Impact of sociodemographic factors and previous interactions with the health care system on institutional trust in three racial/ethnic groups
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Objective Our objective was to explore whether there are differences in institutional trust across racial/ethnic groups and what factors might contribute to these differences. Methods We studied a convenience sample of 569 adults in Chicago grocery stores who self-identified as African American, Mexican-Hispanic, or white. We measured institutional trust and dichotomized responses into "high" and "low" trust. We used chi squared tests to examine differences in institutional trust across racial/ethnic groups and stepwise multivariable logistic regression to investigate how sociodemographic factors, health care access, health care usage, and previous negative experience with the health care system modified this relationship. Results In unadjusted analysis, race/ethnicity was significantly associated with institutional trust (p<0.001). In the fully adjusted model, African Americans and Mexican-Hispanics had greater odds of reporting low trust compared to whites (OR: 1.90; 95%CI, 1.13-3.17; and OR: 2.34; 95%CI, 1.43-3.81, respectively); reporting a previous negative health care experience was the only other factor significantly related to having low trust (OR: 2.84; 95%CI, 1.83-4.41). Conclusion We found lower institutional trust in African Americans and Mexican-Hispanics and among participants reporting previous negative health care experiences. Practice implications Improving health care experiences, especially for racial/ethnic minority groups, could improve institutional trust and decrease health disparities in these populations.
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Characteristics of the study team may inform whether participants opt in to studies, as racial and ethnic minority communities are more likely to trust those that are like them and understand their experiences.
“Characteristics of the study team may also inform whether participants opt in to studies, as racial and ethnic minority communities are more likely to trust those that are like them and understand their experiences.54,55,56,57”
From Association of Demographic and Socioeconomic Indicators With the Use of Wearable Devices Among Children (2023) · cites this paper as [56]
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LaVeist, T. A., Nickerson, K. J., & Bowie, J. V. (2000) · Medical Care Research and Review · doi:10.1177/1077558700057001s07 · Cited by 918 · see citing works
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Kim, E. H., Jenness, J. L., Miller, A. B., Halabi, R., de Zambotti, M., Bagot, K. S., Baker, F. C., & Pratap, A. (2023) · JAMA Network Open · doi:10.1001/jamanetworkopen.2023.5681 · Cited by 53 · see citing works
- Authors
- Schwei, R. J., Kadunc, K., Nguyen, A. L., & Jacobs, E. A.
- Affiliations
- University of Wisconsin–Madison (US)
- Corresponding author
- Jacobs, Elizabeth A.
- Venue
- Patient Education and Counseling
- Publisher
- Elsevier BV
- Published
- 2014-09
- Volume
- 96
- Issue
- 3
- Pages
- 333-338
- ISSN
- 0738-3991 (ISSN-L)
- PMC
- PMC4145031
- OpenAlex
- W1985124869
- Cited by
- 83
- References
- 1
- Citations by year
- 2026: 8 · 2025: 5 · 2024: 19 · 2023: 6 · 2022: 9 · 2021: 9 · 2020: 6 · 2019: 2 · 2018: 6 · 2017: 6 · 2016: 4 · 2015: 2 · 2014: 1
- FWCI
- 5.54
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Patient Education and Counseling (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institutes of Health (1R21HD057473-01A1)
- National Center for Research Resources (1UL1RR025011)
- National Center for Advancing Translational Sciences (9U54TR000021)
- Topics
- Social Sciences › Health › Health disparities and outcomes
- Health Sciences › Health Professions › General Health Professions › Patient-Provider Communication in Healthcare
- Social Sciences › Sociology and Political Science › Cultural Competency in Health Care
- Keywords
- institutional trust, racial and ethnic disparities, African Americans, Mexican Americans, health care access, health care utilization, sociodemographic factors, health disparities, trust in healthcare system
- MeSH terms
- Adolescent, Adult, Attitude to Health, Black or African American, Chicago, Delivery of Health Care, Female, Health Services Accessibility, Hispanic or Latino, Humans, Male, Middle Aged, Surveys and Questionnaires, Socioeconomic Factors, Focus Groups, Trust, Black People, White People, Young Adult
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