Funding: Support for this study was provided by cooperative agreement U01DP000123A from the Centers for Disease Control and Prevention (CDC) to S. Marie Harvey (PI). Dr. López-Cevallos was supported in part by the Summer Institute on Mentoring Researchers in Latino Health Disparities at San Diego State University (R25HL105430). The views expressed in this article are the responsibility solely of the authors and do not necessarily represent the official views of the CDC.
Medical Mistrust, Perceived Discrimination, and Satisfaction With Health Care Among Young-Adult Rural Latinos
Article first published online: 27 FEB 2014
© 2014 National Rural Health Association
The Journal of Rural Health
Volume 30, Issue 4, pages 344–351, Autumn 2014
How to Cite
López-Cevallos, D. F., Harvey, S. M. and Warren, J. T. (2014), Medical Mistrust, Perceived Discrimination, and Satisfaction With Health Care Among Young-Adult Rural Latinos. The Journal of Rural Health, 30: 344–351. doi: 10.1111/jrh.12063
- Issue published online: 2 OCT 2014
- Article first published online: 27 FEB 2014
- Disease Control and Prevention (CDC). Grant Number: U01DP000123A
- Summer Institute on Mentoring Researchers in Latino Health Disparities at San Diego State University. Grant Number: R25HL105430
- medical mistrust;
- perceived discrimination;
- rural Latinos;
- satisfaction with health care
Little research has analyzed mistrust and discrimination influencing receipt of health care services among Latinos, particularly those living in rural areas. This study examined the associations between medical mistrust, perceived discrimination, and satisfaction with health care among young-adult rural Latinos.
This cross-sectional study analyzed data from 387 young-adult Latinos (ages 18-25) living in rural Oregon. The Behavioral Model of Vulnerable Populations was utilized as the theoretical framework. Correlations were run to assess bivariate associations among variables included in the study. Ordered logistic regression models evaluated the associations between medical mistrust, perceived discrimination, and satisfaction with health care.
On average, participants used health services 4 times in the past year. Almost half of the participants had health insurance (46%). The majority reported that they were moderately (32%) or very satisfied (41%) with health care services used in the previous year. In multivariable models, medical mistrust and perceived discrimination were significantly associated with satisfaction with health care.
Medical mistrust and perceived discrimination were significant contributors to lower satisfaction with health care among young-adult Latinos living in rural Oregon. Health care reform implementation, currently under way, provides a unique opportunity for developing evaluation systems and interventions toward monitoring and reducing rural Latino health care disparities.