Blackstock Oni J, Addison Dianne N, Brennan Jennifer S, Alao Oladipo A
Department of Internal Medicine at Yale University School of Medicine, New Haven, CT 06510, USA.
J Health Care Poor Underserved. 2012 Feb;23(1):88-98. doi: 10.1353/hpu.2012.0006.
Interpersonal trust is an integral component of the patient-provider relationship and has been associated with patient adherence to medications. Studies suggest African Americans may have lower levels of trust in their health care providers than non-Hispanic Whites. This study examines the association between trust in one's primary care provider (PCP) and antiretroviral (ARV) adherence among 175 patients at an urban HIV clinic. Interviews elicited participants' level of trust in their current PCP using a multiple-item trust scale and assessed ARV adherence with a seven-day recall questionnaire. Logistic regression was used to ascertain the effect of trust in PCP on ARV adherence. High trust in PCP was significantly associated with increased odds of ARV adherence compared with low trust (adjusted odds ratio, 2.67; 95% confidence interval, 1.24 to 5.76; p=.01). Enhancing trust in PCPs may be a good target for interventions to improve ARV adherence, particularly among African American patients.
人际信任是医患关系的一个重要组成部分，并且与患者坚持服药有关。研究表明，非裔美国人对其医疗服务提供者的信任程度可能低于非西班牙裔白人。本研究调查了城市一家艾滋病诊所的175名患者对其初级保健医生（PCP）的信任与抗逆转录病毒（ARV）治疗依从性之间的关联。通过访谈，使用多项目信任量表得出参与者对其当前初级保健医生的信任程度，并通过一份七天回忆问卷评估抗逆转录病毒治疗的依从性。采用逻辑回归来确定对初级保健医生的信任对抗逆转录病毒治疗依从性的影响。与低信任相比，对初级保健医生的高度信任与抗逆转录病毒治疗依从性增加的几率显著相关（调整后的优势比为2.67；95%置信区间为1.24至5.76；p = 0.01）。增强对初级保健医生的信任可能是改善抗逆转录病毒治疗依从性干预措施的一个良好目标，尤其是在非裔美国患者中。
