Acculturation, Hispanic ethnicity, and trust: Verifying and explaining racial/ethnic differences in trust in health providers in North Carolina Medicaid.
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| Title: | Acculturation, Hispanic ethnicity, and trust: Verifying and explaining racial/ethnic differences in trust in health providers in North Carolina Medicaid. |
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| Authors: | Smith III, Galen H., Hampton, Cicily, Tripp, Hollie L., Brandon, William P. |
| Source: | Politics & the Life Sciences. Apr2023, Vol. 42 Issue 1, p120-145. 26p. 2 Charts, 2 Graphs. |
| Subjects: | Ethnicity, Trust, Acculturation, Hispanic American children, Medicaid, Race |
| Geographic Terms: | North Carolina |
| Abstract: | Three North Carolina Medicaid surveys conducted from 2000 to 2012 reported increasing numbers of Hispanic children enrolled in Medicaid and much lower trust in providers expressed by their adult caregiver respondents compared with responses for non-Hispanic Black and White children. To verify and explain this apparent trust chasm, we used bivariate and regression analyses. The variables employed included trust (dependent variable); child's race/ethnicity, age, and sex; satisfaction and health status scales; two utilization measures; respondent's age, sex, and education; geographical region; and population density of county of residence. Race/ethnicity was strongly associated with trust (p <.001), controlling for other independent variables. Access, satisfaction, and respondent's age and education were also significant. Our results fit the Behavioral Model for Vulnerable Populations, which maps the role of significant variables in health-seeking behavior. After analyzing the concept of trust, we argue that lower acculturation explains lower Hispanic trust compared with non-Hispanic Blacks. We suggest policies to improve acculturation. [ABSTRACT FROM AUTHOR] |
| Copyright of Politics & the Life Sciences is the property of Cambridge University Press and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | Psychology and Behavioral Sciences Collection |
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| Header | DbId: pbh DbLabel: Psychology and Behavioral Sciences Collection An: 163186800 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
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| Items | – Name: Title Label: Title Group: Ti Data: Acculturation, Hispanic ethnicity, and trust: Verifying and explaining racial/ethnic differences in trust in health providers in North Carolina Medicaid. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Smith+III%2C+Galen+H%2E%22">Smith III, Galen H.</searchLink><br /><searchLink fieldCode="AR" term="%22Hampton%2C+Cicily%22">Hampton, Cicily</searchLink><br /><searchLink fieldCode="AR" term="%22Tripp%2C+Hollie+L%2E%22">Tripp, Hollie L.</searchLink><br /><searchLink fieldCode="AR" term="%22Brandon%2C+William+P%2E%22">Brandon, William P.</searchLink> – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22Politics+%26+the+Life+Sciences%22">Politics & the Life Sciences</searchLink>. Apr2023, Vol. 42 Issue 1, p120-145. 26p. 2 Charts, 2 Graphs. – Name: Subject Label: Subjects Group: Su Data: <searchLink fieldCode="DE" term="%22Ethnicity%22">Ethnicity</searchLink><br /><searchLink fieldCode="DE" term="%22Trust%22">Trust</searchLink><br /><searchLink fieldCode="DE" term="%22Acculturation%22">Acculturation</searchLink><br /><searchLink fieldCode="DE" term="%22Hispanic+American+children%22">Hispanic American children</searchLink><br /><searchLink fieldCode="DE" term="%22Medicaid%22">Medicaid</searchLink><br /><searchLink fieldCode="DE" term="%22Race%22">Race</searchLink> – Name: SubjectGeographic Label: Geographic Terms Group: Su Data: <searchLink fieldCode="DE" term="%22North+Carolina%22">North Carolina</searchLink> – Name: Abstract Label: Abstract Group: Ab Data: Three North Carolina Medicaid surveys conducted from 2000 to 2012 reported increasing numbers of Hispanic children enrolled in Medicaid and much lower trust in providers expressed by their adult caregiver respondents compared with responses for non-Hispanic Black and White children. To verify and explain this apparent trust chasm, we used bivariate and regression analyses. The variables employed included trust (dependent variable); child's race/ethnicity, age, and sex; satisfaction and health status scales; two utilization measures; respondent's age, sex, and education; geographical region; and population density of county of residence. Race/ethnicity was strongly associated with trust (p <.001), controlling for other independent variables. Access, satisfaction, and respondent's age and education were also significant. Our results fit the Behavioral Model for Vulnerable Populations, which maps the role of significant variables in health-seeking behavior. After analyzing the concept of trust, we argue that lower acculturation explains lower Hispanic trust compared with non-Hispanic Blacks. We suggest policies to improve acculturation. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of Politics & the Life Sciences is the property of Cambridge University Press and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
| PLink | https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=163186800 |
| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.1017/pls.2023.3 Languages: – Code: eng Text: English PhysicalDescription: Pagination: PageCount: 26 StartPage: 120 Subjects: – SubjectFull: Ethnicity Type: general – SubjectFull: Trust Type: general – SubjectFull: Acculturation Type: general – SubjectFull: Hispanic American children Type: general – SubjectFull: Medicaid Type: general – SubjectFull: Race Type: general – SubjectFull: North Carolina Type: general Titles: – TitleFull: Acculturation, Hispanic ethnicity, and trust: Verifying and explaining racial/ethnic differences in trust in health providers in North Carolina Medicaid. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Smith III, Galen H. – PersonEntity: Name: NameFull: Hampton, Cicily – PersonEntity: Name: NameFull: Tripp, Hollie L. – PersonEntity: Name: NameFull: Brandon, William P. IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 04 Text: Apr2023 Type: published Y: 2023 Identifiers: – Type: issn-print Value: 07309384 Numbering: – Type: volume Value: 42 – Type: issue Value: 1 Titles: – TitleFull: Politics & the Life Sciences Type: main |
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