Demographic and socio-cultural correlates of medical mistrust in two Australian states:Victoria and South Australia

Renzaho, Andre, Polonsky, Michael, McQuilten, Zoe and Waters, Neil 2013, Demographic and socio-cultural correlates of medical mistrust in two Australian states:Victoria and South Australia, Health and place, vol. 24, pp. 216-224.

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Title Demographic and socio-cultural correlates of medical mistrust in two Australian states:Victoria and South Australia
Author(s) Renzaho, Andre
Polonsky, Michael
McQuilten, Zoe
Waters, Neil
Journal name Health and place
Volume number 24
Start page 216
End page 224
Total pages 9
Publisher Elsevier
Place of publication Amsterdam, The Netherlands
Publication date 2013-11
ISSN 1353-8292
Keyword(s) African refugees and migrants
medical mistrust
acculturation
discrimination
Summary Studies on medical mistrust have mainly focused on depicting the association between medical mistrust and access/utilization of healthcare services. The effect of broader socio-demographic and psycho-social factors on medical mistrust remains poorly documented. The study examined the effect of broader socio-demographic factors, acculturation, and discrimination on medical mistrust among 425 African migrants living in Victoria and South Australia, Australia. After adjusting for socio-demographic factors, low medical mistrust scores (i.e., more trusting of the system) were associated with refugee (β=−4.27, p<0.01) and family reunion (β=−4.01, p<0.01) migration statuses, being Christian (β=−2.21, p<0.001), and living in rural or village areas prior to migration (β=−2.09, p<0.05). Medical mistrust did not vary by the type of acculturation, but was positively related to perceived personal (β=0.43, p<0.001) and societal (β=0.38, p<0.001) discrimination. In order to reduce inequalities in healthcare access and utilisation and health outcomes, programs to enhance trust in the medical system among African migrants and to address discrimination within the community are needed.
Language eng
Field of Research 150501 Consumer-Oriented Product or Service Development
Socio Economic Objective 910403 Marketing
HERDC Research category C1 Refereed article in a scholarly journal
Copyright notice ©2013, Elsevier
Persistent URL http://hdl.handle.net/10536/DRO/DU:30057820

Document type: Journal Article
Collection: School of Management and Marketing
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