In the current era of medical mistrust, our findings support CHWs as essential public health workers who promote trusted health information to underserved communities. Unmet social needs, such as housing insecurity, may lower clients' assessment of satisfaction and trust in CHWs. Findings underscore the importance of alignment and integration of CHW programs with health and social care systems to address the social determinants of health.
Rokicki et al. (2026) studied this question.