Institutional distrust and levels of functional impairment related to indoor air-associated symptoms: A Finnish population-based study

Introduction: While distrust in social institutions has been linked with poor health outcomes, this association has not been examined in relation to indoor air (IA). We investigated the relationship between functional impairment due to IA-associated symptoms and distrust in social institutions, both...

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Main Authors: Sanna Selinheimo, Einar Eidstø, Jussi Lampi, Anniina Salmela, Juha Pekkanen
Format: Article
Language:English
Published: Elsevier 2024-12-01
Series:Indoor Environments
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Online Access:http://www.sciencedirect.com/science/article/pii/S2950362024000584
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author Sanna Selinheimo
Einar Eidstø
Jussi Lampi
Anniina Salmela
Juha Pekkanen
author_facet Sanna Selinheimo
Einar Eidstø
Jussi Lampi
Anniina Salmela
Juha Pekkanen
author_sort Sanna Selinheimo
collection DOAJ
description Introduction: While distrust in social institutions has been linked with poor health outcomes, this association has not been examined in relation to indoor air (IA). We investigated the relationship between functional impairment due to IA-associated symptoms and distrust in social institutions, both in general and distrust particularly in IA-related questions. Methods: The Finnish population-based Indoor Air and Health survey (n=1750) was utilized to assess any IA-associated symptoms and functional impairment due to these symptoms within the past 12 months. The associations between levels of functional impairment and distrust in social institutions (health care, juridical system, government officials, construction business, media, and social media) were analyzed using multinomial logistic regression adjusted for gender, age, and education. Results: Of the respondents with symptoms (23.1 %), the level of functional impairment varied from severe (1.8 %) to no impairment (4.9 %). Distrust in social institutions was more common in IA-related questions than in general. Higher levels of functional impairment were associated with increased distrust particularized in IA-related questions in other institutions except for media and social media: higher levels of functional impairment were associated with increased trust in these institutions. The strongest associations were observed with distrust in health care and government officials (aOR 4.10, 95 %CI 1.97–8.53, and aOR 3.35, 95 %CI 1.62–6.94, for those with severe impairment compared to those with no IA-associated symptoms). Conclusions: Higher levels of self-reported functional impairment due to IA-associated symptoms were associated with decreased trust in most social institutions, but with increased trust in media and social media. These findings should be considered in communication on and prevention of IA-associated health issues.
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spelling doaj-art-90926594ec374cd6b7932944b71055dc2024-12-13T11:09:55ZengElsevierIndoor Environments2950-36202024-12-0114100061Institutional distrust and levels of functional impairment related to indoor air-associated symptoms: A Finnish population-based studySanna Selinheimo0Einar Eidstø1Jussi Lampi2Anniina Salmela3Juha Pekkanen4Finnish Institute of Occupational Health, Helsinki, Finland; Department of Public Health, Faculty of Medicine, University of Helsinki, Helsinki, Finland; Correspondence to: Topeliuksenkatu 41 b, Helsinki 00250, Finland.Department of Public Health, Faculty of Medicine, University of Helsinki, Helsinki, FinlandDepartment of Health Security, Environmental Health Unit, Finnish Institute for Health and Welfare, Kuopio, FinlandDepartment of Health Security, Environmental Health Unit, Finnish Institute for Health and Welfare, Kuopio, FinlandDepartment of Public Health, Faculty of Medicine, University of Helsinki, Helsinki, Finland; Department of Health Security, Environmental Health Unit, Finnish Institute for Health and Welfare, Kuopio, FinlandIntroduction: While distrust in social institutions has been linked with poor health outcomes, this association has not been examined in relation to indoor air (IA). We investigated the relationship between functional impairment due to IA-associated symptoms and distrust in social institutions, both in general and distrust particularly in IA-related questions. Methods: The Finnish population-based Indoor Air and Health survey (n=1750) was utilized to assess any IA-associated symptoms and functional impairment due to these symptoms within the past 12 months. The associations between levels of functional impairment and distrust in social institutions (health care, juridical system, government officials, construction business, media, and social media) were analyzed using multinomial logistic regression adjusted for gender, age, and education. Results: Of the respondents with symptoms (23.1 %), the level of functional impairment varied from severe (1.8 %) to no impairment (4.9 %). Distrust in social institutions was more common in IA-related questions than in general. Higher levels of functional impairment were associated with increased distrust particularized in IA-related questions in other institutions except for media and social media: higher levels of functional impairment were associated with increased trust in these institutions. The strongest associations were observed with distrust in health care and government officials (aOR 4.10, 95 %CI 1.97–8.53, and aOR 3.35, 95 %CI 1.62–6.94, for those with severe impairment compared to those with no IA-associated symptoms). Conclusions: Higher levels of self-reported functional impairment due to IA-associated symptoms were associated with decreased trust in most social institutions, but with increased trust in media and social media. These findings should be considered in communication on and prevention of IA-associated health issues.http://www.sciencedirect.com/science/article/pii/S2950362024000584Indoor airFunctional impairmentTrustPublic health carePopulation-basedSymptoms
spellingShingle Sanna Selinheimo
Einar Eidstø
Jussi Lampi
Anniina Salmela
Juha Pekkanen
Institutional distrust and levels of functional impairment related to indoor air-associated symptoms: A Finnish population-based study
Indoor Environments
Indoor air
Functional impairment
Trust
Public health care
Population-based
Symptoms
title Institutional distrust and levels of functional impairment related to indoor air-associated symptoms: A Finnish population-based study
title_full Institutional distrust and levels of functional impairment related to indoor air-associated symptoms: A Finnish population-based study
title_fullStr Institutional distrust and levels of functional impairment related to indoor air-associated symptoms: A Finnish population-based study
title_full_unstemmed Institutional distrust and levels of functional impairment related to indoor air-associated symptoms: A Finnish population-based study
title_short Institutional distrust and levels of functional impairment related to indoor air-associated symptoms: A Finnish population-based study
title_sort institutional distrust and levels of functional impairment related to indoor air associated symptoms a finnish population based study
topic Indoor air
Functional impairment
Trust
Public health care
Population-based
Symptoms
url http://www.sciencedirect.com/science/article/pii/S2950362024000584
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