ArticleJournal of general internal medicine2025
Perceived Discrimination in the Healthcare Setting and Medical Mistrust: Findings from the Health Information National Trends Survey, 2022.
Article in Journal of general internal medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.
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Who cites it
19 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Why do people trust (or mistrust) health organizations? A systematic review.International journal for equity in health · 2026Pooled it
- Cancer Clinical Trial Participant Selection: Does Provider Implicit Bias Play a Role?Journal of racial and ethnic health disparities · 2026Article
- Lung cancer screening disparities among screening-eligible older Black adults with 20 + years of tobacco use: Quantitative findings from a mixed-methods, quasi case-control study.Cancer causes & control : CCC · 2026Article
- Perceived Everyday Discrimination and Ethnic Disparities in Postpartum Depression: A Longitudinal Study of Asian Canadians.Journal of racial and ethnic health disparities · 2026Article
- Association of Hypertension With Health Care Access and Utilization Following Childbirth: Differences by Race and Ethnicity.JACC. Advances · 2026Article
- Gaps in Guideline-Directed Medical Therapy for Heart Failure: A Cross-Sectional Study in an Underserved Population.Cureus · 2026Article
- Assessing the Association Between Perceived Discrimination in Health Care and Postpartum Contraception.Journal of women's health (2002) · 2026Article
- Trends and determinants of pneumococcal vaccine uptake among U.S. adults, 2019-2024: a pooled cross-sectional analysis.BMC public health · 2026Article
- Social Marketing for Health Equity: Promoting Preventive Health Behavior Among Women in Rural Communities.International journal of environmental research and public health · 2026Article
- Examining the Intersections Between Medical Mistrust, Discrimination, and Shared Decision-Making Among Racially Diverse Women in the US: Insights From the 2024 Health Information National Trends Survey.Journal of racial and ethnic health disparities · 2026Article
- Healthcare Utilization and Communication Patterns Among Survivors of Adolescent and Young Adult Cancer: Results From the Health Information National Trends Survey.Pediatric blood & cancer · 2026Article
- Ableism, ageism, and other biases in healthcare: The impact on young adult patients.Health care transitions · 2026Article
- Engaging in a dialogue with the Luton Roma community on access to healthcare services and co-producing solutions.Frontiers in public health · 2026Article
- Social determinants of access to healthcare services by race/ethnicity in a Southeastern Metropolitan Area.Journal of health equity · 2026Article
- Large Language Model-Based Patient Simulation to Foster Communication Skills in Health Care Professionals: User-Centered Development and Usability Study.JMIR medical education · 2025Article
- Variations in interest to participate in health research: Insights from the Florida Statewide Registry for Aging Studies (FSRAS).Journal of medicine, surgery, and public health · 2025Article
- Medical Mistrust and Perceived Discrimination as Expressions of Structural Racism: The Need for Focused Research.Journal of general internal medicine · 2025Article
- A Qualitative Study of the Initial Diagnosis and Treatment Experience of Black Patients with Newly Diagnosed Acute Myeloid Leukemia.Palliative medicine reportsArticle
- Socioeconomic Deprivation Influences Failure to Attend Arranged Orthopaedic Outpatient Appointments as Well as Access to and Engagement With Health Care: A Cohort Study.JB & JS open accessArticle
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPerceived discrimination and medical mistrust are barriers to care that impact both individual and population health.
objectiveThis study aims to characterize the prevalence of perceived racial or ethnic discrimination in healthcare as well as mistrust in the medical system and explore their associations with race and ethnicity.
designCross-sectional study of nationally representative data from the Health Information National Trends Survey (fielded March-November 2022).
participantsNon-institutionalized US adults (n = 6252; weighted household response rate = 28.1%). MAIN MEASURES: Outcomes were perceived racial or ethnic discrimination in healthcare and medical mistrust. The independent variable was race or ethnicity. KEY
resultsAn estimated 7.1% (95%CI, 6.0-8.2%) of the US adult population report experiencing racial or ethnic discrimination in healthcare. Perceived discrimination is most prevalent among individuals identifying as Black (18.8% [95%CI, 14.8-22.8%]), followed by Asian (15.1% [95%CI, 4.8-25.4%]) and Hispanic individuals (9.8% [95%CI, 7.4-12.2%]). Medical mistrust is reported by an estimated 62.3% (95%CI, 60.4-64.2%) of the US population, with the highest prevalence among Hispanic (68.9% [95%CI, 64.8-73.0%]) and Black individuals (67.8% [95%CI, 62.7-72.9]). In a multivariable Poisson regression, the prevalence of medical mistrust was significantly higher among Hispanic (adjusted prevalence ratio (aPR), 1.12 [95%CI, 1.04-1.21]) and Black (aPR, 1.10 [95%CI, 1.01-1.20]) respondents relative to White respondents, after adjusting for age, sex, and sexual orientation. Additionally, when adjusting for race and ethnicity, age, sex, and sexual orientation, medical mistrust was significantly more prevalent among those reporting perceived discrimination (aPR, 1.38 [95%CI, 1.30-1.47]).
conclusionsPerceived discrimination in healthcare and medical mistrust are prevalent at the national scale, with racial and ethnic groups of color bearing the brunt. System-wide efforts are needed to improve health equity for marginalized patient populations.
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