Authors: Bell, Ronny A.¹; Arcury, Thomas A.²; Ip, Edward³; Grzywacz, Joseph G.²; Nguyen, Ha²; Kirk, Julienne K.²; PharmD³; Saldana, Santiago¹; Quandt, Sara A.¹

Source: American Journal of Health Behavior, Volume 37, Number 5, September 2013 , pp. 660-666(7)

Publisher: PNG Publications

Abstract:

Objectives: To examine the demographic, health and diabetes management correlates of physician trust in a rural, multiethnic population with diabetes. Methods: 563 older (≥ 60 years) African American, American Indian and White adults completed in-home surveys, including the 11-item General Trust in Physicians Scale. Results: Higher trust scores were seen among: older (>75) participants (p < .01), those with fewer (<3) chronic health conditions (p < .01), and those who adhered to physical activity (p < .05) and dilated eye exam (p < .01) guidelines; the latter remained significant (eye exam, p = .019) or approached significance (physical activity, p = .051) after adjustment for potential confounders. Conclusions: Physician trust may influence patient adherence to diabetes management recommendations. Efforts should be made to build trust in the patient-provider relationship to enhance patient outcomes.

Keywords: PHYSICIAN TRUST; DIABETES SELF-MANAGEMENT; RURAL OLDER ADULTS; ETHNIC MINORITY POPULATIONS

Document Type: Research article

DOI: http://dx.doi.org/10.5993/AJHB.37.5.10

Affiliations: 1: Department of Epidemiology and Prevention, Wake Forest School of Medicine, Winston-Salem, NC 2: Department of Family and Community Medicine, Wake Forest School of Medicine, Winston-Salem, NC 3: Department of Biostatistical Sciences, Wake Forest School of Medicine, Winston-Salem, NC

Publication date: 2013-09-01

More about this publication?

• The American Journal of Health Behavior seeks to improve the quality of life through multidisciplinary health efforts in fostering a better understanding of the multidimensional nature of both individuals and social systems as they relate to health behaviors.
  
  The Journal aims to provide a comprehensive understanding of the impact of personal attributes, personality characteristics, behavior patterns, social structure, and processes on health maintenance, health restoration, and health improvement; to disseminate knowledge of holistic, multidisciplinary approaches to designing and implementing effective health programs; and to showcase health behavior analysis skills that have been proven to affect health improvement and recovery.
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• By this author: Bell, Ronny A. ;  Arcury, Thomas A. ;  Ip, Edward ;  Grzywacz, Joseph G. ;  Nguyen, Ha ;  Kirk, Julienne K. ;  PharmD ;  Saldana, Santiago ;  Quandt, Sara A.

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