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Medical Mistrust, Perceived Discrimination, and Satisfaction With Health Care Among Young-Adult Rural Latinos Public Deposited

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https://ir.library.oregonstate.edu/concern/articles/q811kq19h

This is an author's peer-reviewed final manuscript, as accepted by the publisher. The published article is copyrighted by John Wiley & Sons, Inc., and can be found at:  http://onlinelibrary.wiley.com/journal/10.1111/%28ISSN%291748-0361

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  • PURPOSE: Little research has analyzed mistrust and discrimination influencing receipt of health care services among Latinos, particularly those living in rural areas. The present study examined the associations between medical mistrust, perceived discrimination, and satisfaction with health care among young-adult rural Latinos. RESEARCH DESIGN: 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. RESULTS: 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. CONCLUSIONS: 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.
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  • 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(4), 344-351. doi: 10.1111/jrh.12063
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  • 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).
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