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Food insecurity exacerbates medical mistrust in Appalachia. Addressing food insecurity in primary care may improve healthcare access and adherence for vulnerable populations.

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Area of Science:

  • Public Health
  • Health Disparities
  • Social Determinants of Health

Background:

  • Food insecurity negatively impacts health outcomes.
  • Medical mistrust, distrust in healthcare systems or providers, can reduce healthcare utilization.
  • These factors create compounded challenges for vulnerable populations in Appalachia.

Purpose of the Study:

  • To investigate the relationship between food insecurity and medical mistrust in Appalachian residents.
  • To determine if food insecurity amplifies medical mistrust.

Main Methods:

  • A cross-sectional survey was administered to 248 residents in Appalachia, Ohio.
  • Participants were recruited from community clinics, mobile clinics, food banks, and the county health department.
  • Data collected included levels of food insecurity, medical mistrust, self-identified health issues, and age.

Main Results:

  • Over 25% of respondents reported high mistrust in healthcare organizations.
  • Individuals with higher food insecurity levels demonstrated significantly higher levels of medical mistrust.
  • Higher medical mistrust scores were associated with greater self-reported health issues and older age.

Conclusions:

  • Food insecurity appears to have an additive effect on medical mistrust among Appalachian residents.
  • Screening for food insecurity in primary care settings is a potential strategy to mitigate mistrust.
  • Further research is needed to understand the root causes of medical mistrust in food-insecure populations.