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How Race, Poverty, Health Literacy, and Discrimination Affect the Relationship Between Medical Mistrust and Self-Rated Health over Time.

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Title: How Race, Poverty, Health Literacy, and Discrimination Affect the Relationship Between Medical Mistrust and Self-Rated Health over Time.
Authors: Mode, Nicolle A. (AUTHOR), Rodriguez, Dharsy (AUTHOR), Ashe, Jason (AUTHOR), Evans, Michele K. (AUTHOR), Zonderman, Alan B. (AUTHOR)
Source: Behavioral Medicine. Apr-Jun2026, Vol. 52 Issue 2, p115-124. 10p.
Subjects: Self-evaluation, Health literacy, Pearson correlation (Statistics), Scale analysis (Psychology), Health status indicators, Perceived discrimination, Research funding, Population-based case control, T-test (Statistics), Cronbach's alpha, African Americans, Questionnaires, Multiple regression analysis, Descriptive statistics, Race, Longitudinal method, Odds ratio, Trust, Communication, Medical mistrust, Confidence intervals, Data analysis software, Health equity, Poverty, Social classes, Evaluation, Middle age
Geographic Terms: Maryland
Abstract: Mistrust of the health care system is associated with underutilization of medical services and poor self-reported health, which itself is an important indicator for future morbidity and mortality. This study examines how several factors influence the association between medical mistrust and self-rated health in a middle-aged socioeconomically diverse cohort over 16 years. Participants (n = 1673) from the Health Aging in Neighborhoods of Diversity over the Life Span Study formed the sample. Information was gathered on race (African American/White), sex, poverty status, health literacy, and two measures of perceived discrimination. Linear mixed model regression was used for several models to examine the independent and combined influence of these factors on how medical mistrust is related to self-rated health over time. Poverty status exhibited the greatest influence on longitudinal self-rated health. Poverty status and health literacy did not influence the association between medical mistrust and self-rated health but perceived discrimination did. Stratified analyses by race found that White participants exhibited greater influence from medical mistrust and perceived discrimination on self-rated health than African American participants. Increasing trust, improving communication, and reducing unfair treatment across vulnerable groups is likely to improve health in middle-aged adults, but reducing overall poverty is likely to have the greatest effect. [ABSTRACT FROM AUTHOR]
Copyright of Behavioral Medicine is the property of Taylor & Francis Ltd 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
FullText Text:
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DbLabel: Psychology and Behavioral Sciences Collection
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PubType: Academic Journal
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  Data: How Race, Poverty, Health Literacy, and Discrimination Affect the Relationship Between Medical Mistrust and Self-Rated Health over Time.
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  Data: <searchLink fieldCode="JN" term="%22Behavioral+Medicine%22">Behavioral Medicine</searchLink>. Apr-Jun2026, Vol. 52 Issue 2, p115-124. 10p.
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  Data: Mistrust of the health care system is associated with underutilization of medical services and poor self-reported health, which itself is an important indicator for future morbidity and mortality. This study examines how several factors influence the association between medical mistrust and self-rated health in a middle-aged socioeconomically diverse cohort over 16 years. Participants (n = 1673) from the Health Aging in Neighborhoods of Diversity over the Life Span Study formed the sample. Information was gathered on race (African American/White), sex, poverty status, health literacy, and two measures of perceived discrimination. Linear mixed model regression was used for several models to examine the independent and combined influence of these factors on how medical mistrust is related to self-rated health over time. Poverty status exhibited the greatest influence on longitudinal self-rated health. Poverty status and health literacy did not influence the association between medical mistrust and self-rated health but perceived discrimination did. Stratified analyses by race found that White participants exhibited greater influence from medical mistrust and perceived discrimination on self-rated health than African American participants. Increasing trust, improving communication, and reducing unfair treatment across vulnerable groups is likely to improve health in middle-aged adults, but reducing overall poverty is likely to have the greatest effect. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Behavioral Medicine is the property of Taylor & Francis Ltd 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=193318258
RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1080/08964289.2025.2535327
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 10
        StartPage: 115
    Subjects:
      – SubjectFull: Self-evaluation
        Type: general
      – SubjectFull: Health literacy
        Type: general
      – SubjectFull: Pearson correlation (Statistics)
        Type: general
      – SubjectFull: Scale analysis (Psychology)
        Type: general
      – SubjectFull: Health status indicators
        Type: general
      – SubjectFull: Perceived discrimination
        Type: general
      – SubjectFull: Research funding
        Type: general
      – SubjectFull: Population-based case control
        Type: general
      – SubjectFull: T-test (Statistics)
        Type: general
      – SubjectFull: Cronbach's alpha
        Type: general
      – SubjectFull: African Americans
        Type: general
      – SubjectFull: Questionnaires
        Type: general
      – SubjectFull: Multiple regression analysis
        Type: general
      – SubjectFull: Descriptive statistics
        Type: general
      – SubjectFull: Race
        Type: general
      – SubjectFull: Longitudinal method
        Type: general
      – SubjectFull: Odds ratio
        Type: general
      – SubjectFull: Trust
        Type: general
      – SubjectFull: Communication
        Type: general
      – SubjectFull: Medical mistrust
        Type: general
      – SubjectFull: Confidence intervals
        Type: general
      – SubjectFull: Data analysis software
        Type: general
      – SubjectFull: Health equity
        Type: general
      – SubjectFull: Poverty
        Type: general
      – SubjectFull: Social classes
        Type: general
      – SubjectFull: Evaluation
        Type: general
      – SubjectFull: Middle age
        Type: general
      – SubjectFull: Maryland
        Type: general
    Titles:
      – TitleFull: How Race, Poverty, Health Literacy, and Discrimination Affect the Relationship Between Medical Mistrust and Self-Rated Health over Time.
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            NameFull: Mode, Nicolle A.
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            NameFull: Rodriguez, Dharsy
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            NameFull: Ashe, Jason
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            NameFull: Evans, Michele K.
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              Text: Apr-Jun2026
              Type: published
              Y: 2026
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