Muddling Through the Health System: Experiences of Three Groups of Black Women in Three Regions

Health-care disparities are a well-documented concern among patients and providers who care for minority groups in the United States. In this study, focus groups were created from an original sample of 606 Black women representing three regions in the United States: the South, the Midwest, and the Virgin Islands. Composed of 10 randomly selected members each (n = 30), the focus groups provided insights into the nature of these disparities, with some suggestions for viable solutions. Participants voiced concerns regarding cultural taboos about discussing menopause, financial concerns, and negative experiences with healthcare leading to distrust in medical systems. The primary solution proposed was an increase in Black health-care professionals who would have increased rapport with, empathy for, and understanding of the concerns of Black women.