Does Patient–Provider Racial/Ethnic Concordance Influence Ratings of Trust in People with HIV Infection?
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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.
KeywordsHIV Race Trust
This study was supported by the Centers for Disease Control and Prevention, Minority HIV/AIDS Research Initiative (#U65/CCU223363-03), the Center for AIDS Research at the Albert Einstein College of Medicine and Montefiore Medical Center funded by the National Institutes of Health (NIH AI-51519), and the Health Resources and Services Administration, HIV/AIDS Bureau, Special Projects of National Significance, (#H97 HA 00247-03). Dr. Cunningham is supported by the Robert Wood Johnson Foundation's Harold Amos Medical Faculty Development Program. Preliminary results from this analysis were presented in part at the International Conference on Urban Health, Toronto, Canada: October 2005. We gratefully acknowledge Dr. N. Fernando for her contributions to this work.
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