Determinants of trust in health care in an older population

Journal of the American Geriatrics Society
Natalie GuerreroElizabeth A Jacobs

Abstract

To explore differences in sociodemographic and psychological correlates of institutional trust in health care in an aging population of African Americans and non-Hispanic whites. Cross-sectional survey data from the longitudinal Chicago Health and Aging Project. Population-based study of three communities in the Chicago area. African Americans (n=2,284) and non-Hispanic whites (1,354) with a mean age of 79.3. Demographic factors, socioeconomic status (SES), healthcare access, cynical hostility, perceived discrimination, depression, and institutional trust in health care. African Americans reported substantially lower healthcare trust than non-Hispanic whites (P<.001). After adjustment for demographic variables and SES, only race (P<.001) and age (P=.008) were significantly associated with healthcare trust scores. The association between race and healthcare trust was slightly attenuated after adjusting for cynical hostility, depressive symptoms, and perceived discrimination (P<.001). Each of these variables was negatively associated with healthcare trust, and together these accounted for approximately 15% of racial differences in healthcare trust. Psychological factors, not demographic characteristics, SES, or healthcare factors...Continue Reading

References

Apr 1, 1991·The International Journal of Neuroscience·M AlbertH H Funkenstein
Jul 9, 1999·Journal of Epidemiology and Community Health·A T GeronimusT A Waidmann
Sep 16, 2003·Medical Care·Rajesh BalkrishnanMark A Hall
Sep 18, 2004·Health & Social Care in the Community·Frank Keating, David Robertson
Aug 4, 2005·The Annals of Pharmacotherapy·Julienne K KirkK M Venkat Narayan
Sep 1, 2005·The Journals of Gerontology. Series B, Psychological Sciences and Social Sciences·Carlos F Mendes de LeonDenis A Evans
Apr 21, 2006·Medical Care·James B KirbySamuel H Zuvekas
May 12, 2006·Journal of General Internal Medicine·Katrina ArmstrongJudy A Shea
Sep 26, 2008·Public Health Nursing·Jessica Smartt GullionGreg Gullion
Feb 4, 2009·Archives of Pediatrics & Adolescent Medicine·Kumaravel RajakumarMary A Garza
Jan 16, 2010·American Journal of Community Psychology·Wizdom Powell Hammond
Jun 29, 2010·AIDS Patient Care and STDs·Somnath SahaMary Catherine Beach
Jan 13, 2011·Statistics in Medicine·Ian R WhiteAngela M Wood
Feb 19, 2011·Journal of Epidemiology and Community Health·Beth Marie McManusMari Palta
Mar 15, 2011·Alzheimer Disease and Associated Disorders·Alexander L ChinRoy Hamilton
Jul 30, 2011·Seminars in Perinatology·Fern R HauckRachel Y Moon
Jul 1, 1997·Journal of Health Psychology·D R WilliamsN B Anderson
Apr 13, 2012·The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences·Jose DelgadoCarlos F Mendes de Leon
May 1, 2009·The Journal of Black Psychology·Louis A PennerSamuel L Gaertner
May 1, 2012·Journal of Hospice and Palliative Nursing : JHPN : the Official Journal of the Hospice and Palliative Nurses Association·Yashika J WatkinsBarbara Dancy

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Aug 2, 2019·Substance Abuse : Official Publication of the Association for Medical Education and Research in Substance Abuse·Joshua D CockroftMary S Dietrich
Jan 22, 2020·Psychiatric Services : a Journal of the American Psychiatric Association·Kyeongmo KimPaul Sacco
Jul 4, 2020·Transfusion·Eamonn FergusonSusan R Brailsford
Sep 11, 2019·International Journal of Environmental Research and Public Health·Monica Webb HooperLena L Grafton
Jun 2, 2020·Journal of Aging & Social Policy·Mary D NaylorKathleen McCauley
Jun 20, 2019·Psychology & Health·Eamonn FergusonRonan E O'Carroll
May 30, 2020·International Journal of Behavioral Medicine·Ronit Pinchas-MizrachiNihaya Daoud
Jun 17, 2020·BMC Public Health·Homayoun Sadeghi BazarganiMina Golestani
Jan 12, 2021·Journal of the American Medical Directors Association·Leah V EstradaPatricia W Stone
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