Correlates of physician trust among rural older adults with diabetes

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.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Age Factors
  • Aged
  • Black or African American / psychology
  • Diabetes Mellitus / psychology*
  • Disease Management*
  • Female
  • Health Status
  • Humans
  • Indians, North American / psychology
  • Male
  • Middle Aged
  • Patient Compliance / psychology
  • Physician-Patient Relations*
  • Rural Population*
  • Sex Factors
  • Trust*
  • White People / psychology