Racial centrality may be linked to mistrust in healthcare institutions for African Americans

被引:28
作者
Cuevas, Adolfo G. [1 ,2 ]
O'Brien, Kerth [1 ]
机构
[1] Portland State Univ, Portland, OR 97207 USA
[2] Harvard TH Chan Sch Publ Hlth, Boston, MA USA
关键词
African American; healthcare disparities; medical mistrust; patient-centered care; patient-provider relationship; perceived discrimination; physician mistrust; racial identity; CULTURAL SENSITIVITY; MEDICAL MISTRUST; PATIENT; DISCRIMINATION; SATISFACTION; CONCORDANCE; IDENTITY; IDENTIFICATION; PERSPECTIVES; EXPERIENCES;
D O I
10.1177/1359105317715092
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
Evidence suggests that racial identity is an important component to African Americans' self-concepts and therefore may be relevant to patients' trust in healthcare, yet little is known as to how racial identity may influence trust or mistrust. African American adults (N = 220) in the greater Portland, Oregon, area provided survey reports of healthcare-related attitudes and experiences. Those who reported higher racial centrality had lower trust in healthcare institutions. Based on these findings, clinicians employing patient-centered care approaches should recognize racial identity as an important component to patients' experiences when they seek to deliver equitable care to African American patients.
引用
收藏
页码:2022 / 2030
页数:9
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