e13726 Background: Discrimination in health care is prevalent and linked to poorer patient-reported experiences, including reduced trust and engagement. In breast oncology, trust is central to longitudinal, preference-sensitive care. Prior work has largely focused on health system distrust or conceptual frameworks, with fewer quantitative assessments of how experienced discrimination relates to trust in the treating clinician in outpatient care. We evaluated the association between perceived discrimination and trust in one’s clinician in a safety-net setting and examined whether patterns differed by age, race, and income. Methods: A cross-sectional survey was administered to 100 English- and Spanish-speaking patients receiving breast cancer care at Boston Medical Center. 98 had complete responses. Perceived discrimination was measured using the Everyday Discrimination Scale. Trust was assessed by the Trust in Physician Scale, measuring perceived fairness, communication, and confidence in care. The association between discrimination and trust was estimated by a linear regression with stratified models by age, race, and income. Results: Among 98 participants (mean age 64. 5 years SD 11. 45), Black (n=39) and White (n=39) patients were equally represented. Fifty patients reported annual income 40, 000. Most had early-stage disease (stage I: 56. 1%; stage II: 32. 7%). Overall trust scores were high (mean 4. 51/5 (SD 0. 67) ). Reported discrimination levels were low (mean 1. 57/5 (SD 0. 61) ). Higher discrimination was associated with lower trust (β=−0. 33; p65 45 -0. 17 0. 28 -0. 479, 0. 141 Income 40k 35 -0. 64 0. 02** -1. 159, -0. 121*
Devjani et al. (Thu,) studied this question.