A cross-sectional analysis of trust of information and COVID-19 preventative practices among people with disabilities.
BACKGROUND
Trust of information shapes adherence to recommended practices and speed of public compliance during public health crises. This is particularly important for groups with higher rates of high-risk health conditions, including those aged 65 and over and people with disabilities.


OBJECTIVE
We examined trust in information sources and associated adherence to COVID-19 public health recommendations among people with disabilities living in metropolitan, micropolitan, and noncore counties.


METHODS
We recruited participants using Amazon's Mechanical Turk (MTurk) and screened for disability status (n = 408). We compared sociodemographic groups with t-tests, Pearson's correlations, and Chi-square, as appropriate. We used linear regression to examine factors associated with trust in information and compliance with CDC recommended COVID-19 practices.


RESULTS
Nonmetro respondents had the lowest trust ratings among all demographic groups, and reported significantly less trust in most information sources. Respondents aged 65 and over reported the highest compliance with CDC recommended practices, while those from nonmetro areas reported the lowest. A regression model for adherence to CDC recommended practices was significant (F = 11.87, P ≤ .001), and explained 33% of the variance. Specifically, increased adherence was associated with being over 65, female, and higher general trust scores. Decreased practices were associated with being nonwhite, nonmetro, higher trust scores in President Trump, and having a communication disability.


CONCLUSIONS
Trust in information sources is associated with action. It is important to provide clear, consistent, and non-polarizing messages during public health emergencies to promote widespread community action.
['Ipsen|Catherine|C|', 'Myers|Andrew|A|', 'Sage|Rayna|R|']
D000293:Adolescent D000328:Adult D000368:Aged D000086382:COVID-19 D003430:Cross-Sectional Studies D006233:Disabled Persons D005260:Female D015438:Health Behavior D058015:Health Communication D006801:Humans D008297:Male D008875:Middle Aged D000086402:SARS-CoV-2 D035502:Trust D055815:Young Adult
Trust COVID-19 Disability Public health Rural