Disaggregating ethnoracial disparities in physician trust

Soc Sci Res. 2015 Nov:54:1-20. doi: 10.1016/j.ssresearch.2015.06.020. Epub 2015 Jun 27.

Abstract

Past research yields mixed evidence regarding whether ethnoracial minorities trust physicians less than Whites. Using the 2002 and 2006 General Social Surveys, variegated ethnoracial differences in trust in physicians are identified by disaggregating a multidimensional physician trust scale. Compared to Whites, Blacks are less likely to trust the technical judgment and interpersonal competence of doctors. Latinos are less likely than Whites to trust the fiduciary ethic, technical judgment, and interpersonal competence of doctors. Black-Latino differences in physician trust are a function of ethnoracial differences in parental nativity. The ways ethnoracial hierarchies are inscribed into power-imbalanced clinical exchanges are discussed.

Keywords: Doctors; Medical sociology; Medicine; Patient–physician relationship; Race; Trust.

MeSH terms

  • Attitude to Health*
  • Black or African American*
  • Hispanic or Latino*
  • Humans
  • Physician-Patient Relations*
  • Physicians*
  • Surveys and Questionnaires
  • Trust*
  • White People*