探讨中年黑人成年人对医疗的歧视和不信任感
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
概括
收入可能会影响中年黑人成年人对医疗不信任的具体维度. 感知到的歧视起着复杂的作用,强调需要社区参与的研究来改善医疗保健体验.
科学领域:
- 健康差异 在健康上的差异
- 卫生社会学 卫生社会学
- 医学人类学 医学人类学
背景情况:
- 中年黑人成年人面临着独特的挑战,原因是历史上的医疗保健歧视.
- 关于收入等交叉因素如何影响医疗不信任这一人口群体的研究有限.
- 了解这些动态对于解决持续存在的医疗保健差异至关重要.
研究的目的:
- 为了检查交叉因素 (年龄,收入,教育) 和中年黑人成年人的医疗不信任之间的关系.
- 为了确定医疗不信任的群体之间的显著差异.
- 质量地探索感知到的歧视如何塑造医疗不信任.
主要方法:
- 黑人/非裔美国人成年人的探索性混合方法研究 (n=21).
- 使用基于组的医疗不信任调查 (GBMMS) 收集的定量数据.
- 通过半结构面试收集的定性数据,探索所感知的歧视.
主要成果:
- 总体的医疗不信任得分为3.41 (SD=0.74).
- 在交叉因素和整体不信任之间没有发现显著的相关性.
- 收入显示在"怀疑"和"缺乏供应商支持"子表中,在各组之间存在显著的差异.
结论:
- 收入可能会影响中年黑人成年人对医疗不信任的具体方面.
- 被认为的歧视与医疗不信任有着复杂的关系.
- 需要社区参与,文化响应的研究来改善这群人群的医疗保健.
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