HIV status, trust in health care providers, and distrust in the health care system among Bronx women

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

Distrust · Economic growth · Economics · Family medicine · Health care · Healthcare Policy and Management · HIV/AIDS Research and Interventions · LGBTQ Health, Identity, and Policy · Medicine · Nursing · Psychology

• Medical mistrust of health systems as a moderator of resilience and self-reported HIV care engagement in Black and Latinx young adults living with HIV

  Open Access•John A Sauceda, Chadwick K Campbell et al.•Cultural Diversity & Ethnic…•2023

  Incluir item

• Linking racism and homonegativity to healthcare system distrust among young men of color who have sex with men

  Open Access•Loretta Hsueh, Eric K Layland et al.•Social Science & Medicine•2021

  Incluir item

• A systematic review of qualitative findings on factors enabling and deterring uptake of HIV testing in Sub-Saharan Africa

  Open Access•Maurice Musheke, Harriet Ntalasha et al.•BMC Public Health•2013

  Incluir item

• Physicians are a key to encouraging cessation of smoking among people living with HIV/Aids

  Open Access•Rachel M Amiya, Krishna C Poudel et al.•BMC Public Health•2011

  Incluir item

• ‘Staying alive’ with antiretroviral therapy

  Open Access•Juan M Leyva‐moral, Juan Manuel Leyva-Moral et al.•BMJ Global Health•2021

  Incluir item

• Understanding the non-stationary associations between distrust of the health care system, health conditions, and self-rated health in the elderly

  Open Access•Tse-Chuan Yang, Stephen A Matthews•Health & Place•2012

  Incluir item

• Individual Health Care System Distrust and Neighborhood Social Environment

  Open Access•Tse-Chuan Yang, Stephen A Matthews et al.•Journal of Urban Health•2011

  Incluir item

• Trust in older persons

  Open Access•Kirti D Doekhie, Mathilde M H Strating et al.•Health & Social Care in the…•2019

  Incluir item

• The effects of the Covid-19 pandemic, risk perception, and perceived social support on public trust in physicians in China

  Open Access•Yidi Chen, Brian J Hall et al.•Journal of Pacific Rim Psychology•2022

  Incluir item

• Physician Mistrust, Medical System Mistrust, and Perceived Discrimination

  Open Access•Ahnalee Brincks, Karen Shiu‐yee et al.•AIDS and Behavior•2019

  Incluir item

• The Role of Trust in Delayed HIV Diagnosis in a Diverse, Urban Population

  Open Access•James L Graham, Richard M Grimes et al.•AIDS and Behavior•2011

  Incluir item

• Improving medication adherence in African-American women living with HIV/Aids

  O N Okoro, Olihe Okoro et al.•AIDS Care•2016

  Incluir item

• Understanding Medical Distrust Among African American/Black and Latino Persons Living With HIV With Sub-Optimal Engagement Along the HIV Care Continuum

  Open Access•Ning He, Charles M Cleland et al.•SAGE Open•2021

  Incluir item

• Effect of Health Care System Distrust on Breast and Cervical Cancer Screening in Philadelphia, Pennsylvania

  Tse-Chuan Yang, Stephen A Matthews et al.•American Journal of Public Health•2011

  Incluir item

• National Media Coverage of the Veterans Affairs Waitlist Scandal

  Open Access•Audrey L Jones, Michael J Fine et al.•Medical Care•2021

  Incluir item

• Untangling the associations among distrust, race, and neighborhood social environment

  Open Access•Carla Shoff, Tse-Chuan Yang•Social Science & Medicine•2012

  Incluir item

• Trust in the Medical Profession

  Open Access•Mark A Hall, Fabian Camacho et al.•Health Services Research•2002

  Incluir item

• Attitudes and beliefs of african americans toward participation in medical research

  Giselle Corbie-Smith, Stephen B Thomas et al.•Journal of General Internal…•1999

  Incluir item

• The Womenʼs Interagency HIV Study

  Susan E Barkan, Sandra Melnick et al.•Epidemiology•1998

  Incluir item

• Trust in Physicians and Medical Institutions

  Open Access•Mark A Hall, Elizabeth Dugan et al.•Milbank Quarterly•2001

  Incluir item

• Attitudes about Racism, Medical Mistrust, and Satisfaction with Care among African American and White Cardiac Patients

  Open Access•Thomas A Laveist, Kim J Nickerson et al.•Medical Care Research and Review•2000

  Incluir item

• Patients’ trust in physicians

  Steven D Pearson, Lisa H Raeke•Journal of General Internal…•2000

  Incluir item

• Trust and the Acceptance of and Adherence to Antiretroviral Therapy

  Frederick L Altice, Farzad Mostashari et al.•JAIDS Journal of Acquired Immune…•2001

  Incluir item

• Changing Medical Organization and the Erosion of Trust

  David Mechanic•Milbank Quarterly•1996

  Incluir item

• Race and trust in the health care system

  Open Access•L Ebony Boulware, Lisa A Cooper et al.•Public Health Reports•2003

  Incluir item

• Distrust, Race, and Research

  Giselle Corbie-Smith, Stephen B Thomas et al.•A.M.A. Archives of Internal…•2002

  Incluir item

• The role of trust in use of preventive services among low-income African-American women

  Open Access•Ann S O’Malley, Vanessa B Sheppard et al.•Preventive Medicine•2004

  Incluir item

• Measuring Patients’ Trust in their Primary Care Providers

  Open Access•Mark A Hall, Beiyao Zheng et al.•Medical Care Research and Review•2002

  Incluir item

• Racial and Ethnic Disparities in Perceptions of Physician Style and Trust

  Mark P Doescher•Archives of Family Medicine•2000

  Incluir item

• The CES-D Scale

  Open Access•Lenore Sawyer Radloff•Applied Psychological Measurement•1977

  Incluir item

• Health-related quality of life and patient–provider relationships in HIV-infected patients during the first three years after starting PI-containing antiretroviral treatment

  Marie Préau, C Leport et al.•AIDS Care•2004

  Incluir item

• Further Validation and Reliability Testing of the Trust in Physician Scale

  David H Thom, Kurt M Ribisl et al.•Medical Care•1999

  Incluir item

• The Primary Care Assessment Survey

  Dana Gelb Safran, Mark Kosinski et al.•Medical Care•1998

  Incluir item

• Trust and Satisfaction With Physicians, Insurers, and the Medical Profession

  Rajesh Balkrishnan, Elizabeth Dugan et al.•Medical Care•2003

  Incluir item

• Under the shadow of Tuskegee

  Vanessa Northington Gamble•American Journal of Public Health•1997

  Incluir item

• Concepts of trust among patients with serious illness

  Open Access•David Mechanic, Sebastian A Meyer et al.•Social Science & Medicine•2000

  Incluir item

• Social capital and trust in providers

  Open Access•Melissa M Ahern, Michael S Hendryx et al.•Social Science & Medicine•2003

  Incluir item

• The Profession of Medicine and the Public

  Bernice A Pescosolido, Steven A Tuch et al.•Journal of Health and Social…•2001

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