| Psychosocial correlates of medical mistrust among African American men. | |
| | |
MedLine Citation:
|
PMID: 20077134 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
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. |
| | |
Authors:
|
Wizdom Powell Hammond |
Related Documents
:
|
16531364 - Valentine mott. american surgeon pioneer. 15317654 - Disparities in lipid management for african americans and caucasians with coronary arte... 8204044 - William tod helmuth and andrew jackson howe. surgical sectarianism in 19th-century amer... 11567374 - Shifting paradigms and changing horizons in medicine: challenges and opportunities for ... 6145364 - The effects of organizational stress on inpatient psychiatric medication patterns. 6992914 - Vertical abdominal incisions--a choice? |
Publication Detail:
|
Type: Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't |
Journal Detail:
|
Title: American journal of community psychology Volume: 45 ISSN: 1573-2770 ISO Abbreviation: Am J Community Psychol Publication Date: 2010 Mar |
Date Detail:
|
Created Date: 2011-01-31 Completed Date: 2011-04-29 Revised Date: 2011-07-22 |
Medline Journal Info:
|
Nlm Unique ID: 0364535 Medline TA: Am J Community Psychol Country: United States |
Other Details:
|
Languages: eng Pagination: 87-106 Citation Subset: IM |
Affiliation:
|
Department of Health Behavior Health Education, University of North Carolina at Chapel Hill, Gillings School of Global Public Health, Chapel Hill, NC 27599, USA. wizdom.powell@unc.edu |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adolescent Adult African Americans / psychology* Aged Georgia Humans Male Michigan Middle Aged Patient Acceptance of Health Care / psychology* Prejudice Questionnaires Trust* Young Adult |
| Grant Support | |
ID/Acronym/Agency:
|
1L60MD002605-01/MD/NCMHD NIH HHS; 3U01CA114629-04S2/CA/NCI NIH HHS; L60 MD002605-01/MD/NCMHD NIH HHS |
| Comments/Corrections | |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Making Daddies into Fathers: Community-based Fatherhood Programs and the Construction of Masculiniti...
Next Document: Organogenesis of exocrine pancreas in sharpsnout sea bream (Diplodus puntazzo) larvae: characterizat...