Development of a Revised Health Care System Distrust Scale

Shea, Judy A.; Micco, Ellyn; Dean, Lorraine T.; McMurphy, Suzanne; Schwartz, J. Sanford; Armstrong, Katrina

doi:10.1007/s11606-008-0575-3

Cited by 175 publications

(222 citation statements)

References 29 publications

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“…This result echoed a recent finding-distrust varied by demographics and SES covariates, but had an independent impact on self-rated health. 15,36,43 The access to medical services measures (model IV) did not change this substantive finding.…”

Section: Resultsmentioning

confidence: 82%

“…16,34,35 The independent variables can be categorized into 4 groups. Of primary substantive interest to us is a 9-item health care system distrust scale developed by Shea et al 36 The reliability and validity of this scale have been tested and reported elsewhere. 36 Using the 2008 data and factor analysis with the varimax rotation method, we follow Shea et al and divide distrust into 2 sub-scales that capture different dimensions of distrust: competence and values distrust.…”

Section: Methodsmentioning

confidence: 99%

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Individual Health Care System Distrust and Neighborhood Social Environment: How Are They Jointly Associated with Self-rated Health?

2011

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Americans' distrust in the health care system has increased in the past decades; however, little research has explored the impact of distrust on self-rated health and even less is known about whether neighborhood social environment plays a role in understanding the relationship between distrust and self-rated health. This study fills these gaps by investigating both the direct and moderating associations of neighborhood social environment with self-rated health. Our analysis is based on the 2008 Philadelphia Health Management Corporation's household survey and neighborhood-level data. Findings from multilevel logistic regression show that after controlling for individual-and neighborhood-level covariates, distrust is directly and adversely related to self-rated health, and that neighborhood social affluence and stability are directly and negatively associated with the odds of reporting poor/fair health. Neighborhood disadvantage and crime rates are not directly related to self-rated health, but increase the odds of having poor/fair health via distrust. Overall, our results suggest that macro-level actions can alter individual's perception of residential environment and lead to improved health. To improve the public health in an urban setting, rebuilding confidence in the health care system is integral, and the policies that help establish safe and cohesive neighborhoods may reduce the adverse effect of distrust on self-rated health.

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Section: Resultsmentioning

confidence: 82%

Section: Methodsmentioning

confidence: 99%

Individual Health Care System Distrust and Neighborhood Social Environment: How Are They Jointly Associated with Self-rated Health?

2011

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show abstract

“…This was an extension of pilot research on help-seeking behaviors in lung cancer patients in which delayed help-seeking behavior was a prominent theme in the findings. Research supports the notion that healthcare system distrust (Egede & Ellis, 2008;Katapodi, Pierce, & Facione, 2010;Shea et al, 2008), lung cancer stigma (Cataldo, Slaughter, Jahan, Pongquan, & Hwang, 2011;Else-Quest, Loconte, Schiller, & Hyde, 2009), and smoking status (Stuber, Galea, & Link, 2008) may influence the timing of help-seeking behavior. Lung cancer stigma (Cataldo et al, 2011;Else-Quest et al, 2009) and smoking status (Stuber et al, 2008) have been examined in a few studies; however, delayed help-seeking behavior was not the primary focus.…”

Section: Purpose Of the Studymentioning

confidence: 70%

“…Distrust is an important barrier to perceived access to healthcare (Katapodi et al, 2010;McAlearney et al, 2012;Shea et al, 2008;Yang, Matthews, & Hillemeier, 2011). The overall mean distrust score for this sample was 30.37 on a scale that ranged from 9 (low level of distrust) to 45 (high level of distrust).…”

Section: Instrumentsmentioning

confidence: 94%

“…"One of the most fundamental characteristics of trust is that it is fragile; it is created rather slowly, while it can be destroyed instantly by a single act of betrayal" (Katapodi et al, 2010, p. 976). Researchers have produced a small body of literature that has opened the dialogue to the measurement of healthcare system distrust (Egede & Ellis, 2008;Rose et al, 2004;Shea et al, 2008).…”

Section: Healthcare System Distrustmentioning

confidence: 99%

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