Smith C
AIDS Center, Mount Sinai School of Medicine, New York, NY 10029, USA.
Mt Sinai J Med. 1999 Sep;66(4):280-1.
The African American community's response to the AIDS epidemic has reflected the profound mistrust of the medical establishment which many African Americans feel. Among African Americans, the belief that the epidemic originated in a genocidal plot is widespread. It is thought that organized medicine has been significantly involved in this plot. If we look at African Americans' historical relationship to the medical establishment from the era of slavery to the recent past, the suspicious attitudes which make such beliefs possible can be seen as an intelligible response to a new disease which disproportionately affects African Americans. Successful medical and public health responses to the epidemic have depended and will continue to depend upon overcoming the historical legacy of suspicion and gaining the trust of the community.
非裔美国人社区对艾滋病疫情的反应反映了许多非裔美国人对医疗机构的深深不信任。在非裔美国人中，认为该疫情源于种族灭绝阴谋的信念很普遍。人们认为有组织的医学界在这一阴谋中扮演了重要角色。如果我们审视从奴隶制时代到近代非裔美国人与医疗机构的历史关系，就会发现这种导致此类信念产生的怀疑态度，可以被视为对一种 disproportionately affects African Americans. 成功应对该疫情的医疗和公共卫生措施过去依赖且未来仍将依赖于克服怀疑的历史遗留问题并赢得社区的信任。
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