在种族和种族多样化的性少数群体男性样本中,医学不信任性
Amanda B Cox1, Jessica Jaiswal1,2,3, Caleb LoSchiavo3,4
1Department of Health Science, University of Alabama, Tuscaloosa, Alabama, USA.
LGBT health
|July 7, 2023
概括
种族和民族少数群体性少数群体的男性报告说,基于种族的医疗不信任比白人男性更高. 与性/性别少数群体身份相关的不信任也显示出有意义的差异,特别是在黑人参与者中.
科学领域:
- 健康差异 在健康上的差异
- 医学社会学 医学社会学
- 公共卫生 公共卫生
背景情况:
- 医疗不信任是获得医疗保健的重要障碍,并导致不良健康结果.
- 现有的关于性少数群体男性 (SMM) 对医疗不信任的研究是有限的,主要关注黑人SMM和艾滋病毒,对其他种族/民族群体的关注较少.
- 了解基于种族和基于性/性别少数群体的医疗不信任对于解决健康不平等至关重要.
研究的目的:
- 调查年轻的性少数群体男性 (SMM) 中对医疗不信任的种族和种族差异.
- 评估这一群体中基于种族和基于性/性别少数群体的医疗不信任.
主要方法:
- 这是一项混合方法研究,从2018年2月到2019年2月在纽约市进行.
- 基于种族的不信任使用了基于团体的医疗不信任量表 (GBMMS) 和基于性/性别少数群体的不信任使用了修改版 (GBMMS-SGM).
- 采用了来自183个cisgender SMM的数据的单向多变量分析差异,以比较种族/族群 (黑人,拉丁人,白人,其他) 的得分.
主要成果:
- 在基于种族的医疗不信任 (GBMMS分数) 中发现了显著的差异,有色人种的参与者报告的水平高于白人参与者 (中等到大效果大小).
- 根据种族的基于性/性别少数群体的医疗不信任 (GBMMS-SGM分数) 的差异是边界的,但适度的效果大小表明黑人参与者比白人参与者得分更高.
- 这些发现突出了基于种族和性/性别少数群体地位的不同不信任模式.
结论:
- 多层次战略对于建立少数群体对医疗保健机构的信任至关重要.
- 建议解决历史和持续的歧视问题,超越隐性偏见培训,并增加少数群体医疗保健专业人员的代表性.
- 这些干预措施旨在减少对医生的不信任,并改善对各种小微企业群体的医疗保健利用率和结果.
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