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

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

American Journal of Public Health, 2013, vol. 103, issue 11, e55-e62

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

Keywords: adult; African American; doctor patient relation; female; health survey; human; hypertension; male; medication compliance; middle aged; racism; self report; sensitivity and specificity; trust; United States; urban population; article; hypertension, Adult; African Americans; Alabama; Female; Health Surveys; Humans; Hypertension; Male; Medication Adherence; Middle Aged; Physician-Patient Relations; Racism; Self Report; Sensitivity and Specificity; Trust; Urban Population, Adult; African Americans; Alabama; Female; Health Surveys; Humans; Hypertension; Male; Medication Adherence; Middle Aged; Physician-Patient Relations; Racism; Self Report; Sensitivity and Specificity; Trust; Urban Population (search for similar items in EconPapers)
Date: 2013
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Citations: View citations in EconPapers (4)

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Persistent link: https://EconPapers.repec.org/RePEc:aph:ajpbhl:10.2105/ajph.2013.301554_7

DOI: 10.2105/AJPH.2013.301554

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