Mistrust, Neighborhood Deprivation, and Telehealth Use in African Americans with Diabetes
Barry W Rovner, Robin J Casten, Anna Marie Chang, Judd E Hollander, Kristin Rising, Barry W Rovner, Robin J Casten, Anna Marie Chang, Judd E Hollander, Kristin Rising
Abstract
This study explored the relationship between trust in physicians and telehealth use during the COVID pandemic in 162 African Americans with diabetes. More than 90% of patients had internet-capable devices and internet service but only 61 patients (39%) had a telehealth visit. Compared to the latter, participants with no telehealth visits had less trust in physicians' ability to diagnose COVID, less trust in physicians' ability to treat via telehealth, and resided in more deprived neighborhoods. There were no differences in age, sex, education, nor literacy. For African Americans with diabetes, health disparities may increase unless fundamental issues such as trust are addressed.
Trial registration: ClinicalTrials.gov NCT03393338 NCT03393338.
Keywords: African Americans; telehealth; trust.
Conflict of interest statement
The authors have no conflicts of interest to disclose.
Source: PubMed