Experiences of racial discrimination in the medical setting and associations with medical mistrust and expectations of care among black patients seeking addiction treatment
| Autor: | Kara M. Rood, Monique McKiever, Stephanie Garcia, Kamilah Dixon-Shambley, Mikyung Baek, Julie Teater, Ayana Jordan, David A. Fielin, O. Trent Hall |
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| Rok vydání: | 2021 |
| Předmět: |
Adult
Demographics Kendall tau rank correlation coefficient media_common.quotation_subject 030508 substance abuse Medicine (miscellaneous) Black People Trust Racism 03 medical and health sciences 0302 clinical medicine Perception Health care Humans 030212 general & internal medicine Addiction treatment media_common Motivation Medical setting business.industry Social justice Black or African American Psychiatry and Mental health Clinical Psychology Pshychiatric Mental Health 0305 other medical science Psychology business Clinical psychology |
| Zdroj: | Journal of substance abuse treatment. 133 |
| ISSN: | 1873-6483 |
| Popis: | Introduction Experiences of racial discrimination in the medical setting are common among Black patients and may be linked to mistrust in medical recommendations and poorer clinical outcomes. However, little is known about the prevalence of experiences of racial mistreatment by healthcare workers among Black patients seeking addiction treatment, or how these experiences might influence Black patients' medical mistrust or expectations of care. Methods Participants were 143 Black adults recruited consecutively from two university addiction treatment facilities in Columbus, Ohio. All participants completed validated surveys assessing perceptions of prior racial discrimination in the medical setting and group-based medical mistrust. Participants were also asked a series of questions about their expectations of care with regard to racial discrimination and addiction treatment. Descriptive analyses were used to characterize the sample with regard to demographics, perceived racial discrimination and medical mistrust. Kendall tau-b correlations assessed relationships between racial discrimination, mistrust and expectations of care. Results Seventy-nine percent (n = 113) of participants reported prior experiences of racial discrimination during healthcare. Racial discrimination in the medical setting was associated with greater mistrust in the medical system and worse expectations regarding racial discrimination in addiction treatment including delays in care-seeking due to concern for discrimination, projected non-adherence and fears of discrimination-precipitated relapse. Conclusions Black patients seeking addiction treatment commonly report experiencing racial discrimination by healthcare workers which may be associated with mistrust in the medical system and expectations of care. Strategies to eliminate and mitigate experiences of racial discrimination may improve addiction treatment receptivity and engagement. |
| Databáze: | OpenAIRE |
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