Impact of Sociodemographic Factors and Previous Interactions with the Health Care System on Institutional Trust in Three Racial/ethnic Groups

Overview

Journal Patient Educ Couns

Publisher Elsevier

Specialties Health Services
Nursing

Date 2014 Jun 30

PMID 24973901

Citations 33

Authors

Rebecca J Schwei

Kelley Kadunc

Anthony L Nguyen

Elizabeth A Jacobs

Affiliations

Soon will be listed here.

Abstract

Objective: Our objective was to explore whether there are differences in institutional trust across racial/ethnic groups and what factors might contribute to these differences.

Methods: We studied a convenience sample of 569 adults in Chicago grocery stores who self-identified as African American, Mexican-Hispanic, or white. We measured institutional trust and dichotomized responses into "high" and "low" trust. We used chi squared tests to examine differences in institutional trust across racial/ethnic groups and stepwise multivariable logistic regression to investigate how sociodemographic factors, health care access, health care usage, and previous negative experience with the health care system modified this relationship.

Results: In unadjusted analysis, race/ethnicity was significantly associated with institutional trust (p<0.001). In the fully adjusted model, African Americans and Mexican-Hispanics had greater odds of reporting low trust compared to whites (OR: 1.90; 95%CI, 1.13-3.17; and OR: 2.34; 95%CI, 1.43-3.81, respectively); reporting a previous negative health care experience was the only other factor significantly related to having low trust (OR: 2.84; 95%CI, 1.83-4.41).

Conclusion: We found lower institutional trust in African Americans and Mexican-Hispanics and among participants reporting previous negative health care experiences.

Practice Implications: Improving health care experiences, especially for racial/ethnic minority groups, could improve institutional trust and decrease health disparities in these populations.

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References

Boulware L, Cooper L, Ratner L, LaVeist T, Powe N . Race and trust in the health care system. Public Health Rep. 2003; 118(4):358-65. PMC: 1497554. DOI: 10.1093/phr/118.4.358. View

Jacobs E, Mendenhall E, McAlearney A, Rolle I, Whitaker E, Warnecke R . An exploratory study of how trust in health care institutions varies across African American, Hispanic and white populations. Commun Med. 2012; 8(1):89-98. DOI: 10.1558/cam.v8i1.89. View

LaVeist T, Nickerson K, Bowie J . Attitudes about racism, medical mistrust, and satisfaction with care among African American and white cardiac patients. Med Care Res Rev. 2000; 57 Suppl 1:146-61. DOI: 10.1177/1077558700057001S07. View

Zheng B, Hall M, Dugan E, Kidd K, Levine D . Development of a scale to measure patients' trust in health insurers. Health Serv Res. 2002; 37(1):187-202. View

Kao A, Green D, Davis N, Koplan J, Cleary P . Patients' trust in their physicians: effects of choice, continuity, and payment method. J Gen Intern Med. 1998; 13(10):681-6. PMC: 1500897. DOI: 10.1046/j.1525-1497.1998.00204.x. View

Gilson L . Trust and the development of health care as a social institution. Soc Sci Med. 2003; 56(7):1453-68. DOI: 10.1016/s0277-9536(02)00142-9. View

Rowe R, Calnan M . Trust relations in health care--the new agenda. Eur J Public Health. 2006; 16(1):4-6. DOI: 10.1093/eurpub/ckl004. View

Egede L, Michel Y . Medical mistrust, diabetes self-management, and glycemic control in an indigent population with type 2 diabetes. Diabetes Care. 2005; 29(1):131-2. DOI: 10.2337/diacare.29.1.131. View

Armstrong K, Ravenell K, McMurphy S, Putt M . Racial/ethnic differences in physician distrust in the United States. Am J Public Health. 2007; 97(7):1283-9. PMC: 1913079. DOI: 10.2105/AJPH.2005.080762. View

10.

Suurmond J, Uiters E, de Bruijne M, Stronks K, Essink-Bot M . Negative health care experiences of immigrant patients: a qualitative study. BMC Health Serv Res. 2011; 11:10. PMC: 3029223. DOI: 10.1186/1472-6963-11-10. View

11.

Thompson H, Valdimarsdottir H, Jandorf L, Redd W . Perceived disadvantages and concerns about abuses of genetic testing for cancer risk: differences across African American, Latina and Caucasian women. Patient Educ Couns. 2003; 51(3):217-27. DOI: 10.1016/s0738-3991(02)00219-7. View

12.

Armstrong K, Rose A, Peters N, Long J, McMurphy S, Shea J . Distrust of the health care system and self-reported health in the United States. J Gen Intern Med. 2006; 21(4):292-7. PMC: 1484714. DOI: 10.1111/j.1525-1497.2006.00396.x. View

13.

Armstrong K, Putt M, Halbert C, Grande D, Schwartz J, Liao K . The influence of health care policies and health care system distrust on willingness to undergo genetic testing. Med Care. 2012; 50(5):381-7. PMC: 3360826. DOI: 10.1097/MLR.0b013e31824d748b. View

14.

Marlow L, Waller J, Wardle J . Trust and experience as predictors of HPV vaccine acceptance. Hum Vaccin. 2007; 3(5):171-5. DOI: 10.4161/hv.3.5.4310. View

15.

Whetten K, Leserman J, Whetten R, Ostermann J, Thielman N, Swartz M . Exploring lack of trust in care providers and the government as a barrier to health service use. Am J Public Health. 2006; 96(4):716-21. PMC: 1470533. DOI: 10.2105/AJPH.2005.063255. View

16.

Armstrong K, McMurphy S, Dean L, Micco E, Putt M, Halbert C . Differences in the patterns of health care system distrust between blacks and whites. J Gen Intern Med. 2008; 23(6):827-33. PMC: 2517897. DOI: 10.1007/s11606-008-0561-9. View

17.

Birungi H . Injections and self-help: risk and trust in Ugandan health care. Soc Sci Med. 1998; 47(10):1455-62. DOI: 10.1016/s0277-9536(98)00194-4. View

18.

Boulware L, Ratner L, Sosa J, Cooper L, LaVeist T, Powe N . Determinants of willingness to donate living related and cadaveric organs: identifying opportunities for intervention. Transplantation. 2002; 73(10):1683-91. DOI: 10.1097/00007890-200205270-00029. View

19.

Hall M, Dugan E, Zheng B, Mishra A . Trust in physicians and medical institutions: what is it, can it be measured, and does it matter?. Milbank Q. 2002; 79(4):613-39, v. PMC: 2751209. DOI: 10.1111/1468-0009.00223. View

20.

Balkrishnan R, Dugan E, Camacho F, Hall M . Trust and satisfaction with physicians, insurers, and the medical profession. Med Care. 2003; 41(9):1058-64. DOI: 10.1097/01.MLR.0000083743.15238.9F. View