Physician Trust and Home Remedy Use Among Low-Income Blacks and Whites with Hypertension: Findings from the TRUST Study.
Physician Trust and Home Remedy Use Among Low-Income Blacks and Whites with Hypertension: Findings from the TRUST Study.
复制标题
低收入黑人和白人高血压患者的医生信任度和家庭疗法的使用：信任研究的结果。
DOI：
10.1007/s40615-019-00582-z
复制
发表时间：
2019
影响因子：
3.9
通讯作者：
Allison,Jeroan
中科院分区：
文献类型：
--
作者：
Foster,PamelaPayne;Cuffee,Yendelela;Alwatban,Noof;Minton,Maury;LewisJr,DwightW;Allison,Jeroan
简介尽管家庭疗法的有效性未经证实，但仍用于治疗高血压。家庭疗法的使用通常归因于对医疗保健提供者的不信任。很少有研究探讨家庭疗法的使用与医生信任之间的关系。本研究的目的是检查和比较居住在阿拉巴马州内城区的一群患有高血压的低收入黑人和白人中的家庭疗法的使用与对医生的信任之间的关系。方法对在城市医院接受护理的 925 名黑人和白人患者进行了横断面检查。数据是通过现场调查收集的。使用霍尔一般信任量表自我报告对医生的信任度，其中包括有关诚实、保密和信任的问题。使用布朗和西格尔量表自我报告家庭疗法的使用情况，其中包括有关家庭疗法的使用和所使用的家庭疗法的类型的问题。协变量包括年龄、种族、性别和健康结果等人口因素。使用线性回归分析数据。结果 28% 的黑人和 15% 的白人参与者报告使用家庭疗法 (p= 0.001)。黑人家庭疗法用户 (38.9) 和非用户 (39.3) 具有相似的信任评分 (p= 0.582)。白人家庭疗法用户 (32.9) 报告对医生的信任度低于白人非用户 (37.7) (p= 0.026)。 结论黑人家庭疗法用户、非用户和白人非用户报告了相似的信任分数；白色家庭疗法用户的信任评分最低。黑人参与者中家庭疗法的使用率更高。未来的研究应该调查白人之间不信任和家庭疗法使用的背景。
IntroductionHome remedies are used for the treatment of hypertension despite unsubstantiated claims of their effectiveness. Home remedy use is often attributed to mistrust towards healthcare providers. Few studies examine the relationship between home remedy use and physician trust. The objective of this study was to examine and compare the association between home remedy use and trust in physicians in a cohort of low-income Blacks and Whites with hypertension living in an inner city in Alabama.MethodsA cross-sectional examination was conducted among 925 Black and White patients receiving care at an urban hospital. Data was collected from in-person surveys. Trust in physicians was self-reported using the Hall General Trust Scale which included questions about honesty, confidentiality, and trust. Home remedy use was self-reported using the Brown and Segal scale which included questions about home remedy use and types of home remedies used. Covariates included demographic factors such as age, race, gender, and health outcomes. Data were analyzed using linear regression.ResultsTwenty-eight percent of Black and 15% of White participants reported home remedy use (p= 0.001). Black home remedy users (38.9) and non-users (39.3) had similar trust scores (p= 0.582). Whites home remedy users (32.9) reported lower trust in physicians than White non-users (37.7) (p= 0.026).ConclusionsBlack home remedy users, non-users, and White non-users reported similar trust scores; the lowest trust scores were found among White home remedy users. Home remedy use was higher among Black participants. Future studies should examine the context of mistrust and home remedy use among Whites.