title: Impact of sociodemographic factors and previous interactions with the health care system on institutional trust in three racial/ethnic groups.
abstract: OBJECTIVE
  Our objective was to explore whether there are differences in institutional trust across racial/ethnic groups and what factors might contribute to these differences.
  
  
  METHODS
  We studied a convenience sample of 569 adults in Chicago grocery stores who self-identified as African American, Mexican-Hispanic, or white. We measured institutional trust and dichotomized responses into "high" and "low" trust. We used chi squared tests to examine differences in institutional trust across racial/ethnic groups and stepwise multivariable logistic regression to investigate how sociodemographic factors, health care access, health care usage, and previous negative experience with the health care system modified this relationship.
  
  
  RESULTS
  In unadjusted analysis, race/ethnicity was significantly associated with institutional trust (p<0.001). In the fully adjusted model, African Americans and Mexican-Hispanics had greater odds of reporting low trust compared to whites (OR: 1.90; 95%CI, 1.13-3.17; and OR: 2.34; 95%CI, 1.43-3.81, respectively); reporting a previous negative health care experience was the only other factor significantly related to having low trust (OR: 2.84; 95%CI, 1.83-4.41).
  
  
  CONCLUSIONS
  We found lower institutional trust in African Americans and Mexican-Hispanics and among participants reporting previous negative health care experiences.
  
  
  CONCLUSIONS
  Improving health care experiences, especially for racial/ethnic minority groups, could improve institutional trust and decrease health disparities in these populations.
authors: Department of Medicine, University of Wisconsin School of Medicine and Public Health, Madison, USA.
authors: Rebecca J
authors: RJ
authors: Schwei
authors: University of Wisconsin School of Medicine and Public Health, Madison, USA.
authors: Kelley
authors: K
authors: Kadunc
authors: University of Wisconsin School of Medicine and Public Health, Madison, USA.
authors: Anthony L
authors: AL
authors: Nguyen
authors: Department of Medicine, University of Wisconsin School of Medicine and Public Health, Madison, USA; Department of Population Health Sciences, University of Wisconsin School of Medicine and Public Health, Madison, USA. Electronic address: eajacobs@medicine.wisc.edu.
authors: Elizabeth A
authors: EA
authors: Jacobs
mesh_terms: D000293:Adolescent; D000328:Adult; D001741:Black or African American / Q000523:psychology*; D001294:Attitude to Health; D044383:Black People; D002641:Chicago; D003695:Delivery of Health Care; D005260:Female; D017144:Focus Groups; D006297:Health Services Accessibility; D006630:Hispanic or Latino / Q000523:psychology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D012959:Socioeconomic Factors; D011795:Surveys and Questionnaires; D035502:Trust; D044465:White People / Q000523:psychology*; D055815:Young Adult
keywords: Institutional trust; Previous negative health care experience; Race/ethnicity