title: Measuring African American women's trust in provider during pregnancy.
abstract: Significant racial disparities exist in pregnancy outcomes, but few researchers have examined the relationship between trust in providers and pregnancy outcomes. The Trust in Physician Scale (TPS), the most widely used tool, has not been tested in pregnancy. We assessed the psychometric properties of the TPS and identified correlates of trust in 189 pregnant African American women. Evidence supports internal consistency reliability (>.85) and internal structure of the TPS (CFI = .97; RMSEA = .05; χ(2) (42) = 65.93, p = .001), but TPS scores did not predict pregnancy outcomes. African American women reported a high level of trust in obstetric providers. Trust did not differ by provider type (physician or midwife) but was related to the women's history of perceived racism and strength of ethnic identity.
authors.affiliation: College of Nursing, Wayne State University, 5557 Cass Avenue-Room 358, Detroit, MI, 48202.
authors.forename: Rosalind M
authors.initials: RM
authors.lastname: Peters
authors.forename: Ramona
authors.initials: R
authors.lastname: Benkert
authors.forename: Thomas N
authors.initials: TN
authors.lastname: Templin
authors.forename: Andrea E
authors.initials: AE
authors.lastname: Cassidy-Bushrow
mesh_terms: D000293:Adolescent; D000328:Adult; D001741:Black or African American / Q000523:psychology*; D005260:Female; D006801:Humans; D009774:Obstetrics; D010817:Physician-Patient Relations; D011247:Pregnancy / Q000523:psychology*; D011256:Pregnancy Outcome; D063505:Racism / Q000523:psychology; D011795:Surveys and Questionnaires; D035502:Trust / Q000523:psychology*; D055815:Young Adult
keywords: African American; Trust in Physician Scale; antenatal care; confirmatory factor analysis; health care providers; health disparities; pregnancy outcomes; racism