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Attitudes about Racism, Medical Mistrust, and Satisfaction with Care among African American and White Cardiac Patients
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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“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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Hamm, J. A., Lee, J., Trinkner, R. J., Wingrove, T., Leben, S., & Breuer, C. (2015) · Springer eBooks · doi:10.1007/978-3-319-22261-5_8 · Cited by 33
Measuring African-American parents' cultural mistrust while in a healthcare setting: a pilot study.
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Metadata
- 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
- 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
- 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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