Disaggregating ethnoracial disparities in physician trust

Sewell, Abigail A.

doi:10.1016/j.ssresearch.2015.06.020

Cited by 72 publications

(51 citation statements)

References 71 publications

(117 reference statements)

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“…The difference was least pronounced in Asians . Other studies also speculated on the black population's lack of trust of its ESRD and CKD providers, perhaps related to their different ethnic backgrounds . It is likely that the unique cosmopolitan demographic of urban cities has dimmed this effect.…”

Section: Discussionmentioning

confidence: 99%

Utilization of peritoneal dialysis in the United States: Reasons for underutilization, specifically in New York State and the boroughs of New York City

Yap

Joseph

Sharma

et al. 2020

Seminars in Dialysis

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Peritoneal dialysis (PD) is currently underutilized in the United States (US), even within resource‐rich neighborhoods. We analyzed data from US Renal Data Service to determine PD utilization within the US, New York State (NYS), selected boroughs within New York City (NYC), and Boston, Massachusetts. We then compared the odds of selecting PD with hemodialysis (HD) and analyzed how diabetes mellitus status, age >65 years, gender, and race influenced PD utilization between 2010 and 2016. We then compared a high‐volume PD center (HVC) with a low‐volume PD center (LVC). The odds of starting PD vs HD were as follows: Brooklyn 0.30 (0.25‐0.36; <0.0001), Bronx 0.56 (0.47‐0.67; <0.0001), Queens 0.66 (0.54‐0.80; <0.0001), and Manhattan 0.61 (0.52‐0.71; <0.0001). In 2016, the odds of starting PD compared with the rest of the US were as follows: Brooklyn 0.14 (0.08‐0.22; <0.0001), Bronx 0.39 (0.27‐0.56; <0.0001), Queens 0.32 (0.23‐0.45; <0.0001), Manhattan 0.54 (0.36‐0.79; 0.002), and Boston 0.89 (0.58‐1.4; 0.624). Analysis of influencing factors showed that only age >65 significantly (<0.0001) influenced PD modality selection in Brooklyn and Boston. Differences between HVC and LVC in terms of modality transition, peritonitis rate, or provider:patient ratio were not statistically significant. Factors that influence PD utilization in urban neighborhoods are discussed and remediation measures are proposed.

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Section: Discussionmentioning

confidence: 99%

Utilization of peritoneal dialysis in the United States: Reasons for underutilization, specifically in New York State and the boroughs of New York City

Yap

Joseph

Sharma

et al. 2020

Seminars in Dialysis

View full text Add to dashboard Cite

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“…Research has found that Latinos report less trust in doctors than both Whites and African Americans (Sewell, 2015). In the present study, medical mistrust was found to be in the middle range ( M = 2.09).…”

Section: Discussionmentioning

confidence: 99%

Medical mistrust as a key mediator in the association between perceived discrimination and adherence to antiretroviral therapy among HIV-positive Latino men

et al. 2017

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“…). However, other research has found that it is English‐speaking Latinos who are more likely to distrust physicians than Whites or even Blacks (Sewell ). This would imply that more explicit discrimination against Hispanic patients is taking place than is suggested by cultural competency problems.…”

Section: Literaturementioning

confidence: 99%

The Effect of Segregated Cities on Ethnoracial Minority Healthcare System Distrust

Gibbons¹

2019

City & Community

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Distrust of the health system is a longstanding issue for ethnoracial minorities, especially for Blacks. Not well understood, however, is the role that ethnoracial segregation within a city plays in this distrust. While segregation is typically associated with neighborhood ills, there is evidence that it can also moderate distrust. This study draws on the 2008 wave of the Public Health Management Corporation's Southeastern Pennsylvania Household Health Survey and the 2005–2009 American Community Survey to explore the possibility that segregation affects healthcare system distrust. Using hierarchical linear modeling, we find that residence in predominantly Black neighborhoods was associated with less distrust in the healthcare system for Black respondents, while residence in mixed neighborhoods was associated with more distrust for Black respondents. These findings call for a reevaluation of how healthcare system distrust is understood. Distrust has been connected to poorer health outcomes, playing into wider gaps in ethnoracial minority health outcomes.

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Disaggregating ethnoracial disparities in physician trust

Cited by 72 publications

References 71 publications

Utilization of peritoneal dialysis in the United States: Reasons for underutilization, specifically in New York State and the boroughs of New York City

Utilization of peritoneal dialysis in the United States: Reasons for underutilization, specifically in New York State and the boroughs of New York City

Medical mistrust as a key mediator in the association between perceived discrimination and adherence to antiretroviral therapy among HIV-positive Latino men

The Effect of Segregated Cities on Ethnoracial Minority Healthcare System Distrust

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