The legacy of Tuskegee and trust in medical care: is Tuskegee responsible for race differences in mistrust of medical care?

The legacy of Tuskegee and trust in medical care: is Tuskegee responsible for race differences in mistrust of medical care?
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塔斯基吉的遗产和对医疗保健的信任:塔斯基吉是否要对医疗保健不信任的种族差异负责?

DOI:
10.13016/lfd2-l89x
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发表时间:
2005
影响因子:
3.3
通讯作者:
T. Laveist
T. Laveist
中科院分区:
医学4区
文献类型:
--
作者:
D. Brandon;L. Isaac;T. Laveist

文献摘要

被引文献

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目标 研究塔斯基吉研究知识的种族差异以及塔斯基吉研究知识与医疗系统不信任之间的关系。 方法 我们对马里兰州巴尔的摩市 277 名非裔美国人和 101 名 18-93 岁的白人成年人进行了电话调查。参与者回答了有关对医疗护理不信任的问题,包括有关塔斯基吉黑人男性未经治疗梅毒研究(塔斯基吉研究)的一系列问题。 结果 调查结果显示,对塔斯基吉研究的了解或关于塔斯基吉研究的知识没有因种族差异而存在差异,并且对这项研究的了解并不能预测对医疗护理的信任。然而,我们发现医疗不信任方面存在显着的种族差异。 结论 我们的结果对塔斯基吉研究中广泛记录的对医疗护理不信任的种族差异这一主张提出了质疑。相反,不信任方面的种族差异可能源于更广泛的历史和个人经历。
OBJECTIVES To examine race differences in knowledge of the Tuskegee study and the relationship between knowledge of the Tuskegee study and medical system mistrust. METHODS We conducted a telephone survey of 277 African-American and 101 white adults 18-93 years of age in Baltimore, MD. Participants responded to questions regarding mistrust of medical care, including a series of questions regarding the Tuskegee Study of Untreated Syphilis in the Negro Male (Tuskegee study). RESULTS Findings show no differences by race in knowledge of or about the Tuskegee study and that knowledge of the study was not a predictor of trust of medical care. However, we find significant race differences in medical care mistrust. CONCLUSIONS Our results cast doubt on the proposition that the widely documented race difference in mistrust of medical care results from the Tuskegee study. Rather, race differences in mistrust likely stem from broader historical and personal experiences.