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Poor patients with diabetes lack faith in the medical system, according to a telephone survey of 216 middle-aged and older adults attending a clinic for the impoverished. Of the participants, 40% were white and the remainder were black. The study's purpose was to establish whether race played a role in attitudes toward medical care, and whether attitudes reflected how well diabetes was controlled.
The results showed no relationship between race and medical mistrust, according to Leonard E. Egede, MD. "We were also surprised that trust in the medical care system was not correlated with measures of metabolic control," he said. He added that "more trusting patients felt more in control of their diabetes and reported better physical and mental health" (Diabetes Care, January 2006).