ArticleAnnals of family medicine
Discrimination and Medical Mistrust in a Racially and Ethnically Diverse Sample of California Adults.
Article in Annals of family medicine. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 225 papers, 8 of them syntheses 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
225 citing papers in PubMed, 8 syntheses or guidelines pooled it.
- Why do people trust (or mistrust) health organizations? A systematic review.International journal for equity in health · 2026Pooled it
- Examining the Role of Discrimination in Prenatal Care Utilization: A Systematic Review Using the Social-Ecological Model.Research in nursing & health · 2026Pooled it
- Access to healthcare services and adherence to treatments for people with dementia among ethnic minority groups: a scoping review.Frontiers in dementia · 2026Pooled it
- Prognostic understanding interventions in patients with advanced cancer: a systematic review.Frontiers in psychology · 2026Pooled it
- Evidence-based Prostate Cancer Screening Interventions for Black Men: A Systematic Review.Journal of racial and ethnic health disparities · 2025Pooled it
- A systematic review of participant diversity in psychedelic-assisted psychotherapy trials.Psychiatry research · 2025Pooled it
- Disparities in Access to Deep Brain Stimulation for Parkinson's Disease and Proposed Interventions: A Literature Review.Stereotactic and functional neurosurgery · 2024Pooled it
- Access improvement in healthcare: a 12-step framework for operational practice.Frontiers in health services · 2024Pooled it
- COVID-19 Prevention Behaviors and Mistrust Among Black and Latino Public Housing Residents in NYC.Health education & behavior : the official publication of the Society for Public Health Education · 2026Trial
- Race differences in patient trust and distrust from audio-recorded cardiology encounters.Patient education and counseling · 2024Trial
- Veterans' views of PARTNER-MH, a peer-led patient navigation intervention, to improve patient engagement in care and patient-clinician communication: A qualitative study.Patient education and counseling · 2023Trial
- Effectiveness of theCirculation · 2023Trial
- Mitigating the health effects of systemic racism: Evaluation of the Race-Based Stress and Trauma Empowerment intervention.Contemporary clinical trials · 2023Trial
- The "good cancer" paradox: Decisional conflict and unmet support needs in patients with thyroid cancer facing surgical decisions-A mixed-methods study.Asia-Pacific journal of oncology nursing · 2026Article
- Racial Climate on Willingness to Participate in Clinical Research.Journal of racial and ethnic health disparities · 2026Article
- Migraine-Related Burden, Treatment Interventions, and Healthcare Experiences by Race and Ethnicity: Results of the Migraine Report Card Survey.Journal of racial and ethnic health disparities · 2026Article
- Examining Trust Among Veterans from Camp Lejeune Exposed to Environmental Toxicants: A Qualitative Study.Journal of general internal medicine · 2026Article
- The Role of Depression on Medical Mistrust and Mental Health Service Use in Black Adults.Community mental health journal · 2026Article
- Race, Ethnicity, and Language Concordance Between Patients and Physicians and Atrial Fibrillation DOAC Treatment.JAMA network open · 2026Article
- After ACL Injury in Children and Adolescents, Where in the Preoperative Timeline do Disparities in Timing and Clinical Course Originate?Clinical orthopaedics and related research · 2026Article
165 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
Abstract
purposeAlthough we know that racial and ethnic minorities are more likely to have mistrust in the health care system, very limited knowledge exists on correlates of such medical mistrust among this population. In this study, we explored correlates of medical mistrust in a representative sample of adults.
methodsWe analyzed cross-sectional study data from the Survey of California Adults on Serious Illness and End-of-Life 2019. We ascertained race/ethnicity, health status, perceived discrimination, demographics, socioeconomic factors, and medical mistrust. For data analysis, we used multinomial logistic regression models.
resultsAnalyses were based on 704 non-Hispanic Black adults, 711 Hispanic adults, and 913 non-Hispanic White adults. Racial/ethnic background was significantly associated with the level of medical mistrust. Adjusting for all covariates, odds of reporting medical mistrust were 73% higher (adjusted odds ratio [aOR] = 1.73; 95% CI, 1.15-2.61,
conclusionsPerceived discrimination is correlated with medical mistrust. If this association is causal, that is, if perceived discrimination causes medical mistrust, then decreasing such discrimination may improve trust in medical clinicians and reduce disparities in health outcomes. Addressing discrimination in health care settings is appropriate for many reasons related to social justice. More longitudinal research is needed to understand how complex societal, economic, psychological, and historical factors contribute to medical mistrust. This type of research may in turn inform the design of multilevel community- and theory-based training models to increase the structural competency of health care clinicians so as to reduce medical mistrust.
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.