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Exploring lack of trust in care providers and the government as a barrier to health service use

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  • Whetten, K.
  • Leserman, J.
  • Whetten, R.
  • Ostermann, J.
  • Thielman, N.
  • Swartz, M.
  • Stangl, D.

Abstract

Objectives. We examined associations between trust of health care providers and the government and health service use and outcomes. Methods. Interviews with a sample of 611 HIV-positive individuals included an attitudinal assessment measuring beliefs concerning the creation of AIDS, information being withheld about the disease, and trust of care providers. Results. Trust in care providers was associated with increased HIV-related outpatient clinic visits, fewer emergency room visits, increased use of antiretroviral medications, and improved reported physical and mental health. Trusting the government was associated with fewer emergency room visits and better mental and physical health. More than one quarter of the respondents believed that the government created AIDS to kill minorities, and more than half believed that a significant amount of information about AIDS is withheld from the public. Ten percent did not trust their provider to give them the best care possible. Conclusions. Distrust may be a barrier to service use and therefore to optimal health. Distrust is not isolated in minority communities but also exists among members of nonminority communities and equally interferes with their use of services and health outcomes.

Suggested Citation

  • Whetten, K. & Leserman, J. & Whetten, R. & Ostermann, J. & Thielman, N. & Swartz, M. & Stangl, D., 2006. "Exploring lack of trust in care providers and the government as a barrier to health service use," American Journal of Public Health, American Public Health Association, vol. 96(4), pages 716-721.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2005.063255_0
    DOI: 10.2105/AJPH.2005.063255
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    Cited by:

    1. Meena Mahadevan & John Ruzsilla, 2012. "Assessing the Nutritional Health Outcomes of African American Women with HIV and Substance Abuse Disorders Using a Socioecological Approach," SAGE Open, , vol. 2(3), pages 21582440124, September.
    2. Armenak Antinyan & Thomas Bassetti & Luca Corazzini & Filippo Pavesi, 2020. "Trust in the Healthcare System and COVID-19 Treatment in the Developing World. Survey and Experimental Evidence from Armenia," Working Papers 2020:10, Department of Economics, University of Venice "Ca' Foscari".
    3. Shoff, Carla & Yang, Tse-Chuan, 2012. "Untangling the associations among distrust, race, and neighborhood social environment: A social disorganization perspective," Social Science & Medicine, Elsevier, vol. 74(9), pages 1342-1352.
    4. Shandana Mohmand & Vanessa van den Boogaard & Max Gallien & Umair Javed, 2023. "Vaccine Hesitancy among Informal Workers: Gendered Geographies of Informality in Lahore," Development and Change, International Institute of Social Studies, vol. 54(6), pages 1504-1527, November.
    5. Kristensen, Frederikke Frehr & Sharp, Paul, 2021. "Disease Surveillance, Mortality and Race: The Case of HIV/AIDS in the United States," CAGE Online Working Paper Series 553, Competitive Advantage in the Global Economy (CAGE).
    6. Blair, Robert A. & Morse, Benjamin S. & Tsai, Lily L., 2017. "Public health and public trust: Survey evidence from the Ebola Virus Disease epidemic in Liberia," Social Science & Medicine, Elsevier, vol. 172(C), pages 89-97.
    7. Madeline Y Sutton & Simone C Gray & Kim Elmore & Zaneta Gaul, 2017. "Social Determinants of HIV Disparities in the Southern United States and in Counties with Historically Black Colleges and Universities (HBCUs), 2013–2014," PLOS ONE, Public Library of Science, vol. 12(1), pages 1-12, January.
    8. Zekeri, Andrew A. & Diabate, Youssouf, 2014. "Factors Associated With Belief In Conspiracies About Hiv/Aids Among Hiv-Positive African-American Patients," Professional Agricultural Workers Journal (PAWJ), Professional Agricultural Workers Conference, vol. 2(2), pages 1-10.
    9. Kai Chen & Xiaoping Lin & Han Wang & Yujie Qiang & Jie Kong & Rui Huang & Haining Wang & Hui Liu, 2022. "Visualizing the Knowledge Base and Research Hotspot of Public Health Emergency Management: A Science Mapping Analysis-Based Study," Sustainability, MDPI, vol. 14(12), pages 1-23, June.
    10. Pauline Givord & Lucile Romanello, 2011. "Evaluation of a Community-based Information Campaign on Health Demand in Mali : Results from a Natural Experiment," Working Papers 2011-21, Center for Research in Economics and Statistics.
    11. Liat Ayalon, 2019. "Perceived Discrimination and Stigma in the Context of the Long-Term Care Insurance Law from the Perspectives of Arabs and the Jews in the North of Israel," IJERPH, MDPI, vol. 16(19), pages 1-17, September.
    12. Naoko Takeyama & Basilua Andre Muzembo & Yasmin Jahan & Michiko Moriyama, 2022. "Health-Seeking Behaviors in Mozambique: A Mini-Study of Ethnonursing," IJERPH, MDPI, vol. 19(4), pages 1-12, February.
    13. Sudhinaraset, May & Ling, Irving & To, Tu My & Melo, Jason & Quach, Thu, 2017. "Dreams deferred: Contextualizing the health and psychosocial needs of undocumented Asian and Pacific Islander young adults in Northern California," Social Science & Medicine, Elsevier, vol. 184(C), pages 144-152.
    14. Megan M McLaughlin & Louis Simonson & Xia Zou & Li Ling & Joseph D Tucker, 2015. "African Migrant Patients’ Trust in Chinese Physicians: A Social Ecological Approach to Understanding Patient-Physician Trust," PLOS ONE, Public Library of Science, vol. 10(5), pages 1-13, May.
    15. Randall, Jason G. & Dalal, Dev K. & Dowden, Aileen, 2023. "Factors associated with contact tracing compliance among communities of color in the first year of the COVID-19 pandemic," Social Science & Medicine, Elsevier, vol. 322(C).

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