Yendelela Cuffee|J. Lee Hargraves|Milagros C. Rosal|Becky A. Briesacher|Antoinette Schoenthaler|Sharina D. Person|Sandral Hullett|Jeroan J. Allison
Reported Racial Discrimination, Trust in Physicians, and Medication Adherence Among Inner-City African Americans With Hypertension
University of Massachusetts Chan Medical School|New York University|University of Massachusetts Chan Medical School|New York University|University of Massachusetts Chan Medical School|New York University|University of Massachusetts Chan Medical School|New York University|University of Massachusetts Chan Medical School|New York University|University of Massachusetts Chan Medical School|New York University|University of Massachusetts Chan Medical School|New York University|University of Massachusetts Chan Medical School|New York University
objectives sought determine reported racial discrimination associated medication nonadherence among african americans hypertension distrust physicians contributing factor methods data obtained trust project conducted birmingham alabama 2006 2008 participants african americans diagnosed hypertension receiving care inner city safety net setting three categories increasing adherence defined based morisky medication adherence scale trust physicians measured hall general trust scale discrimination measured experiences discrimination scale associations quantified ordinal logistic regression adjusting gender age education income results analytic sample consisted 227 african american men 553 african american women mean age 537 99 years mean discrimination scores decreased monotonically across increasing category medication adherence 41 36 29 p 025 though opposite found trust scores 365 385 408 p lt 001 trust mediated 39 95 confidence interval 17 100 association discrimination medication adherence conclusions within sample inner city african americans hypertension racial discrimination associated lower medication adherence association partially mediated trust physicians patient physician system approaches increase earned trust may enhance existing interventions promoting medication adherence