Mistrust of Researchers Correlates with Stroke Knowledge among Minority Seniors in a Community Intervention Trial

Medical mistrust influences patients’ treatment seeking, adherence, health behaviors, and minority participation in research studies. However, medical mistrust remains understudied within neurological diseases like stroke despite disproportionately affecting minority populations. This study examines...

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Bibliographic Details
Published in:Journal of stroke and cerebrovascular diseases 2020-01, Vol.29 (1), p.104466-104466, Article 104466
Main Authors: Saadi, Altaf, Kim, Angela Y, Menkin, Josephine A, Carrillo, Carmen A, Reyes, Carmen E, Sarkisian, Catherine A
Format: Article
Language:English
Subjects:
Age Factors
Aged
Aged, 80 and over
Aging - ethnology
Aging - psychology
Attitude of Health Personnel
Cross-Sectional Studies
Cultural Characteristics
Culturally Competent Care - ethnology
Curriculum
disparities
elderly
Female
health education
Health Knowledge, Attitudes, Practice - ethnology
Humans
Male
minorities
Minority Groups - psychology
Patient Education as Topic - methods
Preventive Health Services
Professional-Patient Relations
Randomized Controlled Trials as Topic
Research Personnel - psychology
Research Subjects - psychology
Stroke
Stroke - diagnosis
Stroke - ethnology
Stroke - prevention & control
Stroke - psychology
Trust
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Summary:Medical mistrust influences patients’ treatment seeking, adherence, health behaviors, and minority participation in research studies. However, medical mistrust remains understudied within neurological diseases like stroke despite disproportionately affecting minority populations. This study examines the relationship of medical mistrust with stroke knowledge among Black, Latino, Korean, and Chinese-Americans. Subjects greater than 60 years were enrolled from senior centers to test a culturally-tailored educational curriculum around stroke risk reduction in a randomized controlled trial. A Trust Physician Scale and a modified Trust of Medical Researchers Scale measured medical mistrust. The Stroke Action Test instrument measured stroke knowledge, focusing on intent to call 911 appropriately when presented with stroke symptoms. Of 225 subjects, 69.5% were female (n = 157) with an average age of 73.7 years (standard deviation 6.7). Blacks had highest trust scores of physicians relative to Latino/a, Korean or Chinese subjects (P< .05). In multivariable analysis, decreased stroke knowledge was associated with decreased researcher trust at baseline (
ISSN:1052-3057
1532-8511
DOI:10.1016/j.jstrokecerebrovasdis.2019.104466