Religious influences on trust in physicians and the health care system

Objective: Aspects of the patient-physician relationship, such as trust, influ-ence a variety of health behaviors, including adherence to treatment regimens and the use of preventive health services. While several demographic and socioeconomic factors have been found to predict levels of trust in physi-cians, little is known about the influence of religious beliefs and behaviors. Methods: The relationship between religion and medical trust was investi-gated within a nationally representative sample of adults in the United States (n = 1,274). More specifically, multivariate models were used to analyze the associations between religious affiliation, attendance, and strength of affili-ation and three types of trust: personal trust in one’s physician, general confidence in physicians, and trust in the health care system. Results: Find-ings reveal that religiously active individuals have higher levels of trust in physicians. For example, individuals who attend religious services frequently (42 % of the sample) are significantly more likely to trust their own physician (p <.05) and have higher levels of confidence in physicians in general (p <.01), compared to individuals who never attend. In addition, levels of trust vary by religious denomination with Mainline Protestants, Catholics, and Jews reporting more trust than Evangelical Protestants. For example, Mainline Protestants have more personal trust in their physicians (p <.01), general confidence in physicians (p <.05), and trust in the health care system (p <.05), compared to Evangelical Protestants. Conclusions: This study is the first to examine religious differences in medical trust. The findings add to th