Police brutality, medical mistrust and unmet need for medical care.
Police brutality, medical mistrust and unmet need for medical care.
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DOI：
10.1016/j.pmedr.2021.101361
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发表时间：
2021-06
影响因子：
2.8
通讯作者：
Hardeman R
中科院分区：
文献类型：
--
作者：
Alang S;McAlpine D;McClain M;Hardeman R
警察的暴行会限制获得医疗保健的机会，从而影响健康。警察的暴力行为与医疗需求得不到满足的可能性更大有关。这种关联的部分原因是对医疗的不信任。警察的暴行是健康的社会决定因素，可以直接影响健康状况。健康的社会决定因素还可以通过影响人们获得医疗保健的方式来间接影响健康。在这项研究中，我们描述了感知到的警察暴行与获得护理、未满足需求的指标之间的关系。我们还研究了医疗不信任作为一种潜在机制，认为警察的暴行会影响未满足的需求。使用 2018 年城市居民健康调查 (N = 4,345) 的数据，使用 Karlson-Holm-Breen 效果分解方法获得了感知到的警察暴行对未满足需求的直接影响以及医疗不信任造成的间接影响。经历警察的暴行与未满足需求的可能性更大有关。控制协变量后，感知到的警察暴行对未满足需求的总影响中有 18% 是由医疗不信任解释的。医疗保健系统之外的经历对于获得医疗服务很重要。鉴于警察的暴行与未满足的医疗需求之间存在关联，解决边缘化人群未满足的需求需要公共卫生领导人参与有关警察部门改革的对话。冠状病毒大流行使这一点变得更加重要，因为 COVID-19 和警察的暴力行为对黑人、原住民、拉丁裔和其他有色人种社区产生了不成比例的影响。
Police brutality can shape health by limiting access to health care. Police brutality is associated with greater odds of unmet need for medical care. This association is partly explained by medical mistrust. Police brutality is a social determinant of health that can directly impact health status. Social determinants of health can also impact health indirectly by shaping how people access health care. In this study, we describe the relationship between perceived police brutality and an indicator of access to care, unmet need. We also examine medical mistrust as a potential mechanism through which perceived police brutality affects unmet need. Using data from the 2018 Survey of the Health of Urban Residents (N = 4,345), direct effects of perceived police brutality on unmet need and indirect effects through medical mistrust were obtained using the Karlson-Holm-Breen method of effect decomposition. Experiencing police brutality was associated with greater odds of unmet need. Controlling for covariates, 18 percent of the total effect of perceived police brutality on unmet need was explained by medical mistrust. Experiences outside of the health care system matter for access to care. Given the association between police brutality and unmet need for medical care, addressing unmet need among marginalized populations requires public health leaders to engage in conversations about reform of police departments. The coronavirus pandemic makes this even more critical as both COVID-19 and police brutality disproportionately impact Black, Indigenous, Latinx and other communities of color.
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影响因子：
4.4
作者：
Fjaer, Erlend L.;Stornes, Per;Eikemo, Terje A.
通讯作者：
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DOI：
10.1007/s40615-020-00852-1
发表时间：
2020-08-24
影响因子：
3.9
作者：
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通讯作者：
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通讯作者：
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