Ramona Benkert|Adolfo G. Cuevas|Hayley S. Thompson|Emily Dove?Medows|Donulae Knuckles
Ubiquitous Yet Unclear: A Systematic Review of Medical Mistrust
Wayne State University|Tufts University|Wayne State University|The Barbara Ann Karmanos Cancer Institute|Wayne State University|Wayne State University
peerreviewed articles n 124 examining associations medical mistrust mm health outcomes four databases january 1998 may 2018 reviewed 36 qualitative 88 quantitative studies met inclusion criteria williams mohammed framework guided narrative synthesis studies argues basic causes eg biased institutions affect social status marginalized groups turn effects multiple proximal pathways leading responses poor health studies crosssectional usbased samples mm qualitative studies categorized interpersonal n 30 systemic n 22 andor vicarious n 18 25 explicitly note basic causes mm raceethnicity often confounded socioeconomic status ses three studies discussed association mm behavior response study focused actual health outcome quantitative studies used multivariate regression analyses 15 88 utilized advanced modeling techniques eg mediation 75 studies describe basic causes mm 43 utilized low income samples mm conceptualized predictorproximal pathway 73 studies associated variety responses commonly behavioral eg diminished adherence 14 studies found association mm specific health measure review underscores need future qualitative studies place mm central research questions indepth descriptions mm limited future quantitative studies replicate findings using advanced analytical strategies examine relationship mm health outcomes