Measuring African American Women's Trust in Provider During Pregnancy

• Published in: Research in nursing & health Vol. 37; no. 2; pp. 144 - 154
• Main Authors: Peters, Rosalind M., Benkert, Ramona, Templin, Thomas N., Cassidy-Bushrow, Andrea E.
• Format: Journal Article
• Language: English
• Published: Hoboken, NJ Blackwell Publishing Ltd 01-04-2014; Wiley; Wiley Subscription Services, Inc
• Subjects: Adolescent; Adult; African American; African Americans; African Americans - psychology; antenatal care; Biological and medical sciences; Black American people; confirmatory factor analysis; Doctors; Female; health care providers; health disparities; Health participants; Humans; Medical sciences; Miscellaneous; Nursing; Obstetrics; Physician-Patient Relations; Pregnancy; Pregnancy - psychology; Pregnancy Outcome; pregnancy outcomes; Pregnant women; Prenatal care; Public health. Hygiene; Public health. Hygiene-occupational medicine; Racism; Racism - psychology; Surveys and Questionnaires; Trust - psychology; Trust in Physician Scale; Women; Womens health; Young Adult; Human; Prognosis; Evaluation scale; Health staff; Trust in Physician Scale; Health care staff; Physician; pregnancy outcomes; Trust; Care; antenatal care; Pregnancy; Prenatal; health disparities; Confirmatory factor analysis; Female; Woman; health care providers; Racism; Public health; African American; Inequality; racism; confirmatory factor analysis
• ISSN: 0160-6891; 1098-240X
• DOI: 10.1002/nur.21581

Significant racial disparities exist in pregnancy outcomes, but few researchers have examined the relationship between trust in providers and pregnancy outcomes. The Trust in Physician Scale (TPS), the most widely used tool, has not been tested in pregnancy. We assessed the psychometric properties of the TPS and identified correlates of trust in 189 pregnant African American women. Evidence supports internal consistency reliability (>.85) and internal structure of the TPS (CFI = .97; RMSEA = .05; χ2(42) = 65.93, p = .001), but TPS scores did not predict pregnancy outcomes. African American women reported a high level of trust in obstetric providers. Trust did not differ by provider type (physician or midwife) but was related to the women's history of perceived racism and strength of ethnic identity. © 2014 Wiley Periodicals, Inc.