ArticleJournal of general internal medicine2011
Is primary care providers' trust in socially marginalized patients affected by race?
Article in Journal of general internal medicine, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
39 citing papers in PubMed, 1 synthesis or guideline pooled it.
- A systematic review of the extent and measurement of healthcare provider racism.Journal of general internal medicine · 2014Pooled it
- Trial
- A social psychological approach to improving the outcomes of racially discordant medical interactions.Journal of general internal medicine · 2013Trial
- Willingness to use microbicides among females who use unregulated drugs in Vancouver, Canada.AIDS care · 2026Article
- Pain expression and decoding as intergroup phenomena.Affective science · 2026Article
- Impact of State Policies on Opioid Prescribing Among Surgery and Injury Patients: Controlled Interrupted Time-Series Study, North Carolina, 2014-2019.Pharmacoepidemiology and drug safety · 2025Article
- Polish adaptation, psychometric properties and validation of Physician's Trust in the Patient Scale (PTPS).Scientific reports · 2024Article
- Examining Racial/Ethnic Disparities in Tobacco Dependence Treatment Among Medicaid Beneficiaries Using Fifty State Medicaid Claims, 2009-2014.Journal of racial and ethnic health disparities · 2024Article
- Examining Racial/Ethnic Differences in Patterns of Opioid Prescribing: Results from an Urban Safety-Net Healthcare System.Journal of racial and ethnic health disparities · 2024Article
- Design and pilot test of an implicit bias mitigation curriculum for clinicians.Frontiers in medicine · 2024Article
- Cultural Framing and the Impact On Acute Pain and Pain Services.Current pain and headache reports · 2023Review
- County-level social vulnerability and nonfatal drug overdose emergency department visits and hospitalizations, January 2018-December 2020.Drug and alcohol dependence · 2023Article
- Evaluating the Impact of Exclusion Criteria on the Generalizability of Hidradenitis Suppurativa Treatment Research.JID innovations : skin science from molecules to population health · 2023Article
- Explicating the Cognitive Process of a Physician's Trust in Patients: A Moderated Mediation Model.International journal of environmental research and public health · 2022Article
- Trajectories and correlates of opioid prescription receipt among patients experiencing interpersonal violence.PloS one · 2022Article
- The relationship between patients' income and education and their access to pharmacological chronic pain management: A scoping review.Canadian journal of pain = Revue canadienne de la douleur · 2022Article
- Association of Patient Race and Ethnicity With Differences in Opioid Prescribing by Primary Care Physicians for Older Adults With New Low Back Pain.JAMA health forum · 2021Article
- Evaluation of a Chronic Pain Screening Program Implemented in Primary Care.JAMA network open · 2021Article
- Race, pain, and opioids among patients with chronic pain in a safety-net health system.Drug and alcohol dependence · 2021Article
- Perspectives of Interactions with Healthcare Providers Among Patients Who Are Blind.Journal of blindness innovation and research · 2021Article
Corrections and comments
- Commented on by
Authors and funding
6 authors.
Funding
Abstract
backgroundInterpersonal trust plays an important role in the clinic visit. Clinician trust in the patient may be especially important when prescribing opioid analgesics because of concerns about misuse. Previous studies have found that non-white patients are perceived negatively by clinicians.
objectiveTo examine whether clinicians' trust in patients differed by patients' race/ethnicity in a socially marginalized cohort.
designCross-sectional study of patient-clinician dyads.
participants169 HIV infected indigent patients recruited from the community and their 61 primary care providers (PCPs.) MAIN MEASURES: The Physician Trust in Patients Scale (PTPS), a validated scale that measures PCPs' trust in patients. KEY
resultsThe mean PTPS score was 43.2 (SD 10.8) out of a possible 60. Reported current illicit drug use and prescription opioid misuse were similar across patients' race or ethnicity. However, both patient illicit drug use and patient non-white race/ethnicity were associated with lower PTPS scores. In a multivariate model, non-white race/ethnicity was independently associated with PTPS scores 6.3 points lower than whites (95% CI: -9.9, -2.7). Current illicit drug use was associated with PTSP scores 5.5 lower than no drug use (95% CI -8.5, -2.5).
conclusionIn a socially marginalized cohort, non-white patients were trusted less than white patients by their PCPs, despite similar rates of illicit drug use and opioid analgesic misuse. The effect was independent of illicit drug use. This finding may reflect unconscious stereotypes by PCPs and may underlie disparities in chronic pain management.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.