Influences and Implications of Medical Mistrust on Healthcare Behaviors in a Low Health Outcomes County in the State of New Jersey.

Medical mistrust is an ongoing concern in the United States, with patient confidence in both individual practitioners and institutions decreasing sharply in recent years. Atlantic County, New Jersey has some of the worst health outcomes in the state and is below the national average. This study soug...

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Publicado en:Journal of Community Health Vol. 50; no. 5; pp. 939 - 948
Autores principales: Johnson, Dale, Javed, Adeena, Byrnes, Nathaniel J., Jones, Anne C., Bertsch, Kristin N.
Formato: Artículo
Publicado: Springer Nature Oct2025
Materias:
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Oct2025
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      pub: Springer Nature
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        10.1007/s10900-025-01483-5
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        atl: Influences and Implications of Medical Mistrust on Healthcare Behaviors in a Low Health Outcomes County in the State of New Jersey.
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        au:
          Johnson, Dale
          Javed, Adeena
          Byrnes, Nathaniel J.
          Jones, Anne C.
          Bertsch, Kristin N.
        affil: https://ror.org/049v69k10 Department of Family Medicine, Rowan-Virtua School of Osteopathic Medicine, Stratford, NJ, USA
      su:
        New Jersey
        Influenza vaccines
        Evaluation of medical care
        Health behavior
        Rural population
        Medical mistrust
        Medical screening
        Sociodemographic factors
        Information-seeking behavior
        Patients' attitudes
        Self-perception
        Research funding
        Kruskal-Wallis Test
        Descriptive statistics
        Mann Whitney U Test
        COVID-19 vaccines
        Surveys
        Data analysis software
      sug:
        subj:
          Influenza vaccines
          Evaluation of medical care
          Health behavior
          Rural population
          Medical mistrust
          Medical screening
          Sociodemographic factors
          Information-seeking behavior
          Patients' attitudes
          Self-perception
          New Jersey
          All Other Miscellaneous Ambulatory Health Care Services
          Research funding
          Kruskal-Wallis Test
          Descriptive statistics
          Mann Whitney U Test
          COVID-19 vaccines
          Surveys
          Data analysis software
      keyword:
        Information seeking behavior
        Medical and Health Sciences Public Health and Health Services
        Preventative medicine
        Public health
        Trust
        Information seeking behavior
        Medical and Health Sciences Public Health and Health Services
        Preventative medicine
        Public health
        Trust
      ab: Medical mistrust is an ongoing concern in the United States, with patient confidence in both individual practitioners and institutions decreasing sharply in recent years. Atlantic County, New Jersey has some of the worst health outcomes in the state and is below the national average. This study sought to investigate medical mistrust by recruiting participants to complete a survey and/or health screening at 12 food pantry distribution events throughout Atlantic County (N = 124). The mean score for the Medical Mistrust Index was 19.06 (SD = 5.6) for participants who reported receiving the annual influenza vaccine and 16.05 (SD = 4.7) for participants who did not report receiving the vaccine (p = 0.002). Participants who reported an "Excellent" self-perception of overall (M = 13.7, SD = 4.6) and dental health (M = 14.6, SD = 5.5) had significantly less trust relative to their counterparts. There was no significant difference in self-perception of mental health and trust. While not statistically significant, a positive correlation was observed between trust and the number of healthcare information sources used: participants reporting use of 1 source had the lowest trust (M = 16.82, SD = 5.73), while those using 2 (M = 17.86, SD = 4.48; p =.509), 3 (M = 17.33, SD = 0.87; p =.536), or ≥ 4 sources (M = 19.38, SD = 3.97; p =.086) showed progressively higher trust. Our findings highlight the responsibility of improving medical mistrust falls on both providers and patients to take agency of their care.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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