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. 2024 May 24;5(5):e240862. doi: 10.1001/jamahealthforum.2024.0862

Table. Top US Public Priorities for the Centers for Disease Control and Prevention (CDC) and State Public Health Departments to Address Overall and by Degree of Trust, November 2023a.

Top priorities US adults, by level of trust, weighted %
CDC State health department
All (n = 1325) A great deal (n = 521) Somewhat (n = 485) Not very much (n = 219) Not at all (n = 100) All (n = 1338) A great deal (n = 371) Somewhat (n = 675) Not very much (n = 221) Not at all (n = 71)
Preventing chronic diseases like heart disease, cancer, and diabetes 83b 85c 84c 82c 71 79b 81 80 75 72
Preventing and addressing mental illness 80b 84c 79c 77c 64 85b 87d 87d 79 78
Reducing infant mortality 79b 82c 76c 84c 59 78b 78 78 79 70
Preventing and addressing opioid and other substance addiction 72b 74 72 71 70 77b 81d 77d 67 80
Controlling the spread of infectious diseases other than COVID-19 72e 86c,d,f 70c,d 58c 41 65e 76c,d,f 64c 57c 40
Reducing differences in health status and health care access between people in different racial or ethnic groups 59e 73c,d,f 57c,d 46c 24 65e 81c,d,f 65c,d 42 41
Reducing death and illness related to HIV and other sexually transmitted infections 58e 70c,d,f 52 49 43 52e 63c,d,f 51d 40 44
Preventing obesity and promoting healthy diets and physical activity 58e 61c 55 62c 46 57b 59 56 57 51
Controlling the spread of COVID-19 57e 79c,d,f 55c,d 30c 15 51e 70c,d,f 50c,d 31c 17
Preventing injuries and deaths caused by guns 49g 65c,d,f 49c,d 27 17 59e 78c,d,f 60c,d 34 28
Preventing negative health outcomes from cigarettes and e-cigarettes 47g 52d,f 44 42 40 47g 59c,d,f 45d 34 37
a

Data are from a November 2023 nationally representative, probability-based, online and telephone survey of 2663 US adults aged 18 years or older. Statistical significance was considered at P < .05. Statistically significant results should be interpreted with caution, as some analyses were conducted with fewer than 100 respondents. The eMethods in Supplement 1 give details.

b

A majority of adults cited this issue as a top agency priority across all levels of trust.

c

Higher than those who trust public health agencies “not at all.”

d

Higher than those who trust public health agencies “not very much.”

e

A majority of adults overall cited this issue as a top agency priority but not across all levels of trust.

f

Higher than those who trust public health agencies “somewhat.”

g

A majority of adults overall did not cite this issue as a top agency priority.