Hall Marla B, Vos Paul, Bess Jukelia J, Reburn Kelly L, Locklear Gavin D, McAlister Jamila, Bell Ronny A
J Health Care Poor Underserved. 2018;29(4):1368-1385. doi: 10.1353/hpu.2018.0101.
This study examined the relationship of medical mistrust using the Group-based Medical Mistrust Scale (GBMMS), and Papanicolaou testing behaviors among rural Black and White women.
Utilizing a convenience sample, a cross-sectional study was performed. Inclusion criteria included self-identification as a non-Hispanic Black or White woman, at least 21 years of age, and a resident of one of the selected counties in the region. Analyses conducted were two-sample t-tests, Fisher's exact tests, Spearman's rho, and logistical regression.
Among 338 women, four GBMMS items had statistically significant outcomes using multiple significance tests; significance remained when adjusting for demographic variables. Analyses indicated that Whites were dissatisfied with the health care system to a greater extent than Blacks.
The impact of medical mistrust should be explored beyond individuals of a racial/ethnic minority group. Future directions include the development of a community-informed screening intervention to foster adherence among diverse rural populations.
本研究使用基于群体的医疗不信任量表（GBMMS），考察了农村黑人和白人女性的医疗不信任与巴氏试验行为之间的关系。
采用便利抽样法进行横断面研究。纳入标准包括自我认定为非西班牙裔黑人或白人女性、年龄至少21岁以及该地区选定县之一的居民。所进行的分析包括两样本t检验、费舍尔精确检验、斯皮尔曼等级相关系数以及逻辑回归。
在338名女性中，四项GBMMS条目经多次显著性检验具有统计学显著结果；在对人口统计学变量进行调整后，显著性依然存在。分析表明，白人比黑人对医疗保健系统的不满程度更高。
应在种族/少数族裔群体之外探讨医疗不信任的影响。未来的方向包括开发一种基于社区信息的筛查干预措施，以促进不同农村人口的依从性。
