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Medical Mistrust Among Food Insecure Individuals in Appalachia

Bibliographic Data

ID13854372
AuthorsMélissa Thomas (0000-0001-7482-5871, corresponding author), Melissa K Thomas (0000-0002-8879-8875, Ohio University, corresponding author), Ciara Amstutz (University Academy Holbeach), Debra Orr-Roderick (0000-0001-6460-9606, University Academy Holbeach), Julia Horter (University Academy Holbeach), David H Holben (University Academy Holbeach)
Year2023
Volume46
Issue3
Pages192-202
Publication date2023-04-20
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueFamily & Community Health (JOURNAL)
Journal identifiersISSN: 0160-6379 • E-ISSN: 1550-5057
PublisherLippincott Williams & Wilkins (PUBLISHER • US)
DOI10.1097/fch.0000000000000362
PMID37079541
OpenAlexW4366463334
LanguageEN
Citations received1
References cited39

This study focused on the relationship between food insecurity and medical mistrust within Appalachia. Food insecurity has negative consequences on health, while medical mistrust can lead to a decrease in health care use, creating additive consequences to already vulnerable populations. Medical mistrust has been defined in various ways, with measures addressing health care organizations and individual health care providers. To determine whether food insecurity has an additive impact on medical mistrust, a cross-sectional survey was completed by 248 residents in Appalachia Ohio while attending community or mobile clinics, food banks, or the county health department. More than one-quarter of the respondents had high levels of mistrust toward health care organizations. Those with high food insecurity levels were more likely to have higher levels of medical mistrust than those with lower levels of food insecurity. Individuals with higher self-identified health issues and older participants had higher medical mistrust scores. Screening for food insecurity in primary care can reduce the impact of mistrust on patient adherence and health care access by increasing patient-centered communication. These findings present a unique perspective on how to identify and mitigate medical mistrust within Appalachia and call attention to the need for further research on the root causes among food insecure residents

Agriculture · Appalachia · Environmental health · Food insecurity · Food security · Geography · Health care · Political science · Quarter (Canadian coin · Food Security and Health in Diverse Populations · Homelessness and Social Issues · Medicine · Psychology · Gerontology

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  • Mistrust of Health Care Organizations Is Associated with Underutilization of Health Services

    Open Access•Thomas A Laveist, Lydia A Isaac et al.•Health Services Research•2009

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    Open Access•Karla L Hanson, Leah M Connor•American Journal of Clinical…•2014

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    Open Access•Louise C Ivers, Kimberly A Cullen•American Journal of Clinical…•2011

  • Food Insecurity Is Associated with Chronic Disease among Low-Income NHANES Participants

    Open Access•Hilary K Seligman, Barbara A Laraia et al.•The Journal of Nutrition•2010

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    Open Access•Suzanne Macavoy, Joseph M Grogan et al.•Journal of Transcultural Nursing•2001

  • Food Security and Perceptions of Health Status

    Open Access•Alfred M Pheley, David H Holben et al.•The Journal of Rural Health•2002

  • Comparison of Rural and Urban Residents’ Implicit and Explicit Attitudes Related to Seeking Medical Care

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    Open Access•Emory Nelms, Ling Wang et al.•The Journal of Rural Health•2014

  • Health Care Avoidance Among Rural Populations

    Open Access•Angela M Spleen, Angela Spleen et al.•The Journal of Rural Health•2014

  • De l’art de se méfier

    Open Access•Olivier Allard, Matthew Carey et al.•Tracés•2016

  • Food insecurity and mental health

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  • How do you measure trust in the health system? A systematic review of the literature

    Open Access•Sachiko Ozawa, Pooja Sripad•Social Science & Medicine•2013

  • Middle-Aged Appalachians Living With Diabetes Mellitus

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  • Identifying Food Insecurity in Health Care Settings

    Emilia H De Marchis, Jacqueline M Torres et al.•Family & Community Health•2018

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

  • Exploring Lack of Trust in Care Providers and the Government as a Barrier to Health Service Use

    Kathryn Whetten, Jane Leserman et al.•American Journal of Public Health•2006

  • Whose Responsibility Is It to Dismantle Medical Mistrust? Future Directions for Researchers and Health Care Providers

    Jessica Jaiswal•Behavioral Medicine•2019

  • Beyond Personal Experiences

    Lillie D Williamson•Health Communication•2021

Unique citing works1
Citations per year1
Citation span2026 - 2026 (1)
Citation velocitycurrent
Highly citedNo
Citation typesNeutral: 1

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