Sociodemographic Correlates of Medical Mistrust among African American Men Living in the East Bay

Sociodemographic Correlates of Medical Mistrust among African American Men Living in the East Bay
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DOI:
10.1353/hpu.2020.0012
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发表时间:
2020-02-01
影响因子:
1.4
通讯作者:
Alsan, Marcella
Alsan, Marcella
中科院分区:
医学4区
文献类型:
--
作者:
Idan, Edna;Xing, Anlu;Alsan, Marcella

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这项研究调查了居住在东湾的非裔美国男性之间医疗不信任的相关性。我们使用从理发店招募的 207 名成年非洲裔美国男性的调查数据进行了横断面分析。我们使用线性回归来评估社会经济地位 (SES) 与两种医疗不信任结果(对医疗保健组织 (HCO) 和医生的不信任)之间的关联。健康保险、收入、教育和不信任之间存在密切关系。参保受试者不信任 HCO 的可能性降低 8.5%(95% CI -0.154 至 -0.016),不信任医生的可能性降低 8.5%(95% CI -0.145 至 -0.025)。与其他人相比,收入水平最高(年收入 > 60,000 美元)或教育程度最高(学士学位或更高)的人不信任 HCO 和医生的可能性分别低 5.4% (95% CI -0.115 至 -0.007) 和 5.7% (95% CI -0.104 至 -0.011)。我们得出的结论是,社会人口因素与医疗不信任相关,并讨论了减少医疗不信任的方案。
is study examined correlates of medical mistrust among African American men living in the East Bay. We conducted a cross-sectional analysis using survey data from 207 adult African American males, recruited from barbershops. We used linear regression to assess associations between socioeconomic status (SES) and two medical mistrust outcomes (mistrust of health care organizations (HCOs) and physicians). There was a strong relationship between health insurance, income, education, and mistrust. Insured subjects were 8.5% (95% CI -0.154 to -0.016) less likely to mistrust HCOs and 8.5% less likely (95% CI -0.145 to -0.025) to mistrust physicians. Those in the highest levels of income (>$60,000 annual income) or education (bachelor's degree or higher) were 5.4% (95% CI -0.115 to -0.007) and 5.7% (95% CI -0.104 to -0.011) less likely to mistrust HCO and physicians, respectively, than others. We conclude that sociodemographic factors are correlated with medical mistrust and discuss options for reducing medical mistrust.