AIDS and Behavior

, Volume 11, Issue 6, pp 884–896

Does Patient–Provider Racial/Ethnic Concordance Influence Ratings of Trust in People with HIV Infection?

  • Nancy Lynn Sohler
  • Lisa K. Fitzpatrick
  • Rebecca G. Lindsay
  • Kathryn Anastos
  • Chinazo O. Cunningham
Original Paper

DOI: 10.1007/s10461-007-9212-0

Cite this article as:
Sohler, N.L., Fitzpatrick, L.K., Lindsay, R.G. et al. AIDS Behav (2007) 11: 884. doi:10.1007/s10461-007-9212-0


Despite widely available and effective treatments, there are racial/ethnic disparities in HIV-related mortality rates. The reason for inadequate HIV/AIDS management among minority populations is not fully understood, however recent research indicates that patients rate the quality of their health care higher if they are racially/ethnically concordant with their providers. As trust plays prominently on health care ratings, we examined whether racial/ethnicity concordance was associated with two dimensions of trust, trust in the provider and mistrust in the health care system, in 380 HIV infected people New York City. In this sample, concordance was associated with lower mistrust in the health care system, but not with trust in provider. We conclude that in this patient population and within the health care system available to them, racial/ethnic concordance might be more important for helping patients to understand and navigate the health care system rather than in interpersonal relationships with a single provider.



Copyright information

© Springer Science+Business Media, LLC 2007

Authors and Affiliations

  • Nancy Lynn Sohler
    • 1
  • Lisa K. Fitzpatrick
    • 2
  • Rebecca G. Lindsay
    • 3
  • Kathryn Anastos
    • 4
  • Chinazo O. Cunningham
    • 5
  1. 1.Sophie Davis Medical SchoolCity University of New YorkNew YorkUSA
  2. 2.Centers for Disease Control and PreventionAtlantaUSA
  3. 3.Department of Family and Social MedicineMontefiore/Albert Einstein College of MedicineBronxUSA
  4. 4.Department of Epidemiology and Population HealthMontefiore/Albert Einstein College of MedicineBronxUSA
  5. 5.Division of General Internal MedicineMontefiore/Albert Einstein College of MedicineBronxUSA