Psychosocial correlates of medical mistrust among African American men.
Psychosocial correlates of medical mistrust among African American men.
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DOI：
10.1007/s10464-009-9280-6
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发表时间：
2010-03
影响因子：
3.1
通讯作者：
Hammond, Wizdom Powell
中科院分区：
文献类型：
--
作者：
Hammond, Wizdom Powell
关键词：
目前的研究提出并测试了一个概念模型的医疗不信任的样本，非洲裔美国人（N = 216）招募主要来自理发店在美国的中西部和东南部地区。潜在的心理社会相关因素被分为背景因素、男性角色认同/社会化因素、最近的医疗保健经历、最近的社会环境经历（例如，歧视），以及医疗保健系统结果预期（例如，医疗保健中的种族主义）。直接和间接的关系进行了评估。分层回归分析的结果表明，即使在控制了其他因素之后，医疗保健中的种族主义也是医疗不信任的最有力的相关因素。直接影响被发现的年龄，男性角色的身份，最近的医患互动质量，歧视的经验。此外，在医疗保健中的种族主义介导的歧视经验和医疗不信任之间的关系。这些研究结果表明，非裔美国人对医疗机构的不信任与个人特征，以前的负面社会/医疗经验，以及基于种族的不同治疗的期望有关。这些研究结果还表明，男性角色身份的方面形状的方式，阻碍信任建设过程中的医患互动的基调。
The current study proposed and tested a conceptual model of medical mistrust in a sample of African American men (N = 216) recruited primarily from barbershops in the Midwest and Southeast regions of the United States. Potential psychosocial correlates were grouped into background factors, masculine role identity/socialization factors, recent healthcare experiences, recent socioenvironmental experiences (e.g., discrimination), and healthcare system outcome expectations (e.g., perceived racism in healthcare). Direct and mediated relationships were assessed. Results from the hierarchical regression analyses suggest that perceived racism in healthcare was the most powerful correlate of medical mistrust even after controlling for other factors. Direct effects were found for age, masculine role identity, recent patient–physician interaction quality, and discrimination experiences. Also, perceived racism in healthcare mediated the relationship between discrimination experiences and medical mistrust. These findings suggest that African American men’s mistrust of healthcare organizations is related to personal characteristics, previous negative social/healthcare experiences, and expectations of disparate treatment on the basis of race. These findings also imply that aspects of masculine role identity shape the tone of patient–physician interactions in ways that impede trust building processes.
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影响因子：
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