Accepted for/Published in: JMIR Aging
Date Submitted: Sep 6, 2022
Date Accepted: Oct 4, 2023
Date Submitted to PubMed: Oct 19, 2023
Older Adults’ Trust and Distrust in COVID-19 Public Health Information: A Qualitative Critical Incident Study
ABSTRACT
Background:
The COVID-19 infodemic imposes a disproportionate burden on older adults who face increased challenges in accessing and assessing public health information, but little is known about the factors influencing older adults’ trust in public health information during COVID-19.
Objective:
This study is intended to identify sources that older adults turn to for trusted COVID-19 public health information and the factors influencing their trust. Additionally, we explore the relationship between public health information sources and trust factors.
Methods:
Older adults aged 65+ (N = 30; age range, 65–84; mean age = 71.6 years; SD = 5.57) were recruited using Prime Panels (online research panel aggregator). Semi-structured phone interviews, guided by critical incident technique, were conducted in October and November 2020. Participants were asked about their sources of COVID-19 public health information, the trustworthiness of that information, and factors influencing their trust. Interview data were examined with thematic analysis.
Results:
Mass media, known individuals, and the internet were the main sources older adults turned to for COVID-19 public health information. Although they used social media for entertainment and personal communication, older adults actively avoided accessing or sharing COVID-19 information on social media. Factors influencing older adults’ trust in COVID-19 public health information included confirmation bias, personal research, resigned acceptance, and personal relevance.
Conclusions:
These findings shed light on older adults’ use of information sources and their criteria for evaluating the trustworthiness of public health information during a pandemic. They have implications for future development of effective public health communication, policies, and interventions for older adults during health crises.
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