David Moskowitz|David H. Thom|David Guzman|Joanne Penko|Christine Miaskowski|Margot Kushel
Is Primary Care Providers’ Trust in Socially Marginalized Patients Affected by Race?
San Francisco General Hospital|University of California, San Francisco|University of California, San Francisco|San Francisco General Hospital|University of California, San Francisco|San Francisco General Hospital|University of California, San Francisco|University of California, San Francisco|San Francisco General Hospital|University of California, San Francisco
interpersonal trust plays important role clinic visit clinician trust patient may especially important prescribing opioid analgesics concerns misuse previous studies found nonwhite patients perceived negatively cliniciansto examine whether clinicians trust patients differed patients raceethnicity socially marginalized cohortcrosssectional study patientclinician dyads169 hiv infected indigent patients recruited community 61 primary care providers pcpsthe physician trust patients scale ptps validated scale measures pcps trust patientsthe mean ptps score 432 sd 108 possible 60 reported current illicit drug use prescription opioid misuse similar across patients race ethnicity however patient illicit drug use patient nonwhite raceethnicity associated lower ptps scores multivariate model nonwhite raceethnicity independently associated ptps scores 63 points lower whites 95 ci 99 27 current illicit drug use associated ptsp scores 55 lower drug use 95 ci 85 25in socially marginalized cohort nonwhite patients trusted less white patients pcps despite similar rates illicit drug use opioid analgesic misuse effect independent illicit drug use finding may reflect unconscious stereotypes pcps may underlie disparities chronic pain management