Evidence map›Paper›PMID 38943013›Full record

ArticleJournal of general internal medicine2025

A Pandemic of Misinformation: Understanding Influences on Beliefs in Health and Conspiracy Myths.

Emily Carletto, Kathryn A Carson, Hsin-Chieh Yeh, Katherine Dietz, Nakiya Showell, Jill A Marsteller, Lisa A Cooper

Abstract read
In one paragraph

Article in Journal of general internal medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed.

  1. Article
  2. Article
  3. Correlates of COVID-19 Vaccine Regret in the United States.Journal of general internal medicine · 2026
    Article
  4. Article
  5. Article
  6. Article
  7. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Emily CarlettoDepartment of Medicine, Johns Hopkins University School of Medicine, 2024 East Monument Street, Suite 2-500, Baltimore, MD, 21287, USA.
Kathryn A CarsonDepartment of Medicine, Johns Hopkins University School of Medicine, 2024 East Monument Street, Suite 2-500, Baltimore, MD, 21287, USA.
Hsin-Chieh YehDepartment of Medicine, Johns Hopkins University School of Medicine, 2024 East Monument Street, Suite 2-500, Baltimore, MD, 21287, USA.
Katherine DietzDepartment of Medicine, Johns Hopkins University School of Medicine, 2024 East Monument Street, Suite 2-500, Baltimore, MD, 21287, USA.
Nakiya ShowellDepartment of Medicine, Johns Hopkins University School of Medicine, 2024 East Monument Street, Suite 2-500, Baltimore, MD, 21287, USA.
Jill A MarstellerDepartment of Medicine, Johns Hopkins University School of Medicine, 2024 East Monument Street, Suite 2-500, Baltimore, MD, 21287, USA.
Lisa A CooperDepartment of Medicine, Johns Hopkins University School of Medicine, 2024 East Monument Street, Suite 2-500, Baltimore, MD, 21287, USA. lisa.cooper@jhmi.edu.ORCID 0000-0001-6707-6390

Funding

Comparative Effectiveness of Health System vs. Multilevel Interventions to Reduce Hypertension DisparitiesUH2HL130688 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI COOPER, LISA A, MARSTELLER, JILL ANNE · 2015 to 2015
$1.0M
NHLBI NIH HHS 1UH2/UH3HL130688
6 · The paper itself

Abstract

backgroundPersonal characteristics may be associated with believing misinformation and not believing in best practices to protect oneself from COVID-19.

objectiveTo examine the associations of a person's age, race/ethnicity, education, residence, health literacy, medical mistrust level, and sources of health-related information with their COVID-19 health and conspiracy myth beliefs.

designWe surveyed adults with hypertension in Maryland and Pennsylvania between August 2020 and March 2021. Incorrect responses were summed for eight health (mean = 0.68; range 0-5) and two conspiracy (mean = 0.92; range 0-2) COVID-19 questions. Higher scores indicated more incorrect responses. Statistical analyses included two-sample t-tests, Spearman's correlation, and log binomial regression.

participantsIn total, 561 primary care patients (mean age = 62.3 years, 60.2% female, 46.0% Black, 10.2% Hispanic, 28.2% with a Bachelor's degree or higher, 42.8% with annual household income less than $60,000) with a diagnosis of hypertension and at least one of five commonly associated conditions. MAIN MEASURES: Sociodemographic characteristics, health literacy, medical mistrust level, source of health-related information, and COVID-19 conspiracy and health myth beliefs. KEY

resultsIn multivariable analyses, participants who did not get information from medical professional sources (prevalence ratio (PR) = 1.28; 95% CI = 1.06-1.55), had less than a bachelor's degree (PR = 1.49; 95% CI = 1.12-1.99), were less confident filling out medical forms (PR = 1.24; 95% CI = 1.02-1.50), and had higher medical mistrust (PR = 1.34; 95% CI = 1.05-1.69) were more likely to believe any health myths. Participants who had less than a bachelor's degree (PR = 1.22; 95% CI = 1.02-1.45), were less confident filling out medical forms (PR = 1.21; 95% CI = 1.09-1.34), and had higher medical mistrust (PR = 1.72; 95% CI = 1.43-2.06) were more likely to believe any conspiracy myths.

conclusionsLower educational attainment and health literacy, greater medical mistrust, and certain sources of health information are associated with misinformed COVID-19 beliefs. Programs addressing misinformation should focus on groups affected by these social determinants of health by encouraging reliance on scientific sources.

Indexed as

CommunicationCOVID-19Health Knowledge, Attitudes, PracticeHealth LiteracyAdultAgedFemaleHumansHypertensionMaleMarylandMiddle AgedPandemicsPennsylvaniaSARS-CoV-2Surveys and Questionnairesconspiracy beliefsCOVID-19misinformationsocial determinants of healthsources of information

Identifiers

PMID38943013
PMCPMC11802941

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.