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Reported racial discrimination, trust in physicians, and medication adherence among inner-city African Americans with hypertension

Author

Listed:
  • Cuffee, Y.L.
  • Hargraves, J.L.
  • Rosal, M.
  • Briesacher, B.A.
  • Schoenthaler, A.
  • Person, S.
  • Hullett, S.
  • Allison, J.

Abstract

Objectives. We sought to determine if reported racial discrimination was associated with medication nonadherence among African Americans with hypertension and if distrust of physicians was a contributing factor. Methods. Data were obtained from the TRUST project conducted in Birmingham, Alabama, 2006 to 2008. All participants were African Americans diagnosed with hypertension and receiving care at an inner city, safety net setting. Three categories of increasing adherence were defined based on the Morisky Medication Adherence Scale. Trust in physicians was measured with the Hall General Trust Scale, and discrimination was measured with the Experiences of Discrimination Scale. Associations were quantified by ordinal logistic regression, adjusting for gender, age, education, and income. Results. The analytic sample consisted of 227 African American men and 553 African American women, with a mean age of 53.7 69.9 years. Mean discrimination scores decreased monotonically across increasing category of medication adherence (4.1, 3.6, 2.9; P = .025), though the opposite was found for trust scores (36.5, 38.5, 40.8; P

Suggested Citation

  • Cuffee, Y.L. & Hargraves, J.L. & Rosal, M. & Briesacher, B.A. & Schoenthaler, A. & Person, S. & Hullett, S. & Allison, J., 2013. "Reported racial discrimination, trust in physicians, and medication adherence among inner-city African Americans with hypertension," American Journal of Public Health, American Public Health Association, vol. 103(11), pages 55-62.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2013.301554_7
    DOI: 10.2105/AJPH.2013.301554
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    Cited by:

    1. Edward Adinkrah & Mohsen Bazargan & Cheryl Wisseh & Shervin Assari, 2020. "Adherence to Hypertension Medications and Lifestyle Recommendations among Underserved African American Middle-Aged and Older Adults," IJERPH, MDPI, vol. 17(18), pages 1-15, September.
    2. J. Margo Brooks Carthon & Jessica Rearden & Darcy Pancir & Kerry Gamble & Helyn Rothwell, 2017. "“They’re on the Fast Track†: Older Blacks Describe Experiences of Nursing Care Quality During Hospitalization," Clinical Nursing Research, , vol. 26(5), pages 557-575, October.
    3. Alejandro Gil-Salmerón & Konstantinos Katsas & Elena Riza & Pania Karnaki & Athena Linos, 2021. "Access to Healthcare for Migrant Patients in Europe: Healthcare Discrimination and Translation Services," IJERPH, MDPI, vol. 18(15), pages 1-14, July.
    4. Mayumi Mizutani & Junko Tashiro & Maftuhah & Heri Sugiarto & Lily Yulaikhah & Riyanto Carbun, 2016. "Model development of healthy‐lifestyle behaviors for rural Muslim Indonesians with hypertension: A qualitative study," Nursing & Health Sciences, John Wiley & Sons, vol. 18(1), pages 15-22, March.

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