{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,20]],"date-time":"2026-07-20T02:01:27Z","timestamp":1784512887778,"version":"3.55.0"},"reference-count":40,"publisher":"MDPI AG","issue":"7","license":[{"start":{"date-parts":[[2026,7,14]],"date-time":"2026-07-14T00:00:00Z","timestamp":1783987200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100020084","name":"Basic and Applied Basic Research Program of the Guangzhou Science and Technology Bureau","doi-asserted-by":"publisher","award":["2024A04J5155"],"award-info":[{"award-number":["2024A04J5155"]}],"id":[{"id":"10.13039\/501100020084","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100010226","name":"Accredited Scientific Research Project (Young Innovative Talent Project) of Universities in Guangdong Province","doi-asserted-by":"publisher","award":["2022WQNCX056"],"award-info":[{"award-number":["2022WQNCX056"]}],"id":[{"id":"10.13039\/501100010226","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Behavioral Sciences"],"abstract":"<jats:p>Social trust is increasingly recognized as a psychosocial determinant of health service utilization, yet most studies treat trust as a unidimensional, static variable. This study examines how multidimensional trust configurations evolve over time and whether distinct profiles are associated with subsequent health-seeking behavior. Data were drawn from three waves (2018, 2020, 2022) of the China Family Panel Studies (N = 12,216). Latent profile analysis identified trust configurations based on four indicators (trust in neighbors, strangers, government officials, and doctors), and a three-wave latent transition analysis with partial measurement invariance modeled profile stability and change. Time-lagged logistic regressions and stayer\u2013mover analyses examined associations with care-seeking. Three profiles emerged: Low Trust (31%), Higher Generalized Trust (36\u201342%), and Selective Institutional Trust (27\u201333%). All profiles showed moderate-to-high stability. Selective Institutional Trust was consistently associated with higher odds of care-seeking at the subsequent wave (adjusted OR = 1.30\u20131.35, p &lt; 0.01), an association strongest among those who maintained this profile over time (OR = 1.47\u20131.48, p &lt; 0.001). Higher Generalized Trust showed no significant association, and no profile was associated with facility-level choice. These findings indicate that the behavioral relevance of social trust for health-seeking is profile-specific rather than monotonic, underscoring the value of person-centered longitudinal approaches.<\/jats:p>","DOI":"10.3390\/bs16071189","type":"journal-article","created":{"date-parts":[[2026,7,15]],"date-time":"2026-07-15T01:05:58Z","timestamp":1784077558000},"page":"1189","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Social Trust Profile Transitions and Health-Seeking Behavior: A Latent Transition Analysis of Three-Wave Panel Data from China"],"prefix":"10.3390","volume":"16","author":[{"given":"Yuhan","family":"Wu","sequence":"first","affiliation":[{"name":"School of Health Management, Guangzhou Medical University, Guangzhou 511436, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shihan","family":"Xu","sequence":"additional","affiliation":[{"name":"School of Health Management, Guangzhou Medical University, Guangzhou 511436, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lu","family":"Li","sequence":"additional","affiliation":[{"name":"School of Health Management, Guangzhou Medical University, Guangzhou 511436, China"},{"name":"Guangdong-Hong Kong-Macao Greater Bay Area Medical and Health Industry High Quality Development Rule of Law Guarantee Research Center, Guangzhou 511436, China"},{"name":"Philosophy and Social Sciences Key Laboratory, Guangdong Higher Education Institutes for Health, Guangzhou 511436, China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2026,7,14]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"171","DOI":"10.1186\/s12889-023-15124-w","article-title":"Determinants of trust in healthcare facilities among community-based health insurance members in the Manna district of 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