农村老年糖尿病患者对医生信任度的相关因素
Correlates of physician trust among rural older adults with diabetes.
作者信息
Bell Ronny A, Arcury Thomas A, Ip Edward, Grzywacz Joseph G, Nguyen Ha, Kirk Julienne K, Saldana Santiago, Quandt Sara A
机构信息
Department of Epidemiology and Prevention, Wake Forest School of Medicine, Winston-Salem, NC, USA.
出版信息
Am J Health Behav. 2013 Sep;37(5):660-6. doi: 10.5993/AJHB.37.5.10.
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.
摘要
目的
在一个患有糖尿病的农村多民族人群中，研究医生信任度与人口统计学、健康状况及糖尿病管理之间的相关性。
方法
563名年龄较大（≥60岁）的非裔美国人、美洲印第安人和白人成年人完成了家庭调查，其中包括11项医生总体信任量表。
结果
在以下人群中观察到较高的信任得分：年龄较大（>75岁）的参与者（p <.01）、患有较少（<3种）慢性健康问题的参与者（p <.01）、坚持体育活动（p <.05）和遵循散瞳眼科检查（p <.01）指南的参与者；在对潜在混杂因素进行调整后，后者仍具有显著意义（眼科检查，p = 0.019）或接近显著意义（体育活动，p = 0.051）。
结论
医生信任可能会影响患者对糖尿病管理建议的依从性。应努力在医患关系中建立信任，以改善患者的治疗效果。
相似文献
1
Correlates of physician trust among rural older adults with diabetes.农村老年糖尿病患者对医生信任度的相关因素
Am J Health Behav. 2013 Sep;37(5):660-6. doi: 10.5993/AJHB.37.5.10.
2
Perceptions of diabetes among patients in an urban health care system.城市医疗系统中患者对糖尿病的认知
Ethn Health. 2002 Nov;7(4):243-54. doi: 10.1080/1355785022000060709.
3
Physician Trust and Home Remedy Use Among Low-Income Blacks and Whites with Hypertension: Findings from the TRUST Study.《TRUST 研究：高血压的低收入黑人和白人对医生信任与家庭疗法的使用》
J Racial Ethn Health Disparities. 2019 Aug;6(4):830-835. doi: 10.1007/s40615-019-00582-z. Epub 2019 Mar 26.
4
Patient trust-in-physician and race are predictors of adherence to medical management in inflammatory bowel disease.患者对医生的信任和种族是炎症性肠病患者坚持药物治疗的预测因素。
Inflamm Bowel Dis. 2009 Aug;15(8):1233-9. doi: 10.1002/ibd.20883.
5
Hypothesized predictors of patient-physician trust and distrust in the elderly: implications for health and disease management.老年人医患信任与不信任的假设预测因素：对健康与疾病管理的启示
Clin Interv Aging. 2006;1(2):175-88. doi: 10.2147/ciia.2006.1.2.175.
6
Lower Levels of Trust in the Medical Profession Among White, Younger, and More-educated Individuals With Cancer.癌症患者中，白人、年轻人和受教育程度较高的人群对医疗行业的信任度较低。
Am J Clin Oncol. 2021 Apr 1;44(4):150-157. doi: 10.1097/COC.0000000000000771.
7
Dietary fat reduction behaviors among African American, American Indian, and white older adults with diabetes.非裔美国、美国印第安和白人老年糖尿病患者的膳食脂肪减少行为。
J Nutr Elder. 2009 Apr;28(2):143-57. doi: 10.1080/01639360902950158.
8
The Role of Perceived Discrimination and Other Psychosocial Factors in Explaining Diabetes Distress Among Older African American and White Adults.感知歧视及其他心理社会因素在解释老年非裔美国人和白人成年人糖尿病困扰中的作用。
J Appl Gerontol. 2020 Jan;39(1):99-104. doi: 10.1177/0733464817750273. Epub 2018 Jan 1.
9
The association of mental conditions with blood glucose levels in older adults with diabetes.老年糖尿病患者的精神状况与血糖水平的关系。
Aging Ment Health. 2012;16(8):950-7. doi: 10.1080/13607863.2012.688193. Epub 2012 May 29.
引用本文的文献
1
Systems, Social, and Individual Factors Influencing Glycemic Control Among American Indian/Alaska Native Adults with Type 2 Diabetes: A Systematic Review.影响美国印第安/阿拉斯加原住民2型糖尿病成年人血糖控制的系统、社会和个体因素：一项系统综述
J Racial Ethn Health Disparities. 2025 Apr 16. doi: 10.1007/s40615-025-02320-0.
2
Correlates of Patient Trust in Doctors: Demographic Factors and Experiences of Medical Care Discrimination.患者对医生信任的相关因素：人口统计学因素及医疗歧视经历
J Gen Intern Med. 2025 Mar 31. doi: 10.1007/s11606-025-09474-x.
3
Engaging At-Risk Rural Residents in Secondary Lung Cancer Prevention.农村高危人群肺癌二级预防参与。
J Prim Care Community Health. 2023 Jan-Dec;14:21501319231163368. doi: 10.1177/21501319231163368.
4
Relationship between self-care compliance, trust, and satisfaction among hypertensive patients in China.中国高血压患者的自我护理依从性、信任和满意度之间的关系。
Front Public Health. 2023 Jan 18;10:1085047. doi: 10.3389/fpubh.2022.1085047. eCollection 2022.
5
Forty years after Alma-Ata: how people trust primary health care?四十年后的阿拉木图：人们如何信任初级卫生保健？
BMC Public Health. 2020 Jun 15;20(1):942. doi: 10.1186/s12889-020-09082-w.
6
Qualitative Study of Treatment Preferences for Rheumatoid Arthritis and Pharmacotherapy Acceptance: Indigenous Patient Perspectives.类风湿关节炎治疗偏好和药物治疗接受度的定性研究：土著患者观点。
Arthritis Care Res (Hoboken). 2020 Apr;72(4):544-552. doi: 10.1002/acr.23869.
7
Identification of barriers, facilitators and system-based implementation strategies to increase teleophthalmology use for diabetic eye screening in a rural US primary care clinic: a qualitative study.识别障碍、促进因素和基于系统的实施策略，以增加美国农村初级保健诊所中远程眼科检查在糖尿病眼病筛查中的使用：一项定性研究。
BMJ Open. 2019 Feb 18;9(2):e022594. doi: 10.1136/bmjopen-2018-022594.
8
Two Medicaid health plans' models and motivations for improving colorectal cancer screening rates.两家医疗补助健康计划提高结直肠癌筛查率的模式与动机。
Transl Behav Med. 2020 Feb 3;10(1):68-77. doi: 10.1093/tbm/iby094.
9
Adherence to Insulin, Emotional Distress, and Trust in Physician Among Patients with Diabetes: A Cross-Sectional Study.糖尿病患者的胰岛素依从性、情绪困扰及对医生的信任：一项横断面研究。
Diabetes Ther. 2018 Apr;9(2):713-726. doi: 10.1007/s13300-018-0389-1. Epub 2018 Mar 8.
10
The Role of Perceived Discrimination and Other Psychosocial Factors in Explaining Diabetes Distress Among Older African American and White Adults.感知歧视及其他心理社会因素在解释老年非裔美国人和白人成年人糖尿病困扰中的作用。
J Appl Gerontol. 2020 Jan;39(1):99-104. doi: 10.1177/0733464817750273. Epub 2018 Jan 1.
本文引用的文献
1
Trust in primary care providers and antiretroviral adherence in an urban HIV clinic.城市艾滋病诊所中对初级保健提供者的信任与抗逆转录病毒治疗依从性
J Health Care Poor Underserved. 2012 Feb;23(1):88-98. doi: 10.1353/hpu.2012.0006.
2
Standards of medical care in diabetes--2012.《糖尿病医疗护理标准——2012》
Diabetes Care. 2012 Jan;35 Suppl 1(Suppl 1):S11-63. doi: 10.2337/dc12-s011.
3
Older adults' common sense models of diabetes.老年人对糖尿病的常识模型。
Am J Health Behav. 2011 May;35(3):318-33. doi: 10.5993/ajhb.35.3.6.
4
Rural/urban variations in diabetes self-care and quality of care in a national sample of US adults with diabetes.美国糖尿病患者全国样本中农村/城市糖尿病自我护理和护理质量的差异。
Diabetes Educ. 2011 Mar-Apr;37(2):254-62. doi: 10.1177/0145721710394875. Epub 2011 Feb 2.
5
6
Advances in hemoglobin A1c point of care technology.糖化血红蛋白即时检测技术的进展。
J Diabetes Sci Technol. 2007 May;1(3):405-11. doi: 10.1177/193229680700100314.
7
Racial differences in trust and regular source of patient care and the implications for prostate cancer screening use.患者护理的信任度、常规来源方面的种族差异以及对前列腺癌筛查使用的影响。
Cancer. 2009 Nov 1;115(21):5048-59. doi: 10.1002/cncr.24539.
8
AADE position statement. Individualization of diabetes self-management education.美国糖尿病教育者协会立场声明。糖尿病自我管理教育的个体化
Diabetes Educ. 2007 Jan-Feb;33(1):45-9. doi: 10.1177/0145721706298308.
9
Understanding African Americans' views of the trustworthiness of physicians.了解非裔美国人对医生可信度的看法。
J Gen Intern Med. 2006 Jun;21(6):642-7. doi: 10.1111/j.1525-1497.2006.00485.x.
10
Racial differences in trust in health care providers.对医疗服务提供者信任度的种族差异。
Arch Intern Med. 2006 Apr 24;166(8):896-901. doi: 10.1001/archinte.166.8.896.
Zotero 插件