Swedish public health data from 2004 to 2014 reveal that discrimination significantly diminishes trust in healthcare services, particularly among specific demographic groups. With nearly a quarter of individuals expressing low confidence in the healthcare system, the study highlights critical disparities influenced by experiences of perceived discrimination.
Demographic Disparities in Healthcare Trust
The research encompassed over 83,000 participants, identifying that individuals born abroad, those with lower educational attainment, and younger age groups exhibit higher prevalence of low trust in healthcare. Foreign-born men aged 55-64 with low income and foreign-born educated women aged 25-34 reported the highest risk, emphasizing the intersection of multiple socio-demographic factors.
Impact of Discrimination on Trust Levels
Experiencing discrimination not only correlates with diminished trust in healthcare but also exacerbates existing socio-demographic vulnerabilities. The study’s analysis indicates that discriminatory experiences significantly elevate the likelihood of distrust, surpassing the effects of gender, education, migration status, and age alone.
• Foreign-born individuals face a threefold increase in low trust when encountering discrimination.
• Educational level modifies the impact of discrimination on healthcare trust.
• Younger and low-income groups are particularly susceptible to trust erosion.
• Intersectional factors create overlapping vulnerabilities that complicate trust dynamics.
To address these challenges, healthcare professionals must prioritize trustworthiness by actively reducing discriminatory practices and enhancing patient-centered communication. Universal strategies should be implemented, with a focus on proportionally supporting patients from migration backgrounds to rebuild and sustain trust in healthcare institutions.
Ensuring equitable trust in healthcare requires a multifaceted approach that acknowledges and mitigates the compounded effects of discrimination across diverse populations. By tailoring interventions to address the unique needs of vulnerable groups, the healthcare system can foster a more inclusive and trustworthy environment for all individuals.

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