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Exploring Perceived Discrimination and Medical Mistrust among Middle-Aged Black Adults
Jillian Weathington1, Jeanette Garcia2, Shanté Jeune3
1Department of Health Sciences, University of Central Florida, 12805 Pegasus Drive, HSII-215, Orlando, FL, 32816, USA.
Journal of Racial and Ethnic Health Disparities
|February 9, 2026
Summary
Income may influence specific dimensions of medical mistrust in middle-aged Black adults. Perceived discrimination plays a complex role, highlighting the need for community-engaged research to improve healthcare experiences.
Area of Science:
- Health Disparities
- Sociology of Health
- Medical Anthropology
Background:
- Middle-aged Black adults face unique challenges due to historical healthcare discrimination.
- Limited research exists on how intersecting factors like income influence medical mistrust in this demographic.
- Understanding these dynamics is crucial for addressing persistent healthcare disparities.
Purpose of the Study:
- To examine the relationship between intersectional factors (age, income, education) and medical mistrust in middle-aged Black adults.
- To identify significant between-group differences in medical mistrust.
- To qualitatively explore how perceived discrimination shapes medical mistrust.
Main Methods:
- Exploratory mixed-methods study with Black/African-American adults (n=21).
- Quantitative data collected using the Group-Based Medical Mistrust Survey (GBMMS).
- Qualitative data gathered through semi-structured interviews exploring perceived discrimination.
Main Results:
- Overall medical mistrust score was 3.41 (SD=0.74).
- No significant correlations found between intersectional factors and overall mistrust.
- Income showed significant between-group differences in 'Suspicion' and 'Lack of Support from Providers' subscales.
Conclusions:
- Income may influence specific aspects of medical mistrust among middle-aged Black adults.
- Perceived discrimination has a complex relationship with medical mistrust.
- Community-engaged, culturally responsive research is needed to improve healthcare for this population.
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