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医疗不信任和SARS-CoV-2抗体测试在非洲裔美国人和白人美国人中

Olivia Aspiras¹, Todd Lucas¹, Ahnalee M Brincks²

¹Charles Stewart Mott Department of Public Health, College of Human Medicine, Michigan State University, Flint, Michigan, USA.

Behavioral medicine (Washington, D.C.)

|September 30, 2025

概括

医疗不信任,特别是在白人美国人中,可以降低对SARS-CoV-2抗体检测的接受度. 这种心理社会因素会影响跨种族群体的健康行为,尽管对非裔美国人的不信任程度更高.

科学领域:

公共卫生公共卫生
健康中的心理社会因素
健康差异在健康上的差异

背景情况:

心理社会因素,如对医生的不信任,可能会阻碍采用健康工具和治疗方法,包括COVID-19干预措施.
关于医疗不信任如何影响SARS-CoV-2抗体测试的吸收,特别是关于种族差异的研究有限.

研究的目的:

调查医疗不信任是否会影响对SARS-CoV-2抗体检测的接受性.
为了确定医疗不信任对抗体测试受体性的影响是否在种族群体之间有所不同.

主要方法:

一项在线研究招募了来自中西部城市社区的非洲裔美国人和白人美国参与者.
参与者完成了医学不信任度表,并观看了有关SARS-CoV-2和抗体检测的教育视频.
用计划行为理论 (TPB) 构造来测量对抗体测试的感受性.

主要成果:

非洲裔美国人报告的医疗不信任程度高于白人美国人,但在对抗体检测的总体接受度方面没有发现显著的种族差异.
在所有TPB措施中,医疗不信任的增加始终与对抗体测试的接受度较低有关.
一个显著的相互作用表明,与非裔美国人相比,医疗不信任更强烈地预测了白人美国人对抗体测试的不太有利态度.

结论:

医疗不信任是SARS-CoV-2抗体检测的心理社会障碍.
尽管非洲裔美国人患病率更高,但医疗不信任对白人美国人抗体测试接受度产生了更大的负面影响.
了解医疗不信任的种族特异影响对于解决不同人群的健康行为障碍至关重要.

关键词:

这就是Covid-19的原因.在健康方面存在差异.医疗不信任的医学不信任血清监测和血清监测是一项重要工作.

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