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A Validation of the Group-Based Medical Mistrust Scale in Formerly Incarcerated Black and Latino Men

Pamela Valera1, Javier F Boyas2, Camila Bernal1

  • 11 Columbia University, New York, NY, USA.

American Journal of Men'S Health
|May 19, 2016
PubMed

Insights

This study validates a tool to measure medical mistrust in formerly incarcerated Black and Latino men. Findings show discrimination and suspicion are key factors in their mistrust of healthcare systems.

Area of Science:

  • Public Health
  • Health Disparities
  • Medical Sociology

Background:

  • Medical mistrust is a significant public health concern, yet research on formerly incarcerated Black and Latino men is limited.
  • Understanding their mistrust of medical providers and institutions is crucial, given potential links to criminal justice system experiences.
  • Assessing medical mistrust is vital for addressing health and health behaviors in this population.

Purpose of the Study:

  • To validate and assess the psychometric properties of the Group-Based Medical Mistrust Scale.
  • To adapt the scale for use among formerly incarcerated Black and Latino men in New York City.

Main Methods:

  • Exploratory and confirmatory factor analyses were employed.
  • The Group-Based Medical Mistrust Scale was psychometrically evaluated.

Main Results:

  • A two-factor structure demonstrated the best fit for the data.
  • Discrimination and suspicion emerged as significant subscales.
  • The validated scale proved to be a reliable tool for assessing medical mistrust.

Conclusions:

  • The two-factor Group-Based Medical Mistrust Scale is a valid and reliable instrument.
  • It can effectively discern levels of medical mistrust among formerly incarcerated Black and Latino men.
  • Findings highlight the importance of addressing discrimination and suspicion in healthcare settings for this population.
Keywords:
BlackLatinodiscriminationformerly incarcerated menmedical mistrustpsychometrics

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