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Correlates of Physician Trust among Rural Older Adults with Diabetes

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

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: September 1, 2013

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  • 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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