Psychiatric Medication, African Americans and the Paradox of Mistrust
Psychiatric Medication, African Americans and the Paradox of Mistrust
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DOI：
10.1016/s0027-9684(15)30025-0
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发表时间：
2015-06-01
影响因子：
3.3
通讯作者：
Vielehr, Peter S.
中科院分区：
文献类型：
--
作者：
Christie-Mizell, C. Andre;Blount, Stacye A.;Vielehr, Peter S.
目的：考察种族差异在多大程度上普遍不信任。对医生的不信任和对精神医学的不信任塑造了使用精神药物的意愿。方法：Dolo来自美国普通社会调查的两次浪潮(1998和2006)，这是一个具有代表性的非制度化美国人的样本。我们分析了343名非裔美国人和1.920名白人成年人的数据，他们的年龄在18-89岁之间。这些数据包括对受访者使用精神药物意愿的衡量，以及对普遍不信任的衡量。对医生的不信任。以及对精神病药物的不信任。我们使用普通最小二乘回归来检验这三种形式的不信任是否减少了精神科药物使用中的黑白差距，以及种族是否缓和了任何类型的不信任与支持精神药物使用的意愿之间的关联。结果：对医生和精神药物的不信任与非裔美国人和白人使用精神药物的意愿降低有关：然而。矛盾的是。这些形式的不信任在一段时间内会更急剧地减少精神药物的使用。结论：这项研究的发现模式表明，信任或低水平的不信任。而不是高度的不信任。实际上在精神药物的使用上保持着非黑即白的差异。
Objectives: To examine race differences in how generalized mistrust. mistrust in physicians, and mistrust in psychiatric medicolion shape the willingness to utilize psychiatric medication.Methods: Dolo was used from two waves (1998 and 2006) of the U. S. General Social Survey, a representative sample of non-institutionalized Americans. We analyzed data for 343 African American and 1.920 white adults, ages 18-89. The data included measures of the respondents' willingness to utilize psychiatric medication as well as measures of generalized mistrust. mistrust in physicians. and mistrust in psychiatric medication. We employed ordinary least squares regression to test whether these three forms of mistrust reduce the black-white gap in psychiatric drug usage and whether race moderates the association between any type of mistrust and the willingness to endorse psychiatric medication utilization.Results: Mistrust in physicians and psyc hiatric medication is related to less willingness to utilize psychiatric medicines for both African Americans and whiles: however. paradoxically. these forms of mistrust decrease psychiatric drug usage more steeply for whiles.Conclusions: The pattern of findings in this study suggests that trust or low levels of mistrust. rather than high levels of mistrust. actually maintains the black-white difference in the use of psychiatric medication.