from the baseline questionnaire were included in the multi-adjusted models. Hazard rate ratios (HRRs) of all-cause mortality were consistently lower for the rather high trust and not particularly high trust respondent categories compared to the very high trust reference category. CVD, cancer and other causes mortality did not display statistically significant results, but all contributed to the significant patterns for all-cause mortality. In some political and administrative settings with longer queueing times for investigation and treatment of some medical conditions including some cancer and CVD diagnoses than officially affirmed, rather high and not particularly high trust in politicians responsible for the healthcare system may be associated with lower mortality compared to the very high trust group.

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type
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publication status
published
subject
keywords
Cancer mortality, Cardiovascular mortality, Generalized trust in other people, Institutional trust, Mortality, Political trust, Social capital, Sweden
in
Preventive Medicine Reports
volume
33
article number
102189
publisher
Elsevier
external identifiers
  • scopus:85151403387
  • pmid:37223564
ISSN
2211-3355
DOI
10.1016/j.pmedr.2023.102189
language
English
LU publication?
yes
id
34e83a35-7512-4b6d-97a8-92a42357a024
date added to LUP
2023-05-15 15:08:51
date last changed
2024-06-15 02:55:51
@article{34e83a35-7512-4b6d-97a8-92a42357a024,
  abstract     = {{<p>The aim was to study associations between trust in regional politicians responsible for the healthcare system and mortality in survival analyses. A public health survey in southern Sweden with a 54.1% response rate based on a postal questionnaire and three postal reminders was conducted in 2008. The baseline survey was linked to 8.3-year follow-up all-cause, cardiovascular (CVD), cancer and other causes mortality register data. The present prospective cohort study includes 24,699 respondents. Relevant covariates/confounders from the baseline questionnaire were included in the multi-adjusted models. Hazard rate ratios (HRRs) of all-cause mortality were consistently lower for the rather high trust and not particularly high trust respondent categories compared to the very high trust reference category. CVD, cancer and other causes mortality did not display statistically significant results, but all contributed to the significant patterns for all-cause mortality. In some political and administrative settings with longer queueing times for investigation and treatment of some medical conditions including some cancer and CVD diagnoses than officially affirmed, rather high and not particularly high trust in politicians responsible for the healthcare system may be associated with lower mortality compared to the very high trust group.</p>}},
  author       = {{Lindström, Martin and Pirouzifard, Mirnabi}},
  issn         = {{2211-3355}},
  keywords     = {{Cancer mortality; Cardiovascular mortality; Generalized trust in other people; Institutional trust; Mortality; Political trust; Social capital; Sweden}},
  language     = {{eng}},
  publisher    = {{Elsevier}},
  series       = {{Preventive Medicine Reports}},
  title        = {{Trust in regional politicians and mortality : A population-based prospective cohort study}},
  url          = {{http://dx.doi.org/10.1016/j.pmedr.2023.102189}},
  doi          = {{10.1016/j.pmedr.2023.102189}},
  volume       = {{33}},
  year         = {{2023}},
}