Mistrust of health care organizations is associated with underutilization of health services

Thomas A. Laveist, Lydia A. Isaac, Karen Patricia Williams

Research output: Contribution to journalArticle

Abstract

Purpose. We report the validation of an instrument to measure mistrust of health care organizations and examine the relationship between mistrust and health care service underutilization. Methods. We conducted a telephone survey of a random sample of households in Baltimore City, MD. We surveyed 401 persons and followed up with 327 persons (81.5 percent) 3 weeks after the baseline interview. We conducted tests of the validity and reliability of the Medical Mistrust Index (MMI) and then conducted multivariate modeling to examine the relationship between mistrust and five measures of underutilization of health services. Results. Using principle components analysis, we reduced the 17-item MMI to 7 items with a single dimension. Test-retest reliability was moderately strong, ranging from Pearson correlation of 0.346-0.697. In multivariate modeling, the MMI was predictive of four of five measures of underutilization of health services: failure to take medical advice (b=1.56, p

Original languageEnglish (US)
Pages (from-to)2093-2105
Number of pages13
JournalHealth Services Research
Volume44
Issue number6
DOIs
StatePublished - Dec 2009
Externally publishedYes

Fingerprint

Health Services Misuse
Organizations
Delivery of Health Care
Reproducibility of Results
Baltimore
Telephone
Interviews

Keywords

  • Factor analysis
  • Help seeking
  • Measurement
  • Mistrust
  • Principle components analysis
  • Scale
  • Trust
  • Underutilization

ASJC Scopus subject areas

  • Health Policy

Cite this

Mistrust of health care organizations is associated with underutilization of health services. / Laveist, Thomas A.; Isaac, Lydia A.; Williams, Karen Patricia.

In: Health Services Research, Vol. 44, No. 6, 12.2009, p. 2093-2105.

Research output: Contribution to journalArticle

Laveist, Thomas A. ; Isaac, Lydia A. ; Williams, Karen Patricia. / Mistrust of health care organizations is associated with underutilization of health services. In: Health Services Research. 2009 ; Vol. 44, No. 6. pp. 2093-2105.
@article{12fa3a16a95a4c6a8fd462a1fa84e70c,
title = "Mistrust of health care organizations is associated with underutilization of health services",
abstract = "Purpose. We report the validation of an instrument to measure mistrust of health care organizations and examine the relationship between mistrust and health care service underutilization. Methods. We conducted a telephone survey of a random sample of households in Baltimore City, MD. We surveyed 401 persons and followed up with 327 persons (81.5 percent) 3 weeks after the baseline interview. We conducted tests of the validity and reliability of the Medical Mistrust Index (MMI) and then conducted multivariate modeling to examine the relationship between mistrust and five measures of underutilization of health services. Results. Using principle components analysis, we reduced the 17-item MMI to 7 items with a single dimension. Test-retest reliability was moderately strong, ranging from Pearson correlation of 0.346-0.697. In multivariate modeling, the MMI was predictive of four of five measures of underutilization of health services: failure to take medical advice (b=1.56, p",
keywords = "Factor analysis, Help seeking, Measurement, Mistrust, Principle components analysis, Scale, Trust, Underutilization",
author = "Laveist, {Thomas A.} and Isaac, {Lydia A.} and Williams, {Karen Patricia}",
year = "2009",
month = "12",
doi = "10.1111/j.1475-6773.2009.01017.x",
language = "English (US)",
volume = "44",
pages = "2093--2105",
journal = "Health Services Research",
issn = "0017-9124",
publisher = "Wiley-Blackwell",
number = "6",

}

TY - JOUR

T1 - Mistrust of health care organizations is associated with underutilization of health services

AU - Laveist, Thomas A.

AU - Isaac, Lydia A.

AU - Williams, Karen Patricia

PY - 2009/12

Y1 - 2009/12

N2 - Purpose. We report the validation of an instrument to measure mistrust of health care organizations and examine the relationship between mistrust and health care service underutilization. Methods. We conducted a telephone survey of a random sample of households in Baltimore City, MD. We surveyed 401 persons and followed up with 327 persons (81.5 percent) 3 weeks after the baseline interview. We conducted tests of the validity and reliability of the Medical Mistrust Index (MMI) and then conducted multivariate modeling to examine the relationship between mistrust and five measures of underutilization of health services. Results. Using principle components analysis, we reduced the 17-item MMI to 7 items with a single dimension. Test-retest reliability was moderately strong, ranging from Pearson correlation of 0.346-0.697. In multivariate modeling, the MMI was predictive of four of five measures of underutilization of health services: failure to take medical advice (b=1.56, p

AB - Purpose. We report the validation of an instrument to measure mistrust of health care organizations and examine the relationship between mistrust and health care service underutilization. Methods. We conducted a telephone survey of a random sample of households in Baltimore City, MD. We surveyed 401 persons and followed up with 327 persons (81.5 percent) 3 weeks after the baseline interview. We conducted tests of the validity and reliability of the Medical Mistrust Index (MMI) and then conducted multivariate modeling to examine the relationship between mistrust and five measures of underutilization of health services. Results. Using principle components analysis, we reduced the 17-item MMI to 7 items with a single dimension. Test-retest reliability was moderately strong, ranging from Pearson correlation of 0.346-0.697. In multivariate modeling, the MMI was predictive of four of five measures of underutilization of health services: failure to take medical advice (b=1.56, p

KW - Factor analysis

KW - Help seeking

KW - Measurement

KW - Mistrust

KW - Principle components analysis

KW - Scale

KW - Trust

KW - Underutilization

UR - http://www.scopus.com/inward/record.url?scp=72849145034&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=72849145034&partnerID=8YFLogxK

U2 - 10.1111/j.1475-6773.2009.01017.x

DO - 10.1111/j.1475-6773.2009.01017.x

M3 - Article

C2 - 19732170

AN - SCOPUS:72849145034

VL - 44

SP - 2093

EP - 2105

JO - Health Services Research

JF - Health Services Research

SN - 0017-9124

IS - 6

ER -