ArticleJournal of clinical psychology in medical settings2021
Racism, Mental Health, Healthcare Provider Trust, and Medication Adherence Among Black Patients in Safety-Net Primary Care.
Article in Journal of clinical psychology in medical settings, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.
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
25 citing papers in PubMed, 46 citations in OpenAlex.
- Engaging Black and Latinx Communities in Building Capacity for Behavioral Health.Behavioral sciences (Basel, Switzerland) · 2026Article
- Medication adherence, health outcomes, and perceived social performance in Black Americans receiving hemodialysis.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2026Article
- Intersectional Analysis of Suicide-related Emergency Department Visits in Youth in California, 2018-2021.The western journal of emergency medicine · 2025Article
- Treated but Uncontrolled: Characterizing Hypertension in a Sample of 357 Older Adults in the Southeastern United States.Geriatrics (Basel, Switzerland) · 2025Article
- Association of Socio-Environmental Burden and Inequality With Cancer Screening and Mortality.Journal of surgical oncology · 2025Article
- The importance of patient-centered contraceptive care: Linking provider contraceptive coercion to patient psychological distress and mental well-being.Sexual & reproductive healthcare : official journal of the Swedish Association of Midwives · 2025Article
- Socioeconomic and demographic patterning of family uptake of a paediatric electronic patient portal innovation.PLOS digital health · 2024Article
- Neurocognitive function and medical care utilization in Veterans treated for substance use disorder.Substance abuse treatment, prevention, and policy · 2024Article
- Equity, inclusion and cultural humility: contemporizing the neonatal intensive care unit family-centered care model.Journal of perinatology : official journal of the California Perinatal Association · 2024Review
- Exposure to Adversity and its Impact on Later Life Cognitive, Mental, and Physical Health.International journal of public health · 2024Article
- Provider prescription of hydroxyurea in youth and adults with sickle cell disease: A review of prescription barriers and facilitators.British journal of haematology · 2023Review
- Predictors of outpatient follow-up care after adult emergency department asthma visits and association with 30-day outcomes.The Journal of asthma : official journal of the Association for the Care of Asthma · 2023Observational
- Care Gaps in Sodium-Glucose Cotransporter-2 Inhibitor and Renin Angiotensin System Inhibitor Prescriptions for Patients with Diabetic Kidney Disease.Journal of general internal medicine · 2023Article
- Association of Demographic and Socioeconomic Indicators With the Use of Wearable Devices Among Children.JAMA network open · 2023Article
- The Perception of Nurses about Migrants after the COVID-19 Pandemic: Close Contact Improves the Relationship.International journal of environmental research and public health · 2023Article
- Preferences and Perspectives of Black Male Barbershop Patrons on Receiving Health Care in Nontraditional Settings.Health equity · 2023Article
- Looking through racism in the nurse-patient relationship from the lens of culturally congruent care: A scoping review.Journal of advanced nursing · 2022Article
- Solutions to Address Inequity in Diabetes Technology Use in Type 1 Diabetes: Results from Multidisciplinary Stakeholder Co-creation Workshops.Diabetes technology & therapeutics · 2022Article
- Behavioral Health Professionals' Perceptions on Patient-Controlled Granular Information Sharing (Part 1): Focus Group Study.JMIR mental health · 2022Article
- Clinicians' perceptions of barriers to cervical cancer screening for women living with behavioral health conditions: a focus group study.BMC cancer · 2022Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
There has been a growing research focus on social determinants to health disparities in general and medication adherence more specifically in low-income Black populations. The purpose of this study was to examine whether prior experiences of racism among Black patients in safety-net primary care indirectly predicts poor medication adherence through increased mental health symptoms and low healthcare provider trust. Two competing models were run whereby mental health leads to provider trust or provider trust leads to mental health in this multiple mediational chain. A group of 134 Black patients (76 men, average age 45.39 years) in a safety-net primary care clinic completed measures of these constructs. Results revealed that in the first model, mental health mediated the relationship between racism and provider trust, and provider trust mediated the relationship between mental health and medication adherence. All paths within this model were statistically significant, except the path between provider trust and medication adherence which approached significance. In the second model, provider trust and mental health significantly mediated the relationship between racism and medication adherence, and all direct and indirect paths were statistically significant, though the path between provider trust and medication adherence was omitted. These results may serve as catalysts to assess and attempt to mitigate specific minority-based stressors and associated outcomes within safety-net primary care settings.
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.