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Understanding health beliefs among women in developed and developing nations: a comparative survey study in XXX and YYY

A-Sol KIM and Ji-Eun SONG

Women’s health perceptions shape preventive care behavior and reflect the sociocultural environments in which they live. However, limited research exists comparing how women in developed and developing countries access and trust medical information.The objective is to characterize differences in trusted sources of medical information and community health perception among women in XXX (developed community) and YYY (developing community) to inform equitable region-specific patient education strategies.A prospective cross-sectional survey was administered to women ≥18 years old in a primary care clinic in XXX and community outreach clinics in YYY. Survey domains assessed personal and community health perception and trusted sources of medical information. Responses were analyzed using descriptive statistics and logistic regression.Among 119 participants (XXX = 51; YYY = 64), healthcare providers were the most used and trusted source of medical information in both locations, followed by family and friends. Compared to women in YYY, women in XXX expressed a greater trust in internet (73% v. 17%, p<0.001) and social media-based platforms (37% v 7.8%).  Compared to women in XXX, women in YYY commonly trusted religious institutions for health information (70% v. 49%, p= 0.03). Older women in XXX were more likely to view their community as healthy (OR 0.967, 95% CI 0.932–0.998, p=0.027), while there was insufficient evidence to confidently delineate the relationship between community health perception and age in YYY (OR 1.028, 95% CI 0.991 to 1.079, p=0.085).Differences in trusted sources reflect the sociocultural and technological infrastructures of each setting. Reliance on internet-based resources among XXX participants aligns with high digital access in developed countries, while YYY participants’ trust in religious institutions highlights the central role of community-based networks. The more positive community health perceptions reported by older women in XXX may reflect greater availability of age-friendly health services in developed regions.Although healthcare providers are universally trusted, digital strategies are utilized more by XXX and community-based approaches are more meaningful in YYY. Additionally, targeted initiatives for older women in YYY may help address disparities in perceived community health. Tailoring patient education to local information ecosystems may strengthen patient engagement across both regions.