Exploring differences in trust in doctors among African American men and women.

Journal of the National Medical Association
Jacqueline C WiltshireJeroan Allison

Abstract

Low trust in doctors may partially account for African Americans' adverse health outcomes. Understanding the drivers of low trust can guide health care policy to improve trust and delivery of health care for African Americans. This study examines gender differences in trust in doctors among African Americans and explores factors differentially associated with low level trust for men vs women. Cross-sectional analysis of 3649 African Americans using data from the 2003-2004 Community Tracking Study Household Survey, including 4 items measuring trust in doctors (range, 1 = lowest trust and 5 = highest trust). Items were assessed separately and as an index measure. Linear regression analyses adjusted for multiple confounders and accounted for complex data sampling. Overall, men were less trusting of doctors than women. However, men differed from women only on 2 trust measures: "doctor influenced by insurance rules" (adjusted mean scores = 2.48 for men and 2.79 for women, p = .001) and "doctor performs unnecessary tests" (adjusted mean score = 4.00 for men and 4.28 for women, p = .010). Common correlates of low trust in men and women included less than high school education, age of at least 65 years, and having no usual source of ca...Continue Reading

Citations

Jan 22, 2015·Journal of Women & Aging·Beverly Rosa WilliamsEddie M Clark
Apr 19, 2016·Journal of Women & Aging·Leslie CarandangSeema S Sonnad
Dec 7, 2018·The Quarterly Journal of Economics·Marcella Alsan, Marianne Wanamaker
Jan 8, 2014·Research in Nursing & Health·Rosalind M PetersAndrea E Cassidy-Bushrow
Jun 3, 2014·BMC Research Notes·Kathryn L DeLaughterThomas K Houston
Aug 27, 2014·Health Education & Behavior : the Official Publication of the Society for Public Health Education·Racheli MagneziSara Urowitz
Jun 7, 2019·American Journal of Men's Health·Karyn A StewartAimee S James
Feb 19, 2020·The Hastings Center Report·Laura Specker Sullivan
May 26, 2021·Journal of Women's Health·Tubanji WalubitaBill M Jesdale
Oct 1, 2021·Postgraduate Medical Journal·Thang Cong NguyenChé Matthew Harris

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