错误的信息,信任和对Ivermectin和Hydroxychloroquine用于COVID-19的使用
Roy H Perlis1,2,3, Kristin Lunz Trujillo4,5, Jon Green4
1Department of Psychiatry, Massachusetts General Hospital, Boston.
JAMA health forum
|September 29, 2023
概括
关于COVID-19 (冠状病毒疾病2019) 的错误信息和对医疗专业人员的不信任与使用未经证实的治疗方法有关. 这凸显了虚假信息如何导致危险的健康选择.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 行为科学 行为科学
背景情况:
- 在COVID-19大流行期间,人们对病毒及其治疗方法进行了广泛的错误信息.
- 非基于证据的治疗获得了引力,需要了解它们的流行率和相关因素.
研究的目的:
- 量化美国非基于证据的COVID-19治疗方法的使用情况.
- 检查这些治疗方法之间的关联,错误信息的支持,以及对医生和科学家的信任.
主要方法:
- 对13438名美国成年人进行了基于人口的互联网调查,这些成年人先前感染了COVID-19.
- 收集的数据包括自我报告的使用ivermectin或氧化,相信COVID-19疫苗错误信息,对机构的信任,阴谋思维和新闻来源.
主要成果:
- 5.9%的参与者报告使用氧化或ivermectin.
- 支持COVID-19疫苗错误信息与使用非证据基础治疗的可能性更高有关 (aOR,2.86).
- 缺乏对医生 (aOR,0.74) 和科学家 (aOR,0.63) 的信任与更低的赔率有关,而对社交媒体 (aOR,2.39) 和唐纳德特朗普 (aOR,2.97) 的信任与更高的赔率有关. 更高的阴谋思维得分也与使用量增加相关 (aOR,1.10).
结论:
- 错误的信息,对医学专家的不信任,阴谋信念和依赖某些新闻来源与基于非证据的COVID-19治疗使用有关.
- 错误信息的危害超出了行为回避的范围,包括采用无效和潜在有害的治疗方法.
- 公共卫生战略应应对错误信息,重建信任,以减轻未经证实的医疗干预措施的使用.
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