Attitudes about racism, medical mistrust, and satisfaction with care among African American and white cardiac patients

LaVeist, Thomas A.; Nickerson, Kim J.; Bowie, Janice V.

doi:10.1177/1077558700057001s07

Cited by 918Patient Satisfaction in HealthcareRacial and Ethnic Identity ResearchHealth disparities and outcomes

Attitudes about racism, medical mistrust, and satisfaction with care among African American and white cardiac patients

LaVeist, Thomas A., Nickerson, Kim J., Bowie, Janice V.·2000·Medical Care Research and Review

DOI 10.1177/1077558700057001s07

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Abstract

The authors examine determinants of satisfaction with medical care among 1,784 (781 African American and 1,003 white) cardiac patients. Patient satisfaction was modeled as a function of predisposing factors (gender, age, medical mistrust, and perception of racism) and enabling factors (medical insurance). African Americans reported less satisfaction with care. Although both black and white patients tended not to endorse the existence of racism in the medical care system, African American patients were more likely to perceive racism. African American patients were significantly more likely to report mistrust. Multivariate analysis found that the perception of racism and mistrust of the medical care system led to less satisfaction with care. When perceived racism and medical mistrust were controlled, race was no longer a significant predictor of satisfaction.

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Utilizing an in-person sample was critical because it facilitated the collection of laboratory-based biomarker measurements and other data among a group with historically high levels of institutional mistrust.
“However, utilizing an in-person sample was critical because it facilitated the collection of laboratory-based biomarker measurements and other data among a group with historically high levels of institutional mistrust (LaVeist et al., 2000).”
From Superwoman Schema and John Henryism among African American women: An intersectional perspective on coping with racism (2023) · cites this paper as LaVeist et al., 2000

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Authors: LaVeist, T. A., Nickerson, K. J., & Bowie, J. V.
Affiliations: Johns Hopkins University (US)
American Psychological Association (US)
ORCID: Bowie, Janice V.
Venue: Medical Care Research and Review
Publisher: SAGE Publications
Published: 2000-11
Volume: 57
Issue: 1_suppl
Pages: 146-161
ISSN: 1077-5587 (ISSN-L)
1552-6801
DOI: 10.1177/1077558700057001s07
OpenAlex: W2119981994
Cited by: 918
References: 25
Citations by year: 2026: 13 · 2025: 28 · 2024: 35 · 2023: 34 · 2022: 42 · 2021: 47 · 2020: 29 · 2019: 38 · 2018: 23 · 2017: 69 · 2016: 41 · 2015: 49 · 2014: 37 · 2013: 49 · 2012: 43
FWCI: 51.49
Type: journal article
Language: en
Open access: closed
Licence: journals.sagepub.com/page/policies/text-and-data-mining-license (tdm)
Locations: Medical Care Research and Review (publishedVersion)
PubMed (publishedVersion)
DigitalGeorgetown (Georgetown University Library) (submittedVersion)
Funders: National Institutes of Health (1r01hl059621-01)
National Heart, Lung, and Blood Institute (R01HL59621)
Topics: Health Sciences › Health Professions › General Health Professions › Patient Satisfaction in Healthcare
Social Sciences › Sociology and Political Science › Racial and Ethnic Identity Research
Social Sciences › Health › Health disparities and outcomes
Keywords: patient satisfaction, perceived racism, medical mistrust, racial disparities, African American patients, cardiac patients, quality of care, health insurance
MeSH terms: Aged, Aged, 80 and over, Black or African American, Female, Heart Diseases, Humans, Male, Maryland, Middle Aged, Prejudice, Referral and Consultation, Causality, Coronary Angiography, Patient Satisfaction, Health Care Surveys, White People

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Attitudes about racism, medical mistrust, and satisfaction with care among African American and white cardiac patients

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