HIV status, trust in health care providers, and distrust in the health care system among Bronx women
HIV status, trust in health care providers, and distrust in the health care system among Bronx women
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DOI：
10.1080/09540120600774263
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发表时间：
2007-02-01
影响因子：
1.7
通讯作者：
Anastos, K.
中科院分区：
文献类型：
--
作者：
Cunningham, C. O.;Sohler, N. L.;Anastos, K.
对卫生保健提供者和卫生保健系统的信任至关重要。本研究调查了少数艾滋病毒阳性和阴性妇女对提供者的信任和对卫生保健系统的不信任相关因素。对布朗克斯妇女机构间艾滋病毒研究中心的102名妇女进行了访谈和实验室检测。访谈收集了关于对提供者的信任、对系统的不信任、物质使用、精神健康症状和药物以及社会人口特征的信息。许多人报告了与艾滋病毒有关的卫生保健系统的不信任，大多数人报告了对其提供者的信任。在线性回归分析中，与医疗保健系统不信任相关的特征包括抑郁症状（beta =0.48, p < 0.05）。与信任提供者相关的特征包括hiv阳性状态（beta =0.35, p < 0.05）、服用精神健康药物（beta =0.39, p < 0.05）和有白人提供者（beta =0.36, p < 0.05）。尽管对与艾滋病毒有关的卫生保健系统不信任，但大多数报告对其提供者的信任度很高，艾滋病毒阳性妇女比艾滋病毒阴性妇女更信任其提供者。需要进行研究以了解如何实现和维持对提供者和卫生保健系统的信任，以及信任如何与艾滋病毒相关的健康结果相关联。
Trust in health care providers and the health care system are essential. This study examined factors associated with trust in providers and distrust in the health care system among minority HIV-positive and -negative women.Interviews were conducted and laboratory tests performed with 102 women from the Women's Interagency HIV Study Bronx site. Interviews collected information about trust in providers, distrust in the system, substance use, mental health symptoms and medications, and sociodemographic characteristics.Many reported distrust of the health care system related to HIV, and most reported trust in their providers. On linear regression analyses, characteristics associated with distrust in the health care system included depressive symptoms (beta =0.48, p < 0.05). Characteristics associated with trust in providers included HIV-positive status (beta =0.35, p < 0.05), taking mental health medications (beta =0.39, p < 0.05), and having a white provider (beta =0.36, p < 0.05).Despite distrust in the health care system related to HIV, most reported high trust in their providers, with HIV-positive women trusting their providers more than HIV-negative women. Studies are needed to understand how trust in providers and the health care system is achieved and maintained, and how trust is correlated with HIV-related health outcomes.