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PloS one
2023;18 (3): e0280767.

Association between acculturation and physician trust for internal migrants: A cross-sectional study in China.

Enhong Dong, Ting Xu, Xiaoting Sun, Tao Wang, Yang Wang, Jiahua Shi
Author Information
  1. Enhong Dong: School of Nursing and Health Management, Shanghai University of Medicine & Health Science, Pudong New District, Shanghai, China. ORCID
  2. Ting Xu: School of Nursing and Health Management, Shanghai University of Medicine & Health Science, Pudong New District, Shanghai, China.
  3. Xiaoting Sun: Shanghai Tongji Hospital, Shanghai, China.
  4. Tao Wang: Department of Emergency, Shanghai East Hospital, Tongji University School of Medicine, Shanghai, China.
  5. Yang Wang: China Center for Health Development Studies, Peking University, Beijing, China.
  6. Jiahua Shi: HuangPu District Health Promotion Center, ShangHai, China. ORCID
PMID: 36893080 DOI: 10.1371/journal.pone.0280767

Abstract

BACKGROUND: Physician trust is a critical determinant of the physician-patient relationship and is necessary for an effective health system. Few studies have investigated the association between acculturation and physician trust. Thus, this study analyzed the association between acculturation and physician trust among internal migrants in China by using a cross-sectional research design.
METHODS: Of the 2000 adult migrants selected using systematic sampling, 1330 participants were eligible. Among the eligible participants, 45.71% were female, and the mean age was 28.50 years old (standard deviation = 9.03). Multiple logistic regression was employed.
RESULTS: Our findings indicated that acculturation was significantly associated with physician trust among migrants. The length of stay (LOS), the ability of speaking Shanghainese, and the integration into daily life were identified as contributing factors for physician trust when controlling for all the covariates in the model.
CONCLUSION: We suggest that specific LOS-based targeted policies and culturally sensitive interventions can promote acculturation among Shanghai's migrants and improve their physician trust.

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MeSH Term

Adult
Humans
Female
Male
Transients and Migrants
Cross-Sectional Studies
Trust
Acculturation
China
Physicians
Journal Article Research Support, Non-U.S. Gov't

Word Cloud

Created with Highcharts 10.0.0trustphysicianacculturationmigrantsamongassociationstudyinternalChinausingcross-sectionalparticipantseligibleBACKGROUND:Physiciancriticaldeterminantphysician-patientrelationshipnecessaryeffectivehealthsystemstudiesinvestigatedThusanalyzedresearchdesignMETHODS:2000adultselectedsystematicsampling1330Among4571%femalemeanage2850yearsoldstandarddeviation=903MultiplelogisticregressionemployedRESULTS:findingsindicatedsignificantlyassociatedlengthstayLOSabilityspeakingShanghaineseintegrationdailylifeidentifiedcontributingfactorscontrollingcovariatesmodelCONCLUSION:suggestspecificLOS-basedtargetedpoliciesculturallysensitiveinterventionscanpromoteShanghai'simproveAssociationmigrants:

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