Overcoming the Legacy of Mistrust: African Americans’ Mistrust of Medical Profession

Lee, Marvin J. H.; Reddy, K.T. Rajasekhar; Chowdhury, Junad; Kumar, Nishant; Clark, Peter; Ndao, Papa; Suh, Stacey J.; Song, Sarah

doi:10.22461/jhea.1.71616

Cited by 9 publications

(5 citation statements)

References 3 publications

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“…For instance, mistrust among African Americans may be rooted in the history of government-sanctioned medical mistreatment and exploitation targeting African Americans. [23][24][25][26] Mistrust among Hispanics/Latinos are more likely attributed to experiences of ethnoracial discrimination, migration status, and language deficiency. [27][28][29] Medical mistrust has been shown to vary considerably across ethnoracial groups.…”

Section: Introductionmentioning

confidence: 99%

Association of Medical Mistrust and Poor Communication with HIV-Related Health Outcomes and Psychosocial Wellbeing Among Heterosexual Men Living with HIV

Zhang

McMahon

Leblanc

et al. 2020

AIDS Patient Care and STDs

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Studies have suggested that effective patient-provider relationships may reduce health disparities and foster engagement across the HIV care continuum among people living with HIV/AIDS. However, no studies have explored specific mechanisms between medical mistrust/poor communication and HIV-related/psychosocial health outcomes among HIV-positive men of color who have sex with women (MCSW) in the United States. From 2011 to 2012, the research team recruited 317 eligible participants in New York City. Using validated explanatory and predictive modeling strategies, we explored the associations between mistrust/poor communication and HIV-related/psychosocial health outcomes among this group. Subgroup analyses were further conducted to assess the different effects of non-Hispanic black and Hispanic men. A total of 313 males (204 black, 93 Hispanic, and 16 others) reported that valid responses were included in the current analysis. In the explanatory models, both mistrust and poor communication were negatively associated with various HIV-related and psychosocial outcomes among this group of HIV-positive MCSW. In the predictive models, predictors of mistrust for the overall sample and the black subsample were nearly the same. On the contrary, predictors of poor communication were substantially different when comparing black and Hispanic HIV-positive MCSW. Our findings confirm that patient-provider relationship quality is associated with poor HIV-related and psychosocial outcomes in black and Hispanic MCSW. A different set of multi-level predictors are associated with mistrust and poor communication comparing black and Hispanic MCSW. We call for interventions addressing patient-provider relationship quality that are tailored differently for black and Hispanic men.

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Section: Introductionmentioning

confidence: 99%

Association of Medical Mistrust and Poor Communication with HIV-Related Health Outcomes and Psychosocial Wellbeing Among Heterosexual Men Living with HIV

Zhang

McMahon

Leblanc

et al. 2020

AIDS Patient Care and STDs

View full text Add to dashboard Cite

show abstract

“…Previous work by Sorkin and colleagues (2009) highlighted that while older Black/African, Asian, and Latino Americans were more likely to have mental distress and mental illness, they also had poorer access to behavioral health services compared to White Americans. Compounding access issues, racial minority older adults were also less likely to engage in behavioral health care due to internalized stigma (Conner et al, 2010), perceived discrimination/racism (Rhee et al, 2019), and mistrust of institutionalized medicine (Lee et al, 2018). As a result, older adults from racial/ethnic minorities are continually disenfranchised based on historical barriers to access and internalized attitudes toward behavioral health institutions.…”

Section: Identity Considerations Of Older Adultsmentioning

confidence: 99%

Attitudes toward older adults and aging: A foundational geropsychology knowledge competency.

Garrison‐Diehn¹,

Rummel²,

Au³

et al. 2022

Clinical Psychology: Science and Practice

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This article reviews topics related to attitudes toward older adults and aging, one of the foundational knowledge areas in the Pikes Peak competency domains for training in geropsychology. We review research on the impact of attitudes about aging on older adult health and well-being and we discuss the history of ageism in the behavioral health field. The group of older adults is diverse, and we review select considerations related to the various identities of older adults. Practical suggestions for psychologists who are interested in increasing their knowledge, understanding and skills in working with older adults are also provided. Public Health Significance StatementOlder adults are living longer and are projected to make up 23 percent of the U.S. population by 2060. There is a need in clinical psychology for more training in the area of geropsychology to meet the behavioral health needs of older adults. Considerations of clinician, societal, and individual attitudes about older adults and aging are a foundational competency area for treating older adults as attitudes and behavior informed by common stereotypes can have deleterious effects on the physical and behavior health of older adults.

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“…More specifically, addressing negative attitudes about vaccination may increase rates of vaccination in the African American population 26 . Studies looking at how to overcome racial disparities in end‐of‐life care have found that efforts by medical staff to address the concerns of patients directly and provide education can reduce mistrust 27 …”

Section: Racial Justice and The Capacity For Civic Learningmentioning

confidence: 99%

Civic Learning, Science, and Structural Racism

Evans¹,

Gusmano²

2021

Hastings Center Report

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Vaccine hesitancy is a major public health challenge, and racial disparities in the acceptance of vaccines is a particular concern. In this essay, we draw on interviews with mothers of Black male adolescents to offer insights into the reasons for the low rate of vaccination against the human papillomavirus among this group of adolescents. Based on these conversations, we argue that increasing the acceptance of HPV and other vaccines cannot be accomplished merely by providing people with more facts. Instead, we must address the pervasive racial discrimination in the United States that undermines trust in social institutions, including the health care system. In the short term, it may be helpful to increase the number of clinicians of color working in the health system, but more fundamental changes are required. The U.S. must adopt and implement policies that dismantle structural racism if it hopes to produce greater trust and community‐oriented thinking on behalf of people who have been exploited for centuries.

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Overcoming the Legacy of Mistrust: African Americans’ Mistrust of Medical Profession

Cited by 9 publications

References 3 publications

Association of Medical Mistrust and Poor Communication with HIV-Related Health Outcomes and Psychosocial Wellbeing Among Heterosexual Men Living with HIV

Association of Medical Mistrust and Poor Communication with HIV-Related Health Outcomes and Psychosocial Wellbeing Among Heterosexual Men Living with HIV

Attitudes toward older adults and aging: A foundational geropsychology knowledge competency.

Civic Learning, Science, and Structural Racism

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