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Police Brutality and Mistrust in Medical Institutions.
Sirry Alang1, Donna D McAlpine2, Rachel Hardeman2
1Department of Sociology and Anthropology, and Program in Health, Medicine, and Society, Lehigh University, Bethlehem, PA, USA. sma206@lehigh.edu.
Journal of Racial and Ethnic Health Disparities
|January 29, 2020
Summary
Negative police encounters, a social determinant of health, increase medical mistrust across all racial groups. This mistrust can impact healthcare engagement and overall population health outcomes.
Area of Science:
- Public Health
- Sociology
- Health Disparities
Background:
- Social determinants of health, such as police brutality, significantly impact physical and mental well-being.
- Negative interactions with law enforcement can erode trust in other institutions, including healthcare systems.
- This mistrust may lead to reduced healthcare engagement and poorer population health outcomes.
Purpose of the Study:
- To investigate the association between police brutality and medical mistrust.
- To determine if this relationship differs across racial groups.
Main Methods:
- Utilized data from a 2018 cross-sectional survey of 4389 urban adults in the USA.
- Employed regression analysis to examine medical mistrust in relation to police brutality experiences and appraisals.
- Controlled for socio-demographics, health status, and healthcare access, and analyzed racial group differences via interaction terms.
Main Results:
- Individuals reporting negative police encounters exhibited higher levels of medical mistrust, irrespective of perceived necessity.
- Police brutality was found to elevate medical mistrust among all examined racial groups.
- Analysis revealed variations in mistrust levels across racial groups when accounting for police brutality interactions.
Conclusions:
- External societal factors like police brutality directly influence patient-provider relationships and trust in the medical system.
- Clinicians can play a role in rebuilding trust by acknowledging patient experiences and advocating for systemic changes.
- Addressing social injustices is crucial for fostering trust and improving healthcare access and outcomes.
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